Medical Claims Payment Posting, Reconciliation Specialist

About the role

The Medical Claims Payment Posting, Reconciliation & Reporting Specialist role is central to the financial operations of Abby Care. This position is responsible for the precise execution of revenue cycle tasks related to insurance payments and serves as the key resource for resolving payment discrepancies and validating the integrity of remittance data. The role requires a disciplined approach to managing payment batches and reconciling complex financial transactions. The specialist will directly support Abby Care's mission by enabling the company to operate efficiently and transparently, analyzing operational reports to drive continuous improvement in payment workflows. Ultimately, this position ensures that family-led care is supported by a robust and reliable financial infrastructure.

What you'll do

1. Accurately post insurance claim payments, adjustments, and denials into the practice management or billing system.

1. Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and correspondence from payers to ensure correct application of funds.
2. Apply correct contractual adjustments and identify underpayments, overpayments, or missing payments during the posting cycle.

4. Process payment batches and reconcile payment uploads to bank deposits to maintain cash flow accuracy.

5. Perform daily reconciliation of posted payments against bank statements and deposits to verify financial integrity.

6. Investigate discrepancies between posted amounts and actual payments; escalate unresolved variances as needed to resolve issues.

7. Maintain accurate logs of deposits, remittances, and reconciliation summaries for audit and reporting purposes.

8. Conduct monthly reconciliation for internal financial reporting requirements and leadership review.

9. Identify claim denials, partial payments, or payer inconsistencies to reduce revenue leakage.

10. Communicate with billing team members or payers to resolve payment issues and clarify documentation needs.

11. Track recurring denial trends and recommend corrective actions to improve clean-claim rates and operational efficiency.

12. Produce daily, weekly, and monthly payment and reconciliation reports to monitor financial performance.

13. Generate operational reports such as payment trends, payer performance, denial summaries, and accounts receivable insights.

14. Provide analysis supporting month-end closing and financial reviews to ensure timely and accurate reporting.

15. Assist leadership with customized reporting requests to support strategic decision-making and operational planning.

Requirements

You must possess a High school diploma or equivalent; associate degree or business/healthcare coursework preferred for this role. You are expected to have 3-5 years of experience in medical billing, payment posting, or healthcare revenue cycle operations to perform the essential functions. You must demonstrate strong knowledge of ERAs, EOBs, CPT/ICD-10 codes, and insurance payer processes to execute tasks correctly. You are required to show proficiency with billing systems (e.g., Epic, Athena, NextGen, eClinicalWorks, Kareo, etc.) and Excel/Google Sheets to manage data effectively. You must maintain excellent attention to detail, analytical skills, and the ability to work independently with high accuracy to protect financial data. You are expected to exhibit strong communication and problem-solving skills to navigate complex payment issues. You must adhere to all compliance standards related to HIPAA, payer guidelines, and internal financial protocols in every task.

Core competencies

• Accuracy & attention to detail
• Revenue cycle understanding
• Analytical thinking
• Time management & multitasking
• Financial reconciliation
• Data reporting & interpretation
• Confidentiality & compliance awareness

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. Choose from high-quality medical, dental, and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.
• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
• Financial savings benefits to support your future. We support your financial well-being with 401(k) matching and a wellness stipend.
• A supportive and flexible work environment. We provide the tools and flexibility you need to be successful while maintaining a healthy work-life balance.
• Opportunities for professional development. We invest in your growth with learning resources and career advancement pathways.
• A culture built on care and inclusion. You'll join a mission-driven team dedicated to transforming home care through technology and supporting families across America.