Reconciliation Specialist (Healthcare)

TL;DR

Reconciliation Specialist (Healthcare Billing): Supporting billing teams by reconciling insurance payments and posting them into billing systems with an accent on accuracy, HIPAA compliance, and accounts receivable monitoring. Focus on interpreting EOBs/ERAs, managing insurance portals, and identifying payment discrepancies to ensure prompt reimbursement.

Location: Remote (Limited to the following US states: AL, AR, AZ, CA, CO, FL, GA, ID, IL, IN, IA, MO, NC, NE, NY, OH, PA, SC, TN, TX, UT, VA)

Company

hirify.global provides scalable, evidence-based autism treatment training tools and behavioral health solutions to support the entire behavioral health community.

What you will do

• Reconcile electronic payments from clearinghouses and post manual payments across multiple billing platforms.
• Review and interpret EOBs and ERAs to ensure accurate accounts receivable monitoring.
• Manage insurance portals and enroll in ERAs to reduce manual posting volume.
• Identify underpayments or overpayments and communicate trends to the AR team for resolution.
• Maintain strict HIPAA-compliant confidentiality for all client-related data.
• Review payor contracts and monitor key performance metrics.

Requirements

• HS Diploma or equivalent.
• Minimum 1-2 years of payment posting experience.
• Experience in ABA (Applied Behavior Analysis) and using insurance company websites/portals.
• Exceptional attention to detail and critical thinking skills.
• Must be based in one of the approved US states.

Nice to have

• Experience in Speech, OT, or Mental Health billing.
• Experience in billing for major commercial insurance companies and state Medicaid programs.
• Proficiency with Billing Software (Azalea, Kareo), EMR (Rethink), and Clearinghouse systems (Waystar, Trizetto, Availity).
• Proficiency in Microsoft Office Suite and Google Workspace.

Culture & Benefits

• Comprehensive health, dental, and vision benefits package.
• 401k plan with company matching.
• Paid time off (PTO) and vacation days after a 90-day introductory period.
• Paid holidays.
• Inclusive workplace committed to diversity and equal opportunity.