Reconciliation Officer at Avenue Healthcare

Activejobs; Berkeley (CA); On-site; USD 60,000 - 75,000; Full time

Job summary

Avenue Healthcare is seeking a Reconciliation Officer to ensure accuracy and timely allocation of debtors’ receipts. The ideal candidate will have a Bachelor's degree in a business-related field, CPA 2, and at least 2 years of experience. Key responsibilities include reconciling remittances, preparing claims documentation, investigating variances, and maintaining relationships with debtors. Attention to detail and excellent interpersonal skills are essential for success in this role. Apply through careers.avenuehealthcare.com.

Qualifications

• Bachelor’s degree in a business-related field.
• Minimum 2 years experience in a related role.
• High attention to detail and interpersonal skills.

Responsibilities

• Reconcile debtors’ remittances against submitted claims.
• Prepare and submit debtors claims with required documentation.
• Investigate and resolve variances between billed revenues and cash inflows.
• Maintain strong relationships with debtors’ representatives.

Skills

Attention to detail

Excellent interpersonal skills

Team player

Education

Bachelor’s degree in a business-related field

CPA 2

Job description

Reconciliation Officer at Avenue Healthcare

Job Objective/purpose Confirmation of actual debtors’ receipts, obtaining remittances and timely allocation of the same.

Key Responsibilities

• Reconcile debtors’ remittances against submitted claims to ensure accuracy, completeness, and proper posting of revenues.
• Prepare and submit debtors claims with all required supporting documentation, including invoices, pre-authorizations, and medical reports, for dispute resolution purposes.
• Investigate, analyse, and resolve variances between billed revenues and actual cash inflows.
• Prepare reconciliation sign-off documents with debtors upon successful completion of the reconciliation process for agreed financial periods.
• Re‑document and resubmit disputed claims to debtors within stipulated timelines and monitor acknowledgment of receipt.
• Track debtors’ claim at every stage of the revenue cycle to ensure timely processing and settlement.
• Follow up on signed‑off reconciled amounts to ensure prompt payment.
• Liaise with insurance companies and third‑party administrators to resolve disputed, rejected, or pending claims.
• Maintain strong working relationships with debtors’ representatives to facilitate faster resolution of claims.
• Ensure all claims comply with hospital policies, insurance requirements, and relevant regulatory standards.
• Monitor, analyse, and report trends in claim rejections or denials, and recommend corrective and preventive measures.
• Prepare periodic reports on claims submitted, amounts recovered, outstanding balances, and rejection or denial trends.
• Collaborate with clinical, billing, and administrative teams to ensure accurate patient information and complete claim documentation.
• Train and sensitize staff on proper documentation and billing practices to minimize claim rejections.
• Recommend and support process improvements aimed at reducing turnaround times and enhancing claim recovery efficiency.

Person Specification

• Bachelor’s degree in a business‑related field.
• CPA 2.
• Minimum 2 years experience.
• Attention to detail.
• Excellent interpersonal skills and a team player.

Method of Application

Interested and qualified? Go to Avenue Healthcare on careers.avenuehealthcare.com to apply.