IDR Accounting & Reconciliation Specialist

Federal Hearings And Appeals; Wilkes-Barre (Luzerne County); On-site; USD 42,000 - 60,000; Full time

Job summary

Federal Hearings And Appeals in Wilkes-Barre, PA is seeking an Accounting Clerk II to manage IDR financial workflows, reconcile payments, and support compliance reporting. The role requires collaboration with Finance. The ideal candidate has healthcare finance experience and strong Excel skills.

The position involves reviewing IDR determinations, posting to ledgers, and assisting audits while staying current with IDR regulatory updates under the No Surprises Act.

Qualifications

• High school diploma or equivalent required; Associate's degree in Accounting, Finance, or related field preferred.
• 2-4 years of accounting, billing, or healthcare finance experience.
• Working knowledge of healthcare reimbursement and revenue cycle processes.
• Strong Excel skills and experience with accounting systems.
• Ability to manage multiple priorities and deadlines independently.

Responsibilities

• Independently track, record, and reconcile IDR payments, fees, and settlements.
• Review IDR determinations and ensure accurate posting to patient accounts and the general ledger.
• Research and resolve payment discrepancies with payers and internal departments.
• Monitor IDR timelines and compliance requirements and elevate issues as appropriate.
• Prepare IDR-related financial reports for management and compliance review.
• Assist with internal and external audits related to IDR activity.
• Recommend process improvements to enhance accuracy and efficiency.
• Maintain working knowledge of No Surprises Act and IDR regulatory updates.

Skills

Excel

Analytical skills

Communication

Education

High school diploma

Associate's degree in Accounting/Finance

Tools

Accounting systems

Job description

Federal Hearings And Appeals in Wilkes-Barre, PA is seeking an Accounting Clerk II to manage IDR financial workflows, reconcile payments, and support compliance reporting. The role requires collaboration with Finance. The ideal candidate has healthcare finance experience and strong Excel skills.

The position involves reviewing IDR determinations, posting to ledgers, and assisting audits while staying current with IDR regulatory updates under the No Surprises Act.