Role Description
The Payment Reconciliation Specialist is responsible for ensuring receipt of deposits, balance and reconciliation of daily, weekly, and monthly bank deposits, payment posting, and payment follow-ups with a heavy focus on timeliness, quality, and accuracy.
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Update and maintain all logs and spreadsheets used for reconciliation.
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Review, investigate and reconcile deposits and supporting documentation to enable accurate posting.
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Investigate, research, and resolve outstanding deposits, reaching out to clients and payers for additional information as needed.
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Identify and research needed information to clear out posting errors and follow-ups.
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Participate in month-end closing.
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Retrieve and post remittances from payor websites when the remittance is needed.
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Research unidentified payments and or recoupment to determine the appropriate resolution.
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Identify patterns and trends that indicate a potential issue and notify leads or supervisors.
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Assist clients by answering inquiries and providing information.
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Reconcile daily cash deposits to the billing system and bank.
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Special projects and assignments as assigned.
Qualifications
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Minimum 3 years of medical insurance posting experience.
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Knowledge of payer contract & government reimbursement rules.
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Proficient in Microsoft Office (Outlook, Excel, Word) and Google applications.
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Skilled in using computer applications for payment posting with an understanding of A/R follow-up.
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Knowledge of insurance and reimbursement policies.
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Experience with medical billing software (Raintree Systems experience a plus).
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Experience in performing tasks that require a basic understanding of accounting and math skills.
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Proactive curiosity and basic AI fluency to identify efficiency gains and streamline daily workflows in a fast-paced setting.
Requirements
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Strong written and verbal communication skills; a self-starter who is dependable and reliable.
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Must work well within a team structure, possessing outstanding interpersonal relationship skills, as well as the ability to work independently.
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Strong organizational skills and detail-oriented with the ability to prioritize, complete tasks, and meet deadlines.
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Must be able to promote a positive influence within the team, department, and company.
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Ensure and adhere to departmental compliance with HIPAA guidelines, Raintree Systems, Inc. HR policies, standard operating procedures, and other corporate initiatives.
Benefits
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Remote First
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Paid Time Off/11 Paid Holidays/Year-End Holiday Break
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Health, Dental, Vision, HSA/FSA
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401K with Company Match
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Disability & Life Insurance
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Employee Assistance Program
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Paid Parental Leave