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Bill Reconciliation Jobs (NOW HIRING)

Medlytix

Reconciliation Analyst

Roswell, GA · On-site

This person will be expected to perform patient account billing and client payment reconciliations with a high level of precision. This must be an energetic individual who is eager to learn and grow ...

WSU -

Revenue & Reconciliation Analyst

Dayton, OH

Due to increased third-party billing complexity, reduction of force within the department, and the reassignment of reconciliation functions previously performed in conjunction with Treasury, this ...

Charlie Health

Reconciliation Specialist

Nashville, TN · Hybrid

About the Role The purpose of this position is to ensure that the overall patient account is billed ... As a posting reconciliation specialist, you may be required to communicate with internal teammates ...

Medlytix

Insurance Billing / Reconciling

Roswell, GA · On-site

... reconciliation on behalf of healthcare providers. The candidate is required to perform these tasks with a high level of precision. This position is responsible for providing accurate data capture and ...

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How much do bill reconciliation jobs pay per hour?

As of May 29, 2026, the average hourly pay for bill reconciliation in the United States is $23.73, according to ZipRecruiter salary data. Most workers in this role earn between $19.47 and $27.88 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in Bill Reconciliation, and why are they important?

To thrive in Bill Reconciliation, you need strong analytical abilities, attention to detail, and a solid understanding of accounting principles, typically supported by a degree in finance or accounting. Familiarity with financial software like QuickBooks, SAP, or Excel, and sometimes relevant certifications such as CPA or CIMA, is often required. Exceptional organizational skills, problem-solving abilities, and effective communication help professionals quickly resolve discrepancies and collaborate with internal teams. These skills ensure accurate and timely reconciliation, which is vital for maintaining financial integrity and supporting business decision-making.

What are some common challenges faced in a Bill Reconciliation role, and how can they be managed effectively?

Professionals in Bill Reconciliation often encounter discrepancies between invoices and payments, missing documentation, or unclear billing details. Managing these challenges requires strong attention to detail, proactive communication with vendors and internal teams, and effective use of reconciliation software. Staying organized and maintaining accurate records can help resolve issues quickly, while developing a solid understanding of billing systems will make the process smoother. Regular training and collaboration with accounting colleagues also contribute to more efficient and accurate reconciliations.

What is bill reconciliation?

Bill reconciliation is the process of comparing and verifying bills or invoices against payment records, purchase orders, and other financial documents to ensure accuracy and resolve discrepancies. This task helps organizations maintain accurate financial records and avoid overpayments, duplicate payments, or missed charges. It typically involves reviewing supporting documentation, identifying errors, and communicating with vendors or internal departments to resolve any issues. Bill reconciliation is crucial for effective financial management and compliance with accounting standards.

What is the difference between Bill Reconciliation vs Accounts Payable Specialist?

AspectBill ReconciliationAccounts Payable Specialist
Primary RoleMatching and verifying bills with recordsProcessing and managing outgoing payments
Required SkillsAttention to detail, accounting software proficiencyInvoice processing, vendor communication
Work EnvironmentFinance or accounting departmentsFinance, accounting, or procurement teams
CertificationsGenerally not required, but accounting knowledge helpfulLikewise, certifications are optional but beneficial

While both roles involve financial processes, Bill Reconciliation focuses on verifying bills against records to ensure accuracy, whereas Accounts Payable Specialists handle the processing and payment of invoices. Both positions require attention to detail and familiarity with accounting software, often working within the same finance departments. Understanding these differences helps clarify career paths and job expectations in finance and accounting roles.

More about Bill Reconciliation jobs
What job categories do people searching Bill Reconciliation jobs look for? The top searched job categories for Bill Reconciliation jobs are:

Billing & Claims Reconciliation Coordinator

Omatochi

Dublin, CA • On-site, Remote

Other

Medical, Dental, Vision, PTO

Posted 8 days ago

Job description

Position Summary 

The Billing & Claims Reconciliation Coordinator ensures alignment between services delivered, services billed, and payroll paid. This role identifies discrepancies, maintains reconciliation logs, and supports clean month-end close by protecting revenue integrity and payroll accuracy. 

This position serves as the organization’s primary reconciliation and revenue exception specialist. 

Essential Duties and Responsibilities 

Billing Reconciliation 

• Reconcile service delivery records to billing data. 
• Identify and track discrepancies between services rendered and claims submitted. 
• Monitor denial trends and escalate recurring revenue risks. 

Payroll Alignment 

• Reconcile payroll records against documented service delivery. 
• Identify and resolve discrepancies between scheduled, delivered, and paid hours. 
• Partner with People Operations on payroll alignment issues. 

Exception Management & Controls 

• Maintain and update the revenue and payroll exception log. 
• Support development and enforcement of clean-claim checklists. 
• Prepare documentation for internal review and audit readiness. 

Month-End Close Support 

• Prepare reconciliation summaries for the month-end packet. 
• Ensure reconciliation activities are completed within defined timelines. 
• Escalate unresolved high-risk discrepancies prior to close. 

Required Qualifications 

• Minimum 3 years of billing, payroll reconciliation, or financial operations experience 
• Strong analytical and detail-oriented skills 
• Experience working with payroll or billing systems 
• Ability to manage reconciliation deadlines 

Preferred Qualifications 

• Experience in healthcare or service-based billing models (Medi-Cal & CalAim)
• Familiarity with WellSky, eClinicalWorks, or Paychex 
• Experience supporting audit or compliance reviews 

Skills and Competencies 

• Financial and revenue accuracy 
• Reconciliation discipline 
• Analytical problem-solving 
• Clear documentation 
• Cross-functional communication 

Physical and Work Conditions 

• Office and remote work environment 
• Prolonged periods of sitting and computer use 
• Occasional in-state travel 
• Reasonable accommodations provided in accordance with applicable law 

Workweek, Compensation, and Benefits 

This is a full-time, non-exempt position paid hourly. Omatochi offers a comprehensive benefits package including medical, dental, and vision coverage; paid time off; holidays; and additional benefits consistent with company policy. Overtime, meal periods, and rest breaks are provided in accordance with California law. 

Compliance and Legal Notices 

Omatochi is an equal opportunity employer. Employment is at-will and may be terminated at any time, with or without cause or notice, consistent with applicable law. This position complies with California pay transparency requirements. Background checks may be required in accordance with applicable law. 

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