Job Description

Title: Payment Reconciliation Specialist

Company: Aarista/ Altea Healthcare IT

Location: Onsite in Gilbert, AZ

Job Type: Full-Time

Job Summary:

The Payment Reconciliation Specialist is responsible for ensuring the accuracy and integrity of payment postings and reconciliations within the revenue cycle. This position identifies and resolves discrepancies and supports timely and accurate financial reporting. The specialist plays a key role in safeguarding the organization’s financial health by maintaining precise payment records and ensuring compliance with company policies, payer requirements, and regulatory standards.

The Payment Reconciliation Specialist reports to the Director of Revenue Cycle Management and Analytics. This position supports the organization by providing focused task performance and high-level outcomes related to revenue cycle process in accordance with Local, State and Federal laws and regulations.

Essential Functions

• Reconcile daily deposits, electronic remittance advice (ERA), explanation of benefits (EOB), and patient payments against billed claims.
• Accurately post insurance and patient payments, contractual adjustments, and write-offs into the billing system.
• Investigate and resolve payment variances, underpayments, and denied claims in collaboration with the billing and collections team.
• Ensure all payments posted align with bank deposits and payer remittances.
• Generate and review reconciliation reports to ensure completeness and accuracy.
• Escalate recurring payer issues or unresolved discrepancies to management.
• Maintain organized documentation of reconciliations for audit and compliance purposes.
• Support month-end close processes and provide reporting to the finance and accounting departments as needed.
• Uphold strict confidentiality of patient and financial information in compliance with HIPAA and organizational standards.

Qualifications

• Proficient in all Microsoft Office applications as well as medical office software. High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration, accounting, or related field preferred.
• Minimum of 1–3 years of experience in medical billing, payment posting, or healthcare revenue cycle management.
• Strong interpersonal and organizational skills.
• Excellent customer service skills.
• The ability to work in a fast-paced, multi-task environment.

Knowledge, Skills, and Abilities

• Strong knowledge of insurance billing processes, payer reimbursement methodologies, and medical terminology.
• Proficiency with practice management/billing software, electronic health records (EHR), and Microsoft Office (especially Excel).
• High attention to detail and accuracy with strong analytical and problem-solving skills.
• Ability to prioritize tasks, meet deadlines, and work independently or within a team in a fast-paced environment.
• Strong verbal and written communication skills.
• Possess or proactively obtain considerable knowledge of revenue cycle processes required for job related activities and performance.
• Strong collaborative skills that foster positive performance to achieve or exceed department goals.
• Move equipment weighing up to 35 pounds.
• Positively engage in change.
• Engage in process improvement.
• Follow policies and procedures of the company.
• Exhibit ethics and integrity.

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