Payment Posting Reconciliation Specialist

BHG CareersDallas, TX
Onsite

About The Position

The Payment Posting – Reconciliation Specialist is responsible for ensuring prompt and regular attendance, meeting BHG attendance standards. This role involves accurately processing manual and electronic remittance advice (ERA) payments and adjustments, balancing all daily deposits across centers, and ensuring cash reports are up to date. The specialist will collaborate with the accounting department on bank reconciliations, cash tracking, and cash management operations. A key part of the role is to interpret and resolve payment issues through extensive primary and secondary research, including locating missing EOBs and insurance payments. The specialist will work across multiple systems to post and reconcile insurance payments accurately, investigate and resolve any discrepancies related to deposits or payment postings, and communicate pertinent information to team members and management. Additionally, the role includes preparing daily and monthly cash reports, identifying underpayments, overpayments, or credits for resolution, and retrieving missing payment information from payers via various channels. The specialist will also review account debits and credits, taking necessary action to address any issues, and perform other duties as assigned by the supervisor. The role also requires compliance with all federal, state, and local regulatory agency requirements, as well as those of accrediting agencies. Participation in community and public relations activities, achievement of assigned specific annual goals and objectives, and demonstrating a belief that addiction is a brain disease are also aspects of the position. The ideal candidate will demonstrate hope, respect, and caring in all interactions, establish and maintain positive relationships, and be able to work independently and under pressure while handling multiple tasks simultaneously. They should make decisions and use good judgment with confidential and sensitive issues and deal appropriately with others in stressful or undesirable situations. Participation in and provision of in-service trainings, attendance at conferences, meetings, and training programs, and participation in or scheduling of regular in-service trainings are also required.

Requirements

  • Must hold and maintain a valid driver’s license.
  • 5+ years of experience in medical billing, coding, collections, payment posting, and reconciliation.
  • Strong knowledge of Medicare, Medicaid, Managed Care, and Commercial Insurance plans.
  • Advanced reconciliation and analytical skills specific to medical billing processes.
  • Intermediate proficiency in Excel and familiarity with clinical terminology, ICD-10, and CPT codes.
  • Ability to read and interpret Explanation of Benefits (EOBs), HCFA regulations, and HIPAA compliance requirements.
  • Proficiency in 10-key touch and keyboarding skills.
  • Excellent verbal and written communication skills.
  • Strong interpersonal skills and the ability to foster teamwork.
  • Superior attention to detail and organizational abilities.
  • Proficiency with Microsoft Office Suite or related software.
  • High integrity.
  • Sound judgment.
  • Efficient.
  • Self-starter.
  • Strong interpersonal communication skills.
  • Valid driver’s license.
  • Healthcare experience preferred.
  • Experience in front desk, admissions, billing, and/or collections.
  • Strong customer service and interpersonal communication skills.
  • Accurate data entry and basic keyboarding skills.
  • Ability to work independently under pressure and handle multiple tasks simultaneously.
  • Ability to enforce fee collection policies.
  • Basic computer/word processing skills.
  • Knowledge and use of typical office equipment (calculator, fax machine, copier, computer, telephone, postage meter, scales, scanner, and computer programs).
  • Knowledge of basic math, accounting, and accounts receivable.
  • Communicate effectively by phone or in person.
  • Vision adequate to read correspondence and computer screens.
  • Prolonged sitting, some bending, stooping, and stretching.
  • Manual dexterity for operating office equipment.
  • Extended keyboarding periods.

Nice To Haves

  • Experience and understanding of chemical addiction is preferable.

Responsibilities

  • Ensure prompt and regular attendance, meeting BHG attendance standards.
  • Accurately process manual and electronic remittance advice (ERA) payments and adjustments.
  • Balance all daily deposits across centers, ensuring cash reports are up to date.
  • Collaborate with the accounting department on bank reconciliations, cash tracking, and cash management operations.
  • Interpret and resolve payment issues through extensive primary and secondary research, including locating missing EOBs and insurance payments.
  • Work across multiple systems to post and reconcile insurance payments accurately.
  • Investigate and resolve any discrepancies related to deposits or payment postings.
  • Communicate pertinent information to team members and management as needed.
  • Prepare daily and monthly cash reports and identify underpayments, overpayments, or credits for resolution.
  • Retrieve missing payment information from payers via various channels (phone, portals, clearinghouses).
  • Review account debits and credits, taking necessary action to address any issues.
  • Perform other duties as assigned by the supervisor.
  • Responsible for complying with all federal, state and local regulatory agency requirements.
  • Responsible for complying with all accrediting agencies.
  • Participate in community and public relations activities as assigned.
  • Responsible for the achievement of assigned specific annual goals and objectives.
  • Demonstrates the belief that addiction is a brain disease, not a moral failing.
  • Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members.
  • Establishes and maintains positive relationships in the workplace.
  • Can work independently and under pressure while handling multiple tasks simultaneously.
  • Makes decisions and uses good judgment with confidential and sensitive issues.
  • Deals appropriately with others in stressful or other undesirable situations.
  • Participate in and provide in-service trainings as required by federal, state, local, and accrediting agencies.
  • Attend conferences, meetings and training programs as directed.
  • Participate in and/or schedule and attend regular in-service trainings.
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