Payment Reconciliation Specialist

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.

Duties and Responsibilities:

• Update and maintain all logs and spreadsheets used for reconciliation. Review, investigate, and reconcile deposits and supporting documentation to enable accurate posting.
• Investigate, research, and resolve outstanding deposits, reaching out to clients and payers for additional information as needed.
• Identify and research needed information to clear out posting errors and follow-ups.
• Participate in month-end closing.
• Retrieve and post remittances from payor websites when the remittance is needed.
• Research unidentified payments and/or recoupments to determine the appropriate resolution.
• Identify patterns and trends that indicate a potential issue and notify leads or supervisors.
• Assist clients by answering inquiries and providing information.
• Reconcile daily cash deposits to the billing system and bank.
• Special projects and assignments as assigned.

Position Proficiencies and Requirements:

• Minimum 3 years of medical insurance posting experience.
• Knowledge of payer contract & government reimbursement rules.
• Proficient in Microsoft Office (Outlook, Excel, Word) and Google applications.
• Skilled in using computer applications for payment posting with an understanding of accounts receivable (A/R) follow-up.
• Knowledge of insurance and reimbursement policies.
• Experience with medical billing software (Raintree Systems experience a plus).
• Experience in performing tasks that require a basic understanding of accounting and math skills.
• Proactive curiosity and basic AI fluency to identify efficiency gains and streamline daily workflows in a fast-paced setting.

Competencies to Drive Success:

• Strong written and verbal communication skills; a self-starter who is dependable and reliable.
• Must work well within a team structure, possessing outstanding interpersonal relationship skills, as well as the ability to work independently.
• Strong organizational skills and detail-oriented with the ability to prioritize, complete tasks, and meet deadlines.
• Must be able to promote a positive influence within the team, department, and company.
• Ensure and adhere to departmental compliance with HIPAA guidelines, Raintree Systems, Inc. HR policies, standard operating procedures, and other corporate initiatives.