Reconciliation Specialist
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Job Description
Reconciliation Specialist responsible for ensuring efficient reimbursement reconciliation for therapy sessions. Collaborating with billing services team and insurance companies for accurate accounts receivable monitoring.
Responsibilities:
- Ensure strict HIPAA-compliant confidentiality with all client-related data
- Reconcile payments posted electronically from the clearinghouse
- Post manual payments in all billing platforms (Rethink, Tebra, Azalea)
- Review and interpret EOBs and ERAs
- Post payments from insurance portals
- Enroll in ERAs when applicable to reduce volume of manual posting & monitor/track progress of enrollment requests
- Communicate trends identified when posting to Customer Billing Advocate (CBA) / AR team for client
- Identify underpayments/overpayments & ensure proper communication across POD members (CBA & AR Team) for resolution
- Measure and monitor key metrics related to work performance
- Review & interpret payor contracts when applicable
- Foster a positive work environment for colleagues
- Special projects as needed
Requirements:
- HS Diploma or Equivalent
- Minimum 1-2 years payment posting experience
- ABA experience
- Experience using insurance company websites/portals
- Willing to learn, positive attitude and loves a good challenge
- Professional phone skills
- This role requires exceptional attention to detail, critical thinking and excellent communication with internal teams and insurance companies
- Speech, OT and Mental Health experience preferred
- Minimum 1-year experience working in an office setting
- Minimum 1 year experience in billing both major commercial insurance companies as well as state Medicaid programs
- Experience using Billing Software (Azalea, Kareo), EMR (Rethink) and Clearinghouse systems (Waystar, Trizetto, Availity)
- Proficient using Microsoft Suite (Outlook, Excel, Word) and Google Docs/Sheets
Benefits:
- PTO and Vacation Days after a 90-day introductory period
- Paid Holidays
- Generous Health, Denial & Vision benefits package
- 401k + Matching
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