Senior RCM Payment & Reconciliation Specialist

AleraCare Holdings, LLC; Sandy (UT); On-site; USD 28,000 - 33,000; Full time

Job summary

Pure Infusion is seeking a Senior Payment Accuracy & Reconciliation Specialist to onsite Infusion RCM in Sandy, UT. You will post non-electronic EOBs, manage deposits, and oversee bank reconciliation while ensuring accuracy and timeliness across ERA processing and EFT transitions.

You will work closely with finance, billing, and EDI teams, monitor EOB queues, and maintain stringent 5-day refund timelines. A strong attention to detail and experience with AdvancedMD or Waystar is required.

Qualifications

• 3+ 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.

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 and elevate 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.
• 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.

Skills

Payment posting

AdvancedMD/Waystar

CARC/RARC codes

Detail-oriented

Communication

Tools

AdvancedMD

Waystar

Job description

Pure Infusion is seeking a Senior Payment Accuracy & Reconciliation Specialist to onsite Infusion RCM in Sandy, UT. You will post non-electronic EOBs, manage deposits, and oversee bank reconciliation while ensuring accuracy and timeliness across ERA processing and EFT transitions.

You will work closely with finance, billing, and EDI teams, monitor EOB queues, and maintain stringent 5-day refund timelines. A strong attention to detail and experience with AdvancedMD or Waystar is required.