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Insurance Reconciliation Jobs (NOW HIRING)

Robert Half

Reconciliation Specialist

Warren, NJ · On-site

$27.71 - $32.09/hr

The role will focus on day-to-day reconciliation execution, variance analysis, and operational coordination within an insurance environment. Responsibilities: * Complete recurring daily and monthly ...

Addison Group

Reconciliation Clerk

Oklahoma City, OK · On-site

$21.63 - $24.04/hr

They offer full benefits including Insurance, 401k, PTO. We are working on an exciting Reconciliation Clerk Job in Oklahoma City, OK! You would be joining an exciting industry and growing company ...

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Midas - PGW

Reconciliation Administrator

Columbia, SC · On-site

$18 - $20/hr

Benefits: * Health insurance * Paid time off * Vision insurance * 401(k) matching * Dental ... We're looking for a detail-driven Reconciliation Administrator to own the reconciliation of all ...

Addison Group

Reconciliation Clerk

Oklahoma City, OK · On-site

$21.63 - $24.04/hr

They offer full benefits including Insurance, 401k, PTO. We are working on an exciting Reconciliation Clerk Job in Oklahoma City, OK! You would be joining an exciting industry and growing company ...

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Insurance Reconciliation information

See salary details

$14

$23

$33

How much do insurance reconciliation jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for insurance 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 is the difference between Insurance Reconciliation vs Claims Processor?

AspectInsurance ReconciliationClaims Processor
CredentialsTypically requires insurance or accounting certificationsOften requires claims processing or insurance certifications
Work EnvironmentOffice-based, finance or insurance departmentsOffice-based, insurance companies or healthcare providers
Industry UsageUsed in insurance, healthcare, and finance sectorsPrimarily in insurance and healthcare industries
Job FocusMatching payments with claims, ensuring accurate recordsReviewing and processing insurance claims for payment

Insurance Reconciliation involves verifying and matching insurance payments with records, ensuring accuracy. Claims Processors handle reviewing and processing insurance claims for reimbursement. While both roles work within insurance and healthcare sectors, Insurance Reconciliation focuses on financial accuracy, whereas Claims Processing emphasizes claim review and approval.

What is insurance reconciliation?

Insurance reconciliation is the process of comparing and matching payments received from insurance companies with the claims submitted by a healthcare provider or organization. This ensures that all claims are accounted for and that the payments received match the expected amounts. The process helps identify discrepancies, such as underpayments, overpayments, or denied claims, so they can be addressed quickly. Accurate insurance reconciliation is crucial for maintaining financial health and ensuring proper revenue cycle management in healthcare organizations.

What are the key skills and qualifications needed to thrive in insurance reconciliation?

To thrive in Insurance Reconciliation, you need strong attention to detail, analytical skills, and a background in finance, accounting, or healthcare administration. Familiarity with reconciliation software, billing systems, and spreadsheet applications like Microsoft Excel is typically required. Exceptional organizational skills, problem-solving ability, and effective communication help professionals resolve discrepancies and interact with insurers or clients. These skills are crucial to ensure accurate financial records, timely payments, and compliance with regulatory standards.

Is insurance reconciliation a good career?

Insurance reconciliation involves reviewing and matching insurance claims and payments to ensure accuracy, often requiring attention to detail and familiarity with accounting or insurance software. It can offer stable employment with opportunities for advancement in healthcare, insurance, or finance industries, and may require certifications or training in insurance procedures. Overall, it is considered a steady career path for those interested in administrative and financial roles within insurance companies or healthcare organizations.

What are some common challenges faced in an insurance reconciliation role and how can they be addressed?

One of the main challenges in Insurance Reconciliation is managing discrepancies between internal records and insurance statements, which often arise due to timing differences, data entry errors, or incomplete information. To address these issues, professionals in this role typically rely on strong attention to detail, effective communication with both internal teams and insurance companies, and a systematic approach to investigating and resolving variances. Regularly updating reconciliation procedures and utilizing automation tools can also help streamline the process and reduce the risk of errors.
More about Insurance Reconciliation jobs
What are the most commonly searched types of Insurance Reconciliation jobs? The most popular types of Insurance Reconciliation jobs are:
What states have the most Insurance Reconciliation jobs? States with the most job openings for Insurance Reconciliation jobs include:
What job categories do people searching Insurance Reconciliation jobs look for? The top searched job categories for Insurance Reconciliation jobs are:
Insurance Reconciliation jobs near you
Infographic showing various Insurance Reconciliation job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $49,363 per year, or $23.7 per hour.

Pharmacy Claims Reconciliation Specialist

Wellpath

Franklin, TN • On-site

Full-time

Posted 9 days ago

Wellpath rating

7.1

Company rating: 7.1 out of 10

Based on 93 frontline employees who took The Breakroom Quiz

379th of 887 rated healthcare providers

Job description

Overview

The Pharmacy Claims Reconciliation Specialist is responsible for reconciling pharmacy claims and insurance payments to ensure reimbursement accuracy and resolve billing discrepancies. This role serves as a key liaison between pharmacy, finance, and operational teams by validating claim adjudication, researching payment variances, and maintaining the integrity of reimbursement data. The position supports revenue cycle activities through detailed analysis of claims, payments, denials, and reimbursement trends. The Pharmacy Claims Reconciliation Specialist also helps improve processes, ensure compliance, and support accurate financial reporting.

Responsibilities

  • Reconcile pharmacy claims and insurance payments by comparing expected reimbursements to actual payments and identifying discrepancies such as underpayments, overpayments, duplicate payments, and missing payments.
  • Research and analyze claim denials, payment variances, and reimbursement trends to determine root causes and recommend corrective actions.
  • Coordinate with pharmacy providers and other stakeholders to investigate and resolve payment discrepancies and outstanding billing issues.
  • Support revenue cycle operations through claims reconciliation, reimbursement validation, month-end activities, audit documentation, and payment file reviews.
  • Generate reports on reimbursement performance, denial trends, recovery opportunities, and payment activity while identifying process improvement and automation opportunities.

Qualifications

Education

  • High school diploma or equivalent required.
  • Experience as a Certified Pharmacy Technician (CPhT) preferred.
  • Associate degree in Healthcare Administration, Business, Accounting, Finance, Pharmacy Billing, or a related field is a plus.

Experience

  • Two to four years of experience in pharmacy billing, claims processing, revenue cycle, payment posting, or insurance reconciliation.
  • Experience reconciling pharmacy claims preferred.
  • Experience with Medicaid, Medicare, and commercial insurance plans.
  • Pharmacy claims reconciliation experience is highly desirable.

Licenses/Certifications

  • None required.

What Wellpath employees say

Pay

Benefits

Hours and flexibility

Workplace

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