Senior Payment Accuracy & Reconciliation Specialist (Onsite – Infusion RCM)

Location: Corporate Office (Onsite Only)

Department: Revenue Cycle Management

Reports To: Payment Posting Lead / RCM Director

Type: Full-Time

At our core, we believe every dollar earned must be a dollar tracked, posted, and reconciled with precision. Our RCM team doesn’t play catch-up; we lead from the front. Every EOB, ERA, and refund cycle is an opportunity to create clarity, not chaos.

This isn’t just about clicking through ERAs or typing numbers. You’ll be entrusted with posting complex manual EOBs, working directly with the bank, tracking down missing payments, managing deposit flow, and owning the integrity of the revenue we earn. You’ll be the watchdog between payer payments and clinic deposits with no room for guesswork.

If you're the kind of person who catches a $0.02 variance before lunch and then triple-checks it after, this team was built for you.

Role

Manual EOBs and Deposits

· Post all non-electronic (paper or scanned) EOBs accurately into AdvancedMD

· Log and prepare daily deposits, including check handling and deposit tracking for Finance

Bank Reconciliation and Payment Tracking

· Reconcile posted payments against bank activity and identify and escalate variances immediately

· Maintain daily, weekly, and monthly logs to ensure cash flow integrity

Missing EOB Queue Management

· Monitor and work missing EOB queues daily

· Collaborate with billing and scanning teams to ensure no EOB is missed or misfiled

ERA Oversight (GeBBS Offshore Team)

· Monitor offshore auto-posting of ERAs and escalate delays or errors

· Ensure all ERA files are posted within 48 hours of receipt

EFT Enrollment Support

· Identify opportunities to transition paper checks to EFTs

· Relay payer EFT setups and enrollment suggestions to the EDI Coordinator proactively

Refund Processing

· Own the monthly insurance and patient refund workflows

· Ensure all refund requests are processed accurately and within 5-day close timelines

Experience Required

· 3 or more years of medical payment posting experience, with a strong understanding of manual EOBs, reconciliation, and specialty billing