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Payment Reconciliation Jobs (NOW HIRING)

Finni Health

RCM Payment Reconciliation Specialist

$70K - $75K/yr

The RCM Payment Reconciliation Specialist ensures accurate tracking, posting, and matching of all healthcare financial transactions across clinical systems, electronic remittance advices (ERAs ...

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Partner with Accounting to support payment processing, reconciliation, and reporting. * Prepare and distribute daily transaction reports. * Monitor payment activity, outstanding items, workload, and ...

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Blue Ash, OH · On-site

$20 - $21/hr

Reconciliation & Financial Controls * Perform daily, weekly, and monthly cash reconciliations. * Reconcile payment activity to bank deposits, system records, and supporting documentation. * Research ...

Trinity Health

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Columbus, OH · On-site

... premium payment reconciliation of the plan's membership. Organizes, conducts and monitors all ... transactions to and from CMS, including the special status tracking process, to ensure accurate ...

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Mount Carmel, IL · On-site

... premium payment reconciliation of the plan's membership. Organizes, conducts and monitors all ... transactions to and from CMS, including the special status tracking process, to ensure accurate ...

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Mount Carmel, IL · On-site

... premium payment reconciliation of the plan's membership. Organizes, conducts and monitors all ... transactions to and from CMS, including the special status tracking process, to ensure accurate ...

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Their core duties involve timely payment reconciliation for group accounts, ensuring members retain their benefits, and facilitating compensation for associates. Responsibilities: Scope of the Role ...

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Their core duties involve timely payment reconciliation for group accounts, ensuring members retain their benefits, and facilitating compensation for associates. Responsibilities: Scope of the Role ...

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Payment Reconciliation information

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How much do payment reconciliation jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for payment reconciliation in the United States is $22.16, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $24.04 per hour, depending on experience, location, and employer.

What is payment reconciliation?

Payment reconciliation is the process of comparing and matching an organization’s financial records with external statements, such as bank statements or payment processor reports, to ensure all transactions are accurate and accounted for. This practice helps identify discrepancies, prevent fraud, and ensure that payments received match invoices issued. Effective payment reconciliation is vital for maintaining accurate financial records, supporting audits, and ensuring smooth cash flow management.

What are the key skills and qualifications needed to thrive as a payment reconciliation specialist?

To thrive as a Payment Reconciliation Specialist, you need strong analytical skills, attention to detail, and a background in accounting or finance, often supported by a relevant degree or certification. Familiarity with financial software like SAP, Oracle, or QuickBooks, and proficiency with Excel are typically required. Excellent organizational skills, problem-solving ability, and clear communication help professionals stand out in this role. These skills are vital for ensuring accurate financial records, resolving discrepancies efficiently, and maintaining trust in organizational financial processes.

What are some common challenges faced by payment reconciliation specialists, and how can they be addressed?

Payment Reconciliation specialists often encounter challenges such as discrepancies between internal records and bank statements, high transaction volumes, and tight deadlines. Successfully managing these challenges requires strong attention to detail, proficiency with reconciliation software, and effective communication with other departments like accounting or customer service. Developing standardized processes and regularly updating reconciliation tools can help minimize errors and streamline workflows, making the role more manageable and efficient.

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

AspectPayment ReconciliationAccounts Payable Specialist
Primary RoleMatching and verifying payments with invoices and recordsProcessing and managing outgoing payments to vendors
Skills & CertificationsAccounting software, attention to detail, basic accounting knowledgeAccounting software, vendor management, invoice processing
Work EnvironmentFinance or accounting departments, office settingFinance or accounting departments, office setting

Payment Reconciliation focuses on verifying and matching payments with records, ensuring accuracy. Accounts Payable Specialists handle the processing of outgoing payments to vendors. While both roles require accounting knowledge and similar skills, Payment Reconciliation emphasizes verification, whereas Accounts Payable focuses on payment processing and vendor management.

Is payment reconciliation a good career?

Payment reconciliation is a stable accounting role that involves matching transactions and ensuring financial accuracy, often requiring skills in accounting software and attention to detail. It can offer opportunities for career growth in finance and accounting departments, with typical work hours during regular business times. The role is suitable for individuals interested in finance, data accuracy, and process improvement.
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Payment Reconciliation jobs near you
Infographic showing various Payment Reconciliation job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, and 4% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $46,091 per year, or $22.2 per hour.

RCM Payment Reconciliation Specialist

Remote

Finni Health
Health Care and Social Assistance • 11 - 50 employees
Learn more about Finni Healthexternal

$70K - $75K/yr

Full-time

Posted 6 days ago

Finni Health rating

8.5

Company rating: 8.5 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

About Finni Health
Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We've experienced rapid growth and are backed by top-tier investors like General Catalyst and YCombinator. We seek smart, driven individuals eager to innovate in a dynamic, fast-paced environment.
What You Will Be Doing:
The RCM Payment Reconciliation Specialist ensures accurate tracking, posting, and matching of all healthcare financial transactions across clinical systems, electronic remittance advices (ERAs), paper Explanation of Benefits (EOBs), and bank deposits. You will resolve balance discrepancies, audit transaction flows, and safeguard cash integrity across the entire revenue cycle.
Key Responsibilities
  • Payment Reconciliation: Reconcile ERAs, EOBs, and patient payments against against bank account transactions
  • Variance and Discrepancy Resolution: Research and resolve unposted cash, partial payments, contractual allowances, underpayments, write-offs, and unapplied balance accounts
  • Payer and Patient Escalations: Work with payers on missing payments and resissuance of payments; Collaborate with stakeholders to obtain check payments incorrectly issued to clinics and/or patients
  • Reporting and Collaboration: Generate daily, weekly, and month-end reconciliation reports, tracking key performance metrics (e.g., aging unposted cash, posting turnaround times) for RCM and finance leadership
  • Additional Responsibilities: Adapt and take on evolving responsibilities and projects as Finni Health grows and the RCM landscape changes.
About You:
You are a proactive and collaborative individual contributor with a strong background in revenue cycle management, driven by a commitment to operational excellence and financial performance.
  • Experience: 3+ years of relevant experience in RCM payment posting, RCM operations, or related roles, preferably in an early-stage startup, behavioral or mental health, or healthcare tech. Strong understanding of RCM processes, including billing, claims, collections, denial appeals, and accounts receivable management.
  • Collaborative & Independent Contribution: Proven ability to work effectively within a team environment, contributing to collective success, and independently driving RCM initiatives.
  • RCM Expertise: Deep understanding of the full revenue cycle, including billing, claims processing, collections, accounts receivable management, payer contracting, and compliance (e.g., CMS billing).
  • Analytical & Problem-Solving: Strong ability to analyze complex RCM/Finance data, identify trends, root causes of issues, and implement effective, data-driven solutions to optimize financial performance.
  • Process Optimization: Demonstrated expertise in identifying inefficiencies and driving process improvements for RCM/Finance efficiency and effectiveness.
  • Communication & Collaboration: Excellent written and verbal communication skills, with proven ability to effectively collaborate with internal teams and external stakeholders (payers, vendors, providers).
  • Organizational & Time Management: Exceptional organizational and time management skills, with the ability to manage multiple priorities and projects in a fast-paced environment.
  • Tech Proficiency: Proficient in Google Suite, Slack, CRM/support software, and EHR/RCM management tools. Experience with various EMR/EHR work queue management within RCM is a plus.
  • Mission Alignment: Passion for Finni's mission to democratize autism care and empower providers through robust RCM.
  • Adaptability & Agility: Comfortable thriving in a dynamic, fast-paced startup environment, embracing change, and navigating ambiguity with a proactive mindset.

Ready to make a significant impact at a rapidly growing healthcare startup? We'd love to hear from you!

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