Posting and Reconciliation Specialist

McPherson Hospital • McPherson, KS

4d

About The Position

The Posting and Reconciliation Specialist is responsible for routine posting and reconciliation of incoming electronic remittance advice (ERA), paper checks and explanations of benefits (EOB), self-pay payments, and general ledger payments. The specialist assists with daily payment reconciliation and ensures monies due to the facility are accurately posted in the electronic system.

The role analyzes EOB information—including copays, deductibles, coinsurance, contractual adjustments, and denials—to verify patient balances. It posts and reconciles ERA/EFT, EOB, and lockbox payments to patient and contract billing accounts, with a stated minimum accuracy of 98%. The specialist works with internal teams and insurance carriers to support timely and accurate reporting, helps address credit and negative balances, and performs routine audits to keep accounts-receivable days within threshold.

This is a full-time, day-shift position in McPherson, Kansas. The work involves sitting for long periods, infrequent lifting of 10–15 pounds, reading small-print documents, and repetitive keyboard and data-entry tasks. The position may involve working under stress during peak workload periods.

Requirements

• High school diploma or equivalency.
• Minimum of 1–2 years of medical payment posting and reconciliation experience and/or 2–4 years of relevant experience within Patient Financial Services.
• Working knowledge of medical billing, insurance carriers, and payment methodologies.
• Data-entry ability and working knowledge of computers and hardware/software, including Outlook, Excel, Teams, copier/fax machine, and calculator.
• Ability to navigate clearinghouse and insurance portal websites.
• Experience with electronic health record systems.
• Ability to work in a detail-oriented environment with firm deadlines.
• Ability to collaborate with internal peers and external contacts.
• Ability to exercise independent judgment and problem-solving.
• Ability to work under stress during peak workload periods.
• Ability to sit for long periods, infrequently lift 10–15 pounds, read small-print documents, and perform repetitive keystrokes/data entry.

Responsibilities

• Analyze and interpret EOB information, including copays, deductibles, coinsurance, contractual adjustments, and denials, to verify correct patient balances.
• Post and reconcile ERA/EFT, EOB, and lockbox payments to patient and contract billing accounts with a minimum stated accuracy of 98%.
• Collaborate with internal teams and insurance carriers to establish and routinely monitor processes for timely, accurate reporting of incoming payments.
• Assist with monthly maintenance and reconciliation of credit or negative balances for Medicare, Medicaid, commercial payers, and patient credits; communicate necessary corrections to Billing and Patient Financial Services teams.
• Perform routine audits to ensure accounts-receivable days remain within threshold.
• Complete assigned HealthStreams education by the designated due date.
• Attend required staff, department, and organizational meetings.
• Maintain clear communication, professionalism, confidentiality, and adherence to the organization's C.A.R.E. Values.
• Participate in the professional development of self and team members.

Benefits

• Medical, dental, and vision insurance
• Health Savings Account
• Flexible Spending Account and Dependent Care Spending Account
• 403(b) retirement plan with up to 4% employer contribution
• Earned Time Off
• Extended Illness Bank with hospital contribution
• Employer-paid life insurance
• Employer-paid long-term and short-term disability
• Voluntary life and AD&D
• Free 24-hour fitness center
• Hospital indemnity
• MASA Medical Transportation Solutions

What This Job Offers

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