Posting and Reconciliation Specialist

Job Description

Job Description

Job Description: Posting and Reconciliation Specialist

Posting and Reconciliation Specialist Job Summary:

The Posting and Reconciliation specialist will be responsible for routine posting and reconciliation of incoming Electronic Remittance Advice from carriers (ERA’s), incoming paper checks (EOB’s) self-pay and general ledger payments. They will assist with daily payment reconciliation and ensure monies due to the facility are properly posted in the electronic system. 

  Posting and Reconciliation Specialist Shift Availability:

• Full Time

• Days

Posting and Reconciliation Specialist Benefits:

• Medical/ Dental/ Vision Insurance

• Health Savings Account

• Flex Spending Account/Dependent Care Spending Account

• 403 (b) Retirement Plan- up to 4% employer contribution

• Earned Time Off

• Extended Illness Bank-Hospital contribution

• Life Insurance- Employer Paid

• Long-Term Disability/ Short-Term Disability-Employer paid

• Voluntary Life & AD&D

• Free 24-hour fitness center

• Hospital Indemnity

• MASA- Medical Transportation Solutions

Posting and Reconciliation Specialist Essential Accountabilities:

• Analyze and interpret Explanation of Benefit (EOB) information, including copays, deductibles, coinsurance, contractual adjustments, and denials to verify correct patient balances.

• Post and reconcile payments received via ERA/EFT, EOB, and lockbox to patient and contract billing accounts with minimum 98% accuracy.

• Collaborate with internal teams and insurance carriers to establish and routinely monitor processes to ensure timely, accurate reporting of incoming payments.

• Assist with credit or negative balances (Medicare, Medicaid, commercial payer, patient credits) as part of monthly maintenance and reconciliation; communicate necessary corrections to Billing and Patient Financial Services teams as appropriate.

• Perform routine audits to ensure Accounts Receivable (A/R) days remain within threshold.

Department Specific Accountabilities:

• Ability to work in detail-oriented environment with firm deadlines.

• Must be able to collaborate with internal peers and external contacts.  

• Ability to exercise independent judgement and problem-solving.

Organization Accountabilities:

• Completion of HealthStreams education by designated due date

• Attends required staff/department/organization ’s meetings

• Demonstrates strong, clear communication skills

• Upholds the C.A.R.E. Values of McPherson Center for Health

• Exhibits professionalism at all times.

• Maintains confidentiality as required by HIPPA regulations.

• Participates in the professional development of self and team members.

Posting and Reconciliation Specialist Qualifications:

• Education:

  • High School Diploma or Equivalency

• Experience:

  • Minimum of 1-2 years of medical payment posting and reconciliation and/or 2-4 years of relevant experience within Patient Financial Services

• Licensure/Certifications: N/A 

• Skills:

  • Working knowledge of medical billing, insurance carriers, and payment methodologies

  • Data entry and working knowledge of computers and various hardware/software (Outlook,    Excel, Teams, copier/fax machine, calculator)

  • Ability to navigate clearinghouse and insurance portal websites.

  • Experience with Electronic Health Record systems

• Working Conditions:

  • Hazardous Working Conditions: 

    • Must have the ability to work under stress during peak workload periods

  • Environmental Surroundings:

    • OSHA Category 3 – Tasks that involve no exposure to blood, body fluids, tissues or other potentially infectious materials

  • Physical Working Conditions:

    • Must be able to sit for long periods of time

    • Must be able to lift 10-15 pounds infrequently

    • Must be able to read small print documents

    • Must be able to perform repetitive key strokes/data entry

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.