Medical Claims , Reconciliation & Reporting Specialist

Medical Claims Payment Posting, Reconciliation & Reporting Specialist

Join to apply for the Medical Claims Payment Posting, Reconciliation & Reporting Specialist role at Abby Care
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Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving. Over 50 million Americans are family caregivers for loved ones without pay, tools, or support. Our mission is clear and ambitious: to train and employ family caregivers so they can get paid for the care they already provide y Care is building a tech‑powered, family‑first care platform to efficiently deliver care, improve health outcomes, and provide the best‑in‑class experience nationwide.

We are rapidly expanding our mission and looking for passionate team members to join.

The Medical Claims Payment Posting, Reconciliation & Reporting Specialist is responsible for accurately posting insurance payments, reconciling daily deposits, resolving payment discrepancies, and generating financial and operational reports. This role ensures the integrity of revenue cycle processes and supports the organization’s financial performance through precise payment management and analysis.

• Payment Posting – 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, over payments, or missing payments.
• Process payment batches and reconcile payment uploads to bank deposits.
• Reconciliation – Perform daily reconciliation of posted payments against bank statements and deposits.
• Investigate discrepancies between posted amounts and actual payments; elevate unresolved variances as needed.
• Maintain accurate logs of deposits, remittances, and reconciliation summaries.
• Conduct monthly reconciliation for internal financial reporting requirements.
• Denial and Issue Resolution – 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.
• Reporting – 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.
• Compliance & Documentation – 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.

• 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, Next Gen, eClinical
  
  Works, 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.

• Accuracy & attention to detail.
• Revenue cycle understanding.
• Analytical thinking.
• Time management & multitasking.
• Financial reconciliation.
• Data reporting & interpretation.
• Confidentiality & compliance awareness.

• Families First – Redefine healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”
• Urgency with Precision – Millions of families are waiting for care, and they cannot wait; therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care…