Payment Reconciliation Specialist

4 days ago

Cagayan de Oro, Northern Mindanao, Philippines Harris Full time

We're looking for a Payment Reconciliation Specialist to join our growing team In this role, you'll be responsible for ensuring the accurate and timely reconciliation of payments received from payers, patients, and third parties. You'll play a vital part in maintaining financial accuracy and integrity across the Revenue Cycle Management (RCM) process while supporting billing, collections, and accounting teams to resolve discrepancies and optimize cash flow.

Key Responsibilities:

  • Post and reconcile payments from insurance companies, patients, and third-party payers.

  • Match payments with EOBs (Explanation of Benefits), ERAs (Electronic Remittance Advices), and bank statements.

  • Identify and resolve payment discrepancies, denials, and underpayments.

  • Coordinate with billing and collections teams to ensure accurate reimbursement.

  • Prepare daily, weekly, and monthly reconciliation reports.

  • Maintain documentation for reconciled and unreconciled transactions.

  • Ensure compliance with payer contracts, company policies, and regulatory standards.

  • Support internal and external audits with accurate reports and documentation.

  • Access payer portals to pull EOBs and related payment information.

  • Recommend process improvements to enhance reconciliation accuracy and efficiency.

  • Maintain confidentiality and adhere to HIPAA regulations at all times.

  • Perform other related duties as assigned.

Qualifications:

  • Associate's or Bachelor's degree in Accounting, Finance, Healthcare Administration, or related field (preferred).

  • At least 2 years of experience in payment reconciliation, preferably in healthcare or RCM.

  • Strong understanding of healthcare billing, insurance payment processes, and RCM workflows.

  • Familiarity with EOBs, ERAs, and payer-specific guidelines.

  • Knowledge of accounting and financial reconciliation principles.

  • Proficient in Microsoft Excel and financial/RCM software (e.g., Epic, Athenahealth, QuickBooks).

Why Join Us

  • Competitive compensation and benefits package.

  • Supportive and collaborative work environment.

  • Opportunities for growth in a fast-evolving healthcare and finance setting.

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