RCM Payment Reconciliation Specialist

Finni Health
United States
Workplace: RemoteFull timeUSD 70,000 - 75,000 annuallyFunction: Finance & AccountingExperience: 3+ yearsSkills: ["Collaboration","Analytical problem-solving","Communication","Organizational skills","Time management"]

Ensure accurate tracking and reconciliation of healthcare transactions across clinical systems, ERAs/EOBs, and bank deposits. Investigate and resolve unposted cash, partial payments, allowances, underpayments, write-offs, and unapplied balances. Escalate payer and patient payment issues, including coordinating corrections and resissuances. Produce daily through month-end reconciliation reports with key metrics for RCM and finance leadership, while adapting to evolving RCM needs as Finni Health grows.

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Finni Health
Finni Health
1 day ago

RCM Payment Reconciliation Specialist

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Last checked: 7 hours agoStatus: Live

Job Summary

Ensure accurate tracking and reconciliation of healthcare transactions across clinical systems, ERAs/EOBs, and bank deposits. Investigate and resolve unposted cash, partial payments, allowances, underpayments, write-offs, and unapplied balances. Escalate payer and patient payment issues, including coordinating corrections and resissuances. Produce daily through month-end reconciliation reports with key metrics for RCM and finance leadership, while adapting to evolving RCM needs as Finni Health grows.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Finance & Accounting
Seniority: Mid level

Key Responsibilities

  • •Reconcile ERAs, EOBs, and patient payments against bank account transactions.
  • •Research and resolve balance discrepancies including unposted cash, partial payments, contractual allowances, underpayments, write-offs, and unapplied balance accounts.
  • •Handle payer and patient payment escalations, including missing payments and resissuance, and coordinating correction of misdirected checks.
  • •Generate daily, weekly, and month-end reconciliation reports tracking key RCM and financial performance metrics.
  • •Adapt to evolving responsibilities and projects as the RCM landscape and business needs change.

Pay and Benefits

Salary: USD 70,000 - 75,000 annually

Key Requirements

  • •3+ years of relevant experience in RCM payment posting, RCM operations, or related roles.
  • •Strong understanding of RCM processes, including billing, claims, collections, denial appeals, and accounts receivable management.
  • •Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing).
  • •Ability to analyze complex RCM/finance data to identify trends, root causes, and data-driven solutions.
  • •Proficiency using Google Suite, Slack, CRM/support software, and EHR/RCM management tools; experience with EMR/EHR work queue management is a plus.
Experience:3+ yearsHealthcareHealthcare techRevenue cycle management (RCM)
Skills:CollaborationAnalytical problem-solvingCommunicationOrganizational skillsTime management
Tech Stack:Google SuiteSlackCRMSupport softwareEHRRCM management toolsEMRERAsEOBsWork queue management

Company Brief

Finni Health
Finni Health is an MSO and platform that helps ABA providers start, run, and grow in‑network autism care practices by providing billing, credentialing, operations, staffing, and growth support.
Industry: HealthTech
Company Size: Large (251 to 1,000 employees)
Growth: Early Stage Startup
Funding: Series A
Headquarters: Las Cruces, United States
Founded: 2022
Glassdoor
Glassdoor: 3.9
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