We're looking for a Payment Reconciliation Specialist to join our growing team! In this role, you'll be responsible for ensuring the accurate and timely reconciliation of payments received from payers, patients, and third parties. You'll play a vital part in maintaining financial accuracy and integrity across the Revenue Cycle Management (RCM) process while supporting billing, collections, and accounting teams to resolve discrepancies and optimize cash flow.

Key Responsibilities

Post and reconcile payments from insurance companies, patients, and third-party payers.
Match payments with EOBs (Explanation of Benefits), ERAs (Electronic Remittance Advices), and bank statements.
Identify and resolve payment discrepancies, denials, and underpayments.
Coordinate with billing and collections teams to ensure accurate reimbursement.
Prepare daily, weekly, and monthly reconciliation reports.
Maintain documentation for reconciled and unreconciled transactions.
Ensure compliance with payer contracts, company policies, and regulatory standards.
Support internal and external audits with accurate reports and documentation.
Access payer portals to pull EOBs and related payment information.
Recommend process improvements to enhance reconciliation accuracy and efficiency.
Maintain confidentiality and adhere to HIPAA regulations at all times.
Perform other related duties as assigned.

Qualifications

Associate's or Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field (preferred).
Understanding of billing, insurance and payment processes.
Knowledge of accounting and financial reconciliation principles.
Proficient in Microsoft Excel and financial/RCM software (e.g., Epic, Athenahealth, QuickBooks) is a plus.

Why Join Us

Competitive compensation and benefits package.
Supportive and collaborative work environment.
Opportunities for growth in a fast-evolving healthcare and finance setting.

Payment Reconciliation Specialist (Open for Fresh Grad)