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Medical Billing Reconciliation information

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How much do medical billing reconciliation jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for medical billing reconciliation in the United States is $20.52, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.60 per hour, depending on experience, location, and employer.

What is the difference between Medical Billing Reconciliation vs Medical Coding Specialist?

AspectMedical Billing ReconciliationMedical Coding Specialist
Primary FocusVerifying and matching billed amounts with insurance payments and patient recordsAssigning standardized codes to medical procedures and diagnoses
Required SkillsBilling software, insurance policies, attention to detailMedical terminology, coding systems (ICD, CPT), accuracy
Work EnvironmentMedical offices, billing departmentsHospitals, clinics, billing departments
CertificationsBilling certifications often preferredCertified Professional Coder (CPC) or equivalent

Medical Billing Reconciliation and Medical Coding Specialist roles are closely related in healthcare billing. Reconciliation focuses on ensuring billing accuracy and payment matching, while coding involves translating medical services into standardized codes. Both roles require attention to detail and familiarity with healthcare documentation, but they serve different functions within the revenue cycle.

What is a reconciliation in medical billing?

In medical billing reconciliation, the process involves comparing and matching billed charges, payments, and adjustments to ensure accuracy and identify discrepancies. Medical billing specialists use tools like billing software and review claims to verify that payments align with services provided and insurance reimbursements. This process helps maintain accurate financial records and supports proper reimbursement.

What are the top 5 denials in medical billing?

In medical billing reconciliation, the top five denials typically include missing or incorrect patient information, coding errors such as CPT or ICD-10 mistakes, lack of prior authorization, services deemed not medically necessary, and duplicate claims. Accurate coding, thorough documentation, and regular claim review are essential skills for billing specialists to reduce these denials.

What are the key skills and qualifications needed to thrive as a Medical Billing Reconciliation Specialist, and why are they important?

To thrive as a Medical Billing Reconciliation Specialist, you need a solid understanding of medical billing processes, healthcare revenue cycles, and basic accounting principles, often supported by a relevant degree or certification such as Certified Professional Biller (CPB). Familiarity with medical billing software, electronic health record (EHR) systems, and financial reconciliation tools is essential. Strong attention to detail, problem-solving abilities, and effective communication are key soft skills for resolving billing discrepancies and collaborating with providers. These skills ensure accurate financial records, efficient claim resolution, and compliance with healthcare regulations.

Will AI replace medical billing?

AI is increasingly used in medical billing to automate data entry, coding, and claims processing, improving efficiency and accuracy. However, medical billing specialists are still needed to review complex cases, ensure compliance, and handle exceptions that AI cannot fully manage. The role is evolving with technology, but human oversight remains essential.

What is the highest paying medical billing job?

The highest paying roles in medical billing often include senior billing managers, billing directors, or specialized coding professionals such as Certified Professional Coders (CPC) with managerial responsibilities. These positions typically require extensive experience, advanced certifications, and strong knowledge of billing systems and healthcare regulations. Salaries can vary based on location, employer, and level of expertise but generally exceed standard billing roles significantly.

What are some common challenges faced in medical billing reconciliation, and how can they be addressed?

One of the main challenges in medical billing reconciliation is ensuring accuracy when matching payments to the correct patient accounts and invoices, especially when dealing with multiple payers and complex payment structures. Discrepancies can arise due to denied claims, partial payments, or misapplied funds. To address these challenges, professionals use specialized billing software, maintain clear communication with insurance companies, and regularly review accounts for errors. Attention to detail and strong organizational skills are essential for resolving discrepancies efficiently and keeping records up to date.

What is medical billing reconciliation?

Medical billing reconciliation is the process of comparing and matching payments received from insurance companies and patients with the amounts billed for medical services. This ensures that all claims have been correctly processed, payments are accurate, and any discrepancies such as underpayments or denials are identified and addressed. Accurate reconciliation helps healthcare providers maintain proper financial records, minimize revenue loss, and comply with regulatory requirements. It is a critical step in the medical billing cycle to ensure financial accuracy and accountability.
More about Medical Billing Reconciliation jobs
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Medical Billing Reconciliation jobs near you
Infographic showing various Medical Billing Reconciliation job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $42,673 per year, or $20.5 per hour.

Billing & Reconciliation Specialist

Release Recovery

Rye, NY • On-site

$65K - $75K/yr

Full-time

Medical, Dental, Vision

Re-posted 22 days ago

Job description

Location: Rye, New York

We are a growing organization innovating our revenue cycle operations — and this role is at the center of it all. The Billing Specialist is an execution-focused role that directly supports the full scope of our revenue operations. This individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full.

The ideal candidate is organized, detail-oriented, customer service oriented, and comfortable operating independently in a fast-moving environment. If you want to help modernize and improve antiquated systems — not just maintain them — this is the role for you.

Key Responsibilities
  • Process and manage all cash pay billing cycles, ensuring timely and accurate invoice generation for patients and clients.
  • Perform daily, weekly, and monthly account reconciliations to ensure financial records remain accurate and up to date.
  • Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.
  • Track outstanding balances and conduct proactive follow-up on unpaid invoices.
  • Coordinate with clinical and administrative teams to resolve billing discrepancies and obtain missing information.
  • Maintain organized and accurate records within billing systems and electronic health record (EHR/EMR) platforms.
  • Generate regular billing and revenue reports for leadership review.
  • Assist with audits and ongoing billing process improvement initiatives.
  • Support the build-out of insurance billing operations, including claim coding, claim scrubbing, submissions, A/R tracking, and reporting.

Requirements

  • Minimum 1–2 years of experience managing accounts receivable.
  • Experience with account reconciliation, collections, and payment processing.
  • Exceptional organizational skills with strong attention to detail.
  • Proficiency with QuickBooks, DocuSign, and Excel.
  • Strong written and verbal communication skills.
  • Innovative mindset with an interest in improving systems and processes, particularly through technology.
  • Strong time management and prioritization skills.
  • Self-starter with the ability to operate independently in a fast-paced environment.

Preferred Qualifications

  • Experience with medical billing platforms such as CollabMD and Kipu.
  • Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) designation preferred.

Benefits

Joining our team means being part of a mission-driven organization redefining how the world views and treats substance use and mental health. At Release, recovery is about growth, connection, and long-term transformation.

When you join our team, you will:

  • Work alongside respected thought leaders in the recovery space
  • Make a direct, meaningful impact on individuals and families
  • Receive compensation commensurate with experience (salary range: $65,000 - 75,000)
  • Be eligible for health, dental, and vision benefits (full-time employees)

We believe recovery is a journey, not a destination, and we’re committed to shaping that journey with intention, care, and innovation.