Payment Processing & Reconciliation Specialist

Payment Processing Support Role

We are seeking a detail-oriented professional to support payment processing, research, reconciliation, and data integrity activities. This role will work closely with internal business partners and external vendors to ensure payments are accurately processed, researched, allocated, and reconciled within established controls and service-level requirements.

The ideal candidate will be highly organized, analytical, and comfortable working in a fast-paced environment with competing priorities and strict deadlines.

Key Responsibilities

• Accurately identify and input premium and non-premium payments into the appropriate systems using established procedures.
• Perform required cross-checks to ensure the quality, accuracy, and integrity of payment data.
• Follow departmental controls and procedures to ensure tasks are completed in alignment with established requirements.
• Research payments received in-house and payments presented through bank imaging tools.
• Collaborate with internal business partners, including Accounting, Billing, and Accounts Receivable, to ensure payments are properly allocated and reconciled.
• Work with external business partners and banking vendors to research and resolve payment-related issues.
• Understand and meet deadlines and Service Level Agreements (SLAs) associated with payment research and application.
• Complete batching and preparation of incoming mail in accordance with internal controls.
• Research and process payments appearing on daily exception reports, particularly during peak and off-peak periods such as Open Enrollment.
• Understand various payment adjustments, their appropriate use, and their potential impact on customers.
• Recognize how daily deliverables affect internal and external business partners and the overall customer experience.
• Research and respond to inquiries in accordance with established SLAs.
• Maintain departmental production and quality metrics.
• Transmit checks using Remote Deposit Capture (RDC) and virtual lockbox systems and complete required reporting.
• Identify, recommend, and implement process improvements.
• Proactively identify and resolve exceptions based on expected daily deliverables.
• Participate in projects and perform other duties as business needs require.

Required Qualifications

• Bachelor's degree or equivalent combination of education and experience, with up to 2 years of relevant work experience.
• Ability to effectively manage multiple priorities and competing deadlines.
• Strong teamwork and collaboration skills, with the ability to actively contribute to daily operations, problem resolution, and strategic planning.
• Strong analytical and problem-solving skills, including the ability to analyze data and identify logical root causes.
• Ability to work effectively in a fast-paced, detail-oriented environment.
• Excellent written and verbal communication skills.
• Proficiency with Microsoft Excel, Word, and Outlook.

Preferred Qualifications

• Treasury experience within the healthcare or insurance industry.
• Knowledge of Oracle applications.
• Experience with PeopleSoft.
• Experience with payment processing, reconciliation, banking operations, or related financial functions is a plus.

Key Skills

• Payment Processing
• Payment Research & Reconciliation
• Data Analysis
• Root Cause Analysis
• Quality & Accuracy
• SLA Management
• Microsoft Excel
• Cross-Functional Collaboration
• Process Improvement
• Attention to Detail