Payment Reconciliation Specialist

St. Luke’s University Health Network; Allentown (Lehigh County); Hybrid; USD 40,000 - 52,000; Full time

Job summary

St. Luke's University Health Network is seeking a Payment and Reconciliation Specialist I to manage cash postings and related deposits. The role supports accounts receivable, processes electronic remittances, and ensures accurate postings within a hospital setting in Allentown, PA.

This entry-level position requires basic PC skills and familiarity with Excel/Word. On-site work is primary, with potential for remote or hybrid after six months, subject to management approval.

Qualifications

• Entry level position requiring proficient PC skills.
• Strong organizational skills and detail oriented required.
• Knowledge of Microsoft Excel and Word.
• Good research skills and excellent problem solving skills required.
• One year of medical cash posting or line item posting preferred.

Responsibilities

• Identifies and imports all electronic remittances from each contracted third party payer website.
• Retrieves and uploads patient and insurance payment files from multiple lock boxes.
• Analyzes and processes all payments, adjustments, rejections and deductibles that were not posted electronically.
• Identifies, prepares and posts all payments to the accounts receivable that have been billed by the Business Office.
• Ensures the accurate posting of non-patient cash payments.
• Applies payments, balances cash receipts, verifies and reconciles for accuracy each payment batch.
• Utilizes electronic credit card approval systems to post and balance all credit card transactions to the accounts receivable.
• Posts all non-payment explanation of benefits (EOBs) and enter accurate rejection codes to ensure account flows to the correct Accounts Receivable Analyst.
• Researches and resolve timely any unapplied/unidentified payments received.
• Ensures all monies are being accounted for correctly using various General Ledger code sets and accurate facility account assignments.
• Posts all wire transfers and manual deposits including the readying of checks received for deposit.

Skills

PC skills

Organizational skills

Detail oriented

Excel

Word

Education

High school diploma

Tools

Microsoft Excel

Microsoft Word

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

HOURS: Full Time, 40 hours/week Core hours are Mon-Fri 7:00 AM - 3:30 PM Flexible hours available: 7-3:30,7:30-4, 8-4:30, 8:30-5:00. There are also opportunities for 6:30-3:00, 4/9’s with a ½ day or 4/10’s after training. No weekends, no holidays, no nights Home location is St. Luke's Center, Allentown, PA with the opportunity to work remote or hybrid remote, after at least 6 months on site and at the discretion of the manager, for PA and NJ candidates.

This position is responsible for cash follow-up as well as cash posting, calling insurance companies is a must. The Payment and Reconciliation Specialist I is responsible for the accurate and timely preparation, posting and reconciliation of patient and insurance payments and related deposits. Also responsible for reconciliation and balancing of Electronic Funds Transfers (EFTs), Electronic Remittance Transfers (ERAs), Credit Card payment files and daily lock box batches.

JOB DUTIES AND RESPONSIBILITIES

• Identifies and imports all electronic remittances from each contracted third party payer website.
• Retrieves and uploads patient and insurance payment files from multiple lock boxes.
• Analyzes and processes all payments, adjustments, rejections and deductibles that were not posted electronically.
• Identifies, prepares and posts all payments to the accounts receivable that have been billed by the Business Office.
• Ensures the accurate posting of non-patient cash payments.
• Applies payments, balances cash receipts, verifies and reconciles for accuracy each payment batch.
• Utilizes electronic credit card approval systems to post and balance all credit card transactions to the accounts receivable.
• Posts all non-payment explanation of benefits (EOBs) and enter accurate rejection codes to ensure account flows to the correct Accounts Receivable Analyst.
• Researches and resolve timely any unapplied/unidentified payments received.
• Ensures all monies are being accounted for correctly using various General Ledger code sets and accurate facility account assignments.
• Posts all wire transfers and manual deposits including the readying of checks received for deposit.

PHYSICAL AND SENSORY REQUIREMENTS

• Sitting for up to 8 hours per day, 4 hours at a time.
• Consistent use of hands and fingers for data entry, typing, telephones, etc.
• Occasional twisting and turning.
• Uses upper extremities to lift and carry up to 10 pounds.
• Stoops, bends, and reaches above the shoulder level to retrieve files.
• Hearing as it relates to normal conversation and telephone.
• Seeing as it relates to general vision.
• Visual monotony when reading reports and viewing computer screen.

EDUCATION: High school graduate required or equivalent.

TRAINING AND EXPERIENCE

• Entry level position requiring proficient PC skills.
• Strong organizational skills and detail oriented required.
• Knowledge of Microsoft Excel and Word.
• Good research skills and excellent problem solving skills required.
• One year of medical cash posting or line item posting preferred.

Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer. Founded in 1872, St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites. With annual net revenue in excess of $4 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital. SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Premier 13 times total and eleven years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally. St. Luke’s is the ONLY health care institution in the Lehigh Valley to be named a Top Workplace regionally repeating the exclusive honor for the third year in a row. Also, for the third straight year, St. Luke’s has been a Top Workplaces in the Philadelphia Region by the Philadelphia Inquirer, ranking 9th in the large employer category for 2025 and the only health care system in PA to receive this award. In 2025, St. Luke’s was recognized as a national Top Workplaces by USA Today, three years in a row, including the 3rd best health care system in the nation in 2023 and 2024. Lastly, in 2025, St. Luke’s was named a Top Workplace in New Jersey for the third year in a row. Learn More Here.