Abby Care · 1 month ago
Medical Claims Payment Posting, Reconciliation & Reporting Specialist
United States
Full-time
Remote
Mid Level
3+ years expAbby Care is a company focused on empowering family caregivers through a tech-powered care platform. The Medical Claims Payment Posting, Reconciliation & Reporting Specialist plays a crucial role in managing insurance payments, ensuring accurate reconciliation, resolving payment discrepancies, and generating financial reports to support the organization's financial performance.
Child CareHealth CareHome Health Care
Responsibilities
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
Qualification
Required
High school diploma or equivalent
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
Preferred
associate degree or business/healthcare coursework
Benefits
Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – global team members are eligible for an annual company performance bonus.
Generous paid time off. We provide 15 days of paid time off that allow you to recharge, along with 10 paid company US holidays.
Team bonding. We love bringing our teams together. As a full-time employee, you’ll get to connect, collaborate, and have fun through team activities and our annual company retreat.
Set Up for Success. We provide a company-issued laptop to support you in your role.
Growth Opportunities. Build your leadership skills while working with teams in various markets across the US.
Company
Abby Care
Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving.
51-200 employees
H1B Sponsorship
Abby Care has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (1)
2023 (1)
Funding
Current Stage
Growth StageCompany data provided by crunchbase