Medical Claims Payment Posting, Reconciliation Specialist

Abby Care

Medical Claims Payment Posting Specialist responsible for accuracy in payment posting and reconciliation in healthcare revenue cycle. Focused on resolving discrepancies and enhancing financial reporting.

Posted 7/16/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $60,000 - $70,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing and payment posting, with strong analytical skills for reconciling payments and identifying discrepancies. Proficient in using billing systems and ensuring compliance with financial protocols and regulations.

Highest-signal resume keywords

Medical Billing ExperiencePayment Posting ProficiencyKnowledge of ERAs and EOBsBilling Systems ProficiencyAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical BillingPayment PostingReconciliationCPT/ICD-10 CodesContractual AdjustmentsPayment AnalysisFinancial ReportingDiscrepancy InvestigationClaim Denial ManagementAudit Support

Soft Skills

Analytical SkillsProblem-Solving SkillsCommunication SkillsAttention to DetailAbility to Work Independently

Tools & Technologies

EpicAthenaNextGenEClinicalWorksKareoExcelGoogle Sheets

Industry Keywords

Healthcare Revenue CycleHIPAA CompliancePayer GuidelinesFinancial ProtocolsPayment Trends

About the role

Key responsibilities & impact

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.
Process payment batches and reconcile payment uploads to bank deposits.
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.
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.

Requirements

What you’ll need

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.
Strong knowledge of ERAs, EOBs, CPT/ICD-10 codes, and insurance payer processes.
Proficiency with billing systems (e.g., Epic, Athena, NextGen, eClinicalWorks, Kareo, etc.) and Excel/Google Sheets.
Excellent attention to detail, analytical skills, and ability to work independently with high accuracy.
Strong communication and problem-solving skills.

Benefits

Comp & perks

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 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.