Payment Reconciliation Specialist

Title : Payment Reconciliation Specialist

Company : Aarista / Altea Healthcare IT

Location : Onsite in Gilbert, AZ

Job Type : Full-Time

Job Summary :

The Payment Reconciliation Specialist is responsible for ensuring the accuracy and integrity of payment postings and reconciliations within the revenue cycle. This position identifies and resolves discrepancies and supports timely and accurate financial reporting. The specialist plays a key role in safeguarding the organization's financial health by maintaining precise payment records and ensuring compliance with company policies, payer requirements, and regulatory standards.

The Payment Reconciliation Specialist reports to the Director of Revenue Cycle Management and Analytics. This position supports the organization by providing focused task performance and high-level outcomes related to revenue cycle process in accordance with Local, State and Federal laws and regulations.

Essential Functions

• Reconcile daily deposits, electronic remittance advice (ERA), explanation of benefits (EOB), and patient payments against billed claims.
• Accurately post insurance and patient payments, contractual adjustments, and write-offs into the billing system.
• Investigate and resolve payment variances, underpayments, and denied claims in collaboration with the billing and collections team.
• Ensure all payments posted align with bank deposits and payer remittances.
• Generate and review reconciliation reports to ensure completeness and accuracy.
• Escalate recurring payer issues or unresolved discrepancies to management.
• Maintain organized documentation of reconciliations for audit and compliance purposes.
• Support month-end close processes and provide reporting to the finance and accounting departments as needed.
• Uphold strict confidentiality of patient and financial information in compliance with HIPAA and organizational standards.

Qualifications

Knowledge, Skills, and Abilities