Payment Reconciliation Specialist

Pure Infusion; Sandy (UT); On-site; USD 42,000 - 62,000; Full time

Job summary

Pure Infusion is seeking an experienced Revenue Cycle teammate to handle manual EOB postings, deposits, and reconciliation onsite at our corporate office in Utah. You will own the integrity of cash flow, monitor ERA activity, and guide the transition from paper checks to EFTs in collaboration with the Finance and EDI teams.

The role requires 3+ years in medical payment posting, strong knowledge of EOBs and reconciliation, and experience with systems like AdvancedMD or Waystar.

Qualifications

• 3+ years of medical payment posting experience, with strong understanding of manual EOBs, reconciliation, and specialty billing.
• Proven track record managing physical checks, bank reconciliation, and monthly refund cycles.
• Comfort working in PM systems like AdvancedMD, Waystar, or similar.
• Knowledge of CARC/RARC codes, payer adjustments, and silent denials.
• Detail-oriented with meticulous accuracy in balancing to the penny.

Responsibilities

• Post all non-electronic (paper or scanned) EOBs accurately into AdvancedMD.
• Log and prepare daily deposits, including check handling and deposit tracking for Finance.
• Reconcile posted payments against bank activity and identify variances; escalate as needed.
• Maintain daily, weekly, and monthly logs to ensure cash flow integrity.
• Monitor and work missing EOB queues daily; collaborate with billing and scanning teams to prevent misses.

Skills

Medical payment posting

EOB reconciliation

Bank reconciliation

AdvancedMD/Waystar

CARC/RARC codes

Payer adjustments

Tools

AdvancedMD

Waystar

Job description

Location: Corporate Office (Onsite Only)

Department: Revenue Cycle Management

Reports To: Payment Posting Lead / RCM Director

Type: Full-Time

At our core, we believe every dollar earned must be a dollar tracked, posted, and reconciled with precision. Our RCM team doesn’t play catch-up; we lead from the front. Every EOB, ERA, and refund cycle is an opportunity to create clarity, not chaos.
This isn’t just about clicking through ERAs or typing numbers. You’ll be entrusted with posting complex manual EOBs, working directly with the bank, tracking down missing payments, managing deposit flow, and owning the integrity of the revenue we earn. You’ll be the watchdog between payer payments and clinic deposits with no room for guesswork.
If you're the kind of person who catches a $0.02 variance before lunch and then triple-checks it after, this team was built for you.

Role

Manual EOBs and Deposits

• Post all non-electronic (paper or scanned) EOBs accurately into AdvancedMD
• Log and prepare daily deposits, including check handling and deposit tracking for Finance

Bank Reconciliation and Payment Tracking

• Reconcile posted payments against bank activity and identify and escalated variances immediately
• Maintain daily, weekly, and monthly logs to ensure cash flow integrity
• Monitor and work missing EOB queues daily
• Collaborate with billing and scanning teams to ensure no EOB is missed or misfiled

ERA Oversight (GeBBS Offshore Team)

• Monitor offshore auto-posting of ERAs and elevate delays or errors
• Ensure all ERA files are posted within 48 hours of receipt
• Identify opportunities to transition paper checks to EFTs
• Relay payer EFT setups and enrollment suggestions to the EDI Coordinator proactively
• Own the monthly insurance and patient refund workflows
• Ensure all refund requests are processed accurately and within 5-day close timelines

Experience Required

• 3 or more years of medical payment posting experience, with a strong understanding of manual EOBs, reconciliation, and specialty billing
• A proven track record managing physical checks, bank reconciliation, and monthly refund cycles
• Confidence working inside PM systems like AdvancedMD, Waystar, or similar
• Knowledge of CARC/RARC codes, payer adjustments, and silent denials
• A detail-first mindset. You balance to the penny or you don’t move on
• Excellent communication and collaboration skills across finance, billing, EDI, and leadership

Preferred

• Experience working with GeBBS or offshore posting vendors
• Strong familiarity with infusion and specialty drug billing
• Past wins in identifying process improvements or fixing payer posting issues

Our Standard is Precision. Our Culture is Accountability.

You won’t be micromanaged. But you will be expected to:

• Own your numbers
• Audit your own work
• Chase down discrepancies
• Growth path inside a multi-state, fast-scaling infusion organization
• No ceiling for high performers

We’re building a top-tier RCM team, and this role is foundational.

About Pure Infusion

Pure Infusion is a leading healthcare infusion services company providing high-quality, patient-centered infusion therapy across multiple clinic locations. Born from the merger of Pure Infusion Suites and Aleracare, we are building a unified organization grounded in a strong culture of excellence, accountability, and genuine care for patients and employees alike. Headquartered in Salt Lake City, Utah, with operations spanning multiple states, we are in a pivotal stage of growth and integration—and we’re looking for people who want to help shape what comes next.

OUR CORE VALUES

We live by four core values that define our culture and guide our hiring: