Medical Claims Payment Posting & Reconciliation Specialist

About Abby Care

Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving.

Over 50 million Americans are family caregivers for loved ones without pay, tools, or support. Our mission is clear and ambitious: to train and employ family caregivers so they can get paid for the care they already provide at home.

Abby Care is building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide.

We are rapidly expanding our mission and looking for passionate team members to join. Abby Care has partnered with leading insurance plans, healthcare providers, and community organizations. We’re supported by top, mission-driven VCs to empower families throughout the country.

The Role

The Medical Claims Payment Posting, Reconciliation & Reporting Specialist is responsible for accurately posting insurance payments, reconciling daily deposits, resolving payment discrepancies, and generating financial and operational reports. This role ensures the integrity of revenue cycle processes and supports the organization’s financial performance through precise payment management and analysis.

Key Responsibilities

• Accurately post insurance claim payments, adjustments, and denials into the practice management or billing system.
• Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and correspondence from payers.
• Apply correct contractual adjustments and identify underpayments, overpayments, or missing payments.
• Perform daily reconciliation of posted payments against bank statements and deposits.
• Investigate discrepancies between posted amounts and actual payments; escalate unresolved variances as needed.
• Maintain accurate logs of deposits, remittances, and reconciliation summaries.
• Conduct monthly reconciliation for internal financial reporting requirements.
• Process payment batches and reconcile payment uploads to bank deposits.
• Identify claim denials, partial payments, or payer inconsistencies.
• Communicate with billing team members or payers to resolve payment issues.
• Track recurring denial trends and recommend corrective actions to improve clean-claim rates.
• Produce daily, weekly, and monthly payment and reconciliation reports.
• Generate operational reports such as payment trends, payer performance, denial summaries, and accounts receivable insights.
• Provide analysis supporting month-end closing and financial reviews.
• Assist leadership with customized reporting requests.
• Ensure compliance with HIPAA, payer guidelines, and internal financial protocols.
• Maintain accurate and organized documentation of payments, remittances, and reconciliation records.
• Support audit requests by supplying detailed payment and reporting documentation.
  
  

The Requirements

• High school diploma or equivalent; associate degree or business/healthcare coursework preferred.
• 3-5 years of experience in medical billing, payment posting, or healthcare revenue cycle operations.
• Proven experience working with EOBs, ERAs, CPT/ICD-10 codes, and insurance payer processes.
• Strong experience in payment reconciliation and financial reporting.
• Proficiency with billing systems (e.g., Epic, Athena, NextGen, eClinicalWorks, Kareo, etc.) and Excel/Google Sheets. (CollaborateMD experience is highly preferred).
• Hands-on experience navigating multiple insurance portals.
• Prior experience managing or supervising a team.
• Background in accounting or finance is a strong plus.
• Strong proficiency in billing platforms and revenue cycle systems.
• Experience with Excel or Google Sheets for reporting and reconciliation.
• Comfortable learning and working within multiple healthcare technology platforms.
  
  

Our Values

• Families First Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”
• Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.
• Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.
• Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.
• Driven to Redefine What’s Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.
  
  

Benefits

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus.
• Comprehensive health coverage that works for you. We cover 90% of your premiums and 70% for your dependents, with multiple PPO plan options to choose from for medical, vision, dental, life, and short-term disability.
• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.
• Team bonding. We love bringing our teams together. As a full-time employee, you’ll get to connect, collaborate, and have fun through team activities and our annual company retreat.
• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).
• Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.
  
  

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.