Medical Claims Payment Posting, Reconciliation & Reporting Specialist

Abby Care • San Francisco, CA

33d

About The Position

The Medical Claims Payment Posting, Reconciliation & Reporting Specialist is responsible for accurately posting insurance payments, reconciling daily deposits, resolving payment discrepancies, and generating financial and operational reports. This role ensures the integrity of revenue cycle processes and supports the organization’s financial performance through precise payment management and analysis.

Requirements

• High school diploma or equivalent; associate degree or business/healthcare coursework preferred.
• 3-5 years of experience in medical billing, payment posting, or healthcare revenue cycle operations.
• Strong knowledge of ERAs, EOBs, CPT/ICD-10 codes, and insurance payer processes.
• Proficiency with billing systems (e.g., Epic, Athena, NextGen, eClinicalWorks, Kareo, etc.) and Excel/Google Sheets.
• Excellent attention to detail, analytical skills, and ability to work independently with high accuracy.
• Strong communication and problem-solving skills.

Responsibilities

• Accurately post insurance claim payments, adjustments, and denials into the practice management or billing system.
• Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and correspondence from payers.
• Apply correct contractual adjustments and identify underpayments, overpayments, or missing payments.
• Process payment batches and reconcile payment uploads to bank deposits.
• Perform daily reconciliation of posted payments against bank statements and deposits.
• Investigate discrepancies between posted amounts and actual payments; escalate unresolved variances as needed.
• Maintain accurate logs of deposits, remittances, and reconciliation summaries.
• Conduct monthly reconciliation for internal financial reporting requirements.
• Identify claim denials, partial payments, or payer inconsistencies.
• Communicate with billing team members or payers to resolve payment issues.
• Track recurring denial trends and recommend corrective actions to improve clean-claim rates.
• Produce daily, weekly, and monthly payment and reconciliation reports.
• Generate operational reports such as payment trends, payer performance, denial summaries, and accounts receivable insights.
• Provide analysis supporting month-end closing and financial reviews.
• Assist leadership with customized reporting requests.
• Ensure compliance with HIPAA, payer guidelines, and internal financial protocols.
• Maintain accurate and organized documentation of payments, remittances, and reconciliation records.
• Support audit requests by supplying detailed payment and reporting documentation.

Benefits

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – global team members are eligible for an annual company performance bonus.
• Generous paid time off. We provide 15 days of paid time off that allow you to recharge, along with 10 paid company US holidays.
• Team bonding. We love bringing our teams together. As a full-time employee, you’ll get to connect, collaborate, and have fun through team activities and our annual company retreat.
• Set Up for Success. We provide a company-issued laptop to support you in your role.
• Growth Opportunities. Build your leadership skills while working with teams in various markets across the US.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees