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Insurance Reconciliation Jobs (NOW HIRING)

AXS

Payment Reconciliation Coordinator

Frisco, TX · On-site

Reconcile customer payment activity recorded in ticketing systems to third-party processor ... vision insurance, paid holidays, vacation and sick time, company paid basic life insurance ...

Addison Group

Reconciliation Specialist

San Antonio, TX · On-site

$21 - $25/hr

You are eligible for medical, dental, vision insurance benefits, 401K * Permanent Employment : Many of Addison's Finance & Accounting job openings lead to potential permanent employment * Connections

Northland Learning Center

Payroll Specialist

Virginia, MN

$21.33 - $25.09/hr

Administer employee and retiree benefits, including enrollments, updates, COBRA, and insurance reconciliation. * Process accounts payable, purchase orders, invoices, checks, wire transfers, and month ...

BNY

Specialist, Reconciliation II

Berwyn, PA · On-site

Specialist, Reconciliation 2 At BNY, our culture allows us to run our company better and enables ... basic life insurance plans for the employee and the employee's eligible dependents. Eligible ...

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All JobsInsurance Reconciliation Jobs

Insurance Reconciliation information

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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.

Posting and Reconciliation Specialist

McPherson Hospital

Mcpherson, KS • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 29 days ago

Job description

Job Description: Posting and Reconciliation Specialist

Posting and Reconciliation Specialist Job Summary:

The Posting and Reconciliation specialist will be responsible for routine posting and reconciliation of incoming Electronic Remittance Advice from carriers (ERA’s), incoming paper checks (EOB’s) self-pay and general ledger payments. They will assist with daily payment reconciliation and ensure monies due to the facility are properly posted in the electronic system. 

 Posting and Reconciliation Specialist Shift Availability:

  • Full Time

  • Days

Posting and Reconciliation Specialist Benefits:

  • Medical/ Dental/ Vision Insurance

  • Health Savings Account

  • Flex Spending Account/Dependent Care Spending Account

  • 403 (b) Retirement Plan- up to 4% employer contribution

  • Earned Time Off

  • Extended Illness Bank-Hospital contribution

  • Life Insurance- Employer Paid

  • Long-Term Disability/ Short-Term Disability-Employer paid

  • Voluntary Life & AD&D

  • Free 24-hour fitness center

  • Hospital Indemnity

  • MASA- Medical Transportation Solutions

Posting and Reconciliation Specialist Essential Accountabilities:

  • Analyze and interpret Explanation of Benefit (EOB) information, including copays, deductibles, coinsurance, contractual adjustments, and denials to verify correct patient balances.

  • Post and reconcile payments received via ERA/EFT, EOB, and lockbox to patient and contract billing accounts with minimum 98% accuracy.

  • Collaborate with internal teams and insurance carriers to establish and routinely monitor processes to ensure timely, accurate reporting of incoming payments.

  • Assist with credit or negative balances (Medicare, Medicaid, commercial payer, patient credits) as part of monthly maintenance and reconciliation; communicate necessary corrections to Billing and Patient Financial Services teams as appropriate.

  • Perform routine audits to ensure Accounts Receivable (A/R) days remain within threshold.

Department Specific Accountabilities:

  • Ability to work in detail-oriented environment with firm deadlines.

  • Must be able to collaborate with internal peers and external contacts.  

  • Ability to exercise independent judgement and problem-solving.

Organization Accountabilities:

  • Completion of HealthStreams education by designated due date

  • Attends required staff/department/organization’s meetings

  • Demonstrates strong, clear communication skills

  • Upholds the C.A.R.E. Values of McPherson Center for Health

  • Exhibits professionalism at all times.

  • Maintains confidentiality as required by HIPPA regulations.

  • Participates in the professional development of self and team members.

Posting and Reconciliation Specialist Qualifications:

  • Education:

    • High School Diploma or Equivalency

  • Experience:

    • Minimum of 1-2 years of medical payment posting and reconciliation and/or 2-4 years of relevant experience within Patient Financial Services

  • Licensure/Certifications: N/A 

  • Skills:

    • Working knowledge of medical billing, insurance carriers, and payment methodologies

    • Data entry and working knowledge of computers and various hardware/software (Outlook,    Excel, Teams, copier/fax machine, calculator)

    • Ability to navigate clearinghouse and insurance portal websites.

    • Experience with Electronic Health Record systems

  • Working Conditions:

    • Hazardous Working Conditions: 

      • Must have the ability to work under stress during peak workload periods

    • Environmental Surroundings:

      • OSHA Category 3 – Tasks that involve no exposure to blood, body fluids, tissues or other potentially infectious materials

    • Physical Working Conditions:

      • Must be able to sit for long periods of time

      • Must be able to lift 10-15 pounds infrequently

      • Must be able to read small print documents

      • Must be able to perform repetitive key strokes/data entry

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.