Revenue Cycle Specialist at Lutheran Social Services of WI & UP MI

Revenue Cycle Specialist - Cash Application (Hybrid) Location: Racine, WI (Hybrid - in office as needed) Schedule: Full-time Travel: Occasional day trips; limited overnight travel

About the Role

We are seeking a detail oriented Revenue Cycle Specialist (Cash Application) to support the accuracy and integrity of our revenue cycle operations. In this role, you will be responsible for posting and reconciling payments, researching discrepancies, managing unapplied cash, and ensuring timely and accurate financial reporting. This position plays a key part in maintaining smooth billing operations and supporting organizational financial health.

This is a hybrid position with remote flexibility and on site attendance at management discretion.

Key Responsibilities

Payment Processing & Cash Application

• Accurately post payments, adjustments, and denials from government payers, commercial insurance, grants, and clients.
• Match remittances (EOBs, ERAs, invoices) to the correct accounts and resolve posting discrepancies.
• Monitor and manage unapplied cash and credit balances.
• Apply contractual adjustments and write offs according to payer contracts and fee schedules.

Banking & Reconciliation

• Prepare daily bank downloads and create deposit batches in Evolv.
• Run daily banking reports and enter deposits into Acumatica GL.
• Reconcile posted payments with remittances and documentation to ensure accuracy.

Issue Resolution & Account Management

• Research unidentified or missing payments and resolve discrepancies.
• Communicate with payers, internal departments, and clients as needed.
• Waterfall balances to the next responsible party.

Collaboration & Communication

• Work closely with internal teams to resolve issues impacting payment posting.
• Respond to inquiries regarding payment status and account activity.
• Use routing tools within Evolv to prioritize tasks and maintain workflow.

Reporting, Documentation & Compliance

• Maintain accurate documentation of posting activities, adjustments, and resolutions.
• Run billing reports as requested.
• Ensure compliance with HIPAA and all relevant regulations.
• Assist with month end close and financial audits.

Process Improvement & Training

• Identify opportunities to improve payment posting workflows.
• Participate in training and cross training within the revenue cycle team.
• Track and manage renewals of licenses, certifications, and benefits.

Qualifications

Education & Experience

• High school diploma required; associate degree in accounting preferred.
• Minimum 1+ year of healthcare or behavioral health billing experience (nonprofit or social services preferred).
• Experience with EOBs, ICD coding, modifiers, and Medicare/Medicaid/commercial billing.
• Familiarity with EHR systems (Evolv experience a plus).

Skills & Competencies

• Strong attention to detail and accuracy.
• Excellent problem solving and analytical skills.
• Effective written and verbal communication.
• Ability to manage multiple tasks and meet deadlines.
• Proficiency in Microsoft Excel, Word, Outlook, and billing software.
• Ability to work independently and collaboratively.
• Commitment to trauma informed and culturally competent practices.
• Ability to maintain confidentiality and comply with HIPAA.

Physical Requirements

• Regularly required to sit, use hands, talk, and hear.
• Occasionally required to stand, walk, stoop, kneel, or crouch.
• Must be able to lift/move up to 25 lbs occasionally.

Conditions of employment:

• Must reside in Wisconsin or Upper Michigan for payroll purposes.
• Must be authorized to work in the United States. LSS does not currently provide visa sponsorship.

Lutheran Social Services is an Equal Opportunity Employer (EOE).