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Payment and Reconciliation Specialist

Healthcare Outcomes Performance Co. (HOPCo)

Responsible for payment posting, reconciliation, and refund processing within the medical billing/accounts receivable workflow. This role supports accurate posting of financial transactions, remittance reconciliation, and communication with internal and external stakeholders to resolve account issues.

Key responsibilities include:

  • Posting charges, payments, and adjustments in the medical billing accounts receivable process.
  • Processing financial transactions through automated systems and team workflows.
  • Interpreting explanation of benefits to ensure proper posting.
  • Retrieving and uploading 835 remittance files and reconciling exception files.
  • Researching and completing insurance and patient refunds.
  • Posting refund checks into the patient accounting system.
  • Communicating with physicians, staff, patients, and insurance representatives as needed.
  • Following Medicare, HIPAA, and business office rules and regulations.
  • Forwarding accounts requiring follow-up or resubmission to the business office staff.
Requirements & Qualifications
  • Minimum of 2 years of experience in medical billing and/or cash applications, or equivalent experience in a healthcare environment.
  • Prior cash posting experience in a multiple lockbox environment preferred.
  • Strong communication skills with physicians, patients, and the public.
  • Ability to establish effective working relationships with internal and external customers.
  • Understanding of accounts receivable posting processes, explanation of benefits, coordination of benefits, and eligibility requirements.
Benefits & Perks
  • Competitive health and welfare benefits
  • Monthly $43 stipend toward ancillary benefits
  • HSA with company match for qualifying HDHP plans
  • 401(k) plan after 6 months of service with company match
  • Employee Assistance Program available 24/7
  • Employee Appreciation Days
  • Employee Wellness Events

Location

Phoenix, Arizona, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

2 months ago

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