Medical Claims Payment Posting & Reconciliation Specialist

Abby Care • San Francisco, CA

11h

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.
• Proven experience working with EOBs, ERAs, CPT/ICD-10 codes, and insurance payer processes.
• Strong experience in payment reconciliation and financial reporting.
• Proficiency with billing systems (e.g., Epic, Athena, NextGen, eClinicalWorks, Kareo, etc.) and Excel/Google Sheets. (CollaborateMD experience is highly preferred).
• Hands-on experience navigating multiple insurance portals.
• Strong proficiency in billing platforms and revenue cycle systems.
• Experience with Excel or Google Sheets for reporting and reconciliation.
• Comfortable learning and working within multiple healthcare technology platforms.

Nice To Haves

• Prior experience managing or supervising a team.
• Background in accounting or finance is a strong plus.

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.
• 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.
• Process payment batches and reconcile payment uploads to bank deposits.
• 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 – full-time employees are eligible for an annual company performance bonus.
• Comprehensive health coverage that works for you. We cover 90% of your premiums and 70% for your dependents, with multiple PPO plan options to choose from for medical, vision, dental, life, and short-term disability.
• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company 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.
• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
• Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED