Medical Claims Reconciliation Specialist

Job Summary

To support the organization's financial performance, the full-time Medical Claims Payment Posting, Reconciliation Specialist will accurately post insurance payments, reconcile daily deposits, resolve payment discrepancies, and generate financial reports in a remote work environment.

Key Responsibilities

• Accurately post insurance claim payments and adjustments while reviewing EOBs and ERAs
• Perform daily reconciliation of posted payments against bank statements and investigate discrepancies
• Identify claim denials and communicate with team members or payers to resolve payment issues

Required Qualifications

• High school diploma or equivalent; associate degree or relevant coursework preferred
• 3-5 years of experience in medical billing or healthcare revenue cycle operations
• Strong knowledge of ERAs, EOBs, and insurance payer processes
• Proficiency with billing systems and Excel/Google Sheets
• Excellent analytical skills and ability to work independently with high accuracy