Managed Care Reconciliation & Payments Specialist
Libertana•Sherman Oaks, CA
•Onsite
About The Position
Libertana is seeking a highly analytical and detail-oriented Managed Care Reconciliation & Payments Specialist to support the organization’s complex healthcare payment model. This role focuses on reconciling managed care payments, investigating discrepancies, and ensuring accurate payment flows between health plans and facilities.
Requirements
- 2-5+ years in healthcare billing, managed care, or reconciliation
- Strong understanding of managed care payment models
- Advanced Excel skills
- Strong analytical and investigative mindset
- Excellent communication and organizational skills
Responsibilities
- Reconcile payments from managed care plans against expected amounts
- Investigate discrepancies between claims, remittances, and submitted invoices
- Identify and resolve underpayments and missing payments
- Follow up with team members to resolve payment issues
- Support accurate facility payment disbursements
- Collaborate with billing, operations, and support teams
- Maintain documentation for audit and compliance
- Analyze trends and escalate systemic issues
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
