Medical Claims Payment Posting, Reconciliation Specialist

Abby Care: Powering the Future of Care at Home for All of America

Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve. We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system. Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively. We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future. Join us in solving one of the most important challenges of our time.

The Role

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.

Key Responsibilities

1. 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, overpayments, or missing payments.
• Process payment batches and reconcile payment uploads to bank deposits.

2. Reconciliation

• 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.

3. 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.

4. 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.

5. 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.

Qualifications

• 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, 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.

Core Competencies

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

Benefits

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work full-time employees are eligible for an annual company performance bonus.
• Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.
• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
• Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Our Values

1. Families First Redefining 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?"
2. 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 without compromise. Here, speed and excellence go hand in hand.
3. Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.
4. Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.
5. Driven to Redefine What's Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.