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About the Role

Responsible for accurately posting insurance payments, reconciling daily deposits, resolving payment discrepancies, and generating financial and operational reports. This role ensures revenue cycle integrity and supports financial performance through precise payment management and analysis.

Responsibilities

• Accurately post insurance claim payments, adjustments, and denials into the practice management or billing system.
• Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and correspondence from payers.
• Apply correct contractual adjustments and identify underpayments, overpayments, or missing payments.
• Process payment batches and reconcile payment uploads to bank deposits.
• Perform daily reconciliation of posted payments against bank statements and deposits.
• Investigate discrepancies between posted amounts and actual payments; escalate unresolved variances as needed.
• Maintain accurate logs of deposits, remittances, and reconciliation summaries.
• Conduct monthly reconciliation for internal financial reporting requirements.
• Identify claim denials, partial payments, or payer inconsistencies.
• Communicate with billing team members or payers to resolve payment issues.
• Track recurring denial trends and recommend corrective actions to improve clean-claim rates.
• Produce daily, weekly, and monthly payment and reconciliation reports.
• Generate operational reports such as payment trends, payer performance, denial summaries, and accounts receivable insights.
• Provide analysis supporting month-end closing and financial reviews.
• Assist leadership with customized reporting requests.
• Ensure compliance with HIPAA, payer guidelines, and internal financial protocols.
• Maintain accurate and organized documentation of payments, remittances, and reconciliation records.
• Support audit requests by supplying detailed payment and reporting documentation.

Requirements

• High school diploma or equivalent.
• Associate degree or business/healthcare coursework preferred.
• 3-5 years of experience in medical billing, payment posting, or healthcare revenue cycle operations.
• Strong knowledge of ERAs, EOBs, CPT/ICD-10 codes, and insurance payer processes.
• Proficiency with billing systems (e.g., Epic, Athena, NextGen, eClinicalWorks, Kareo, etc.) and Excel/Google Sheets.
• Excellent attention to detail and analytical skills.
• Ability to work independently with high accuracy.
• Strong communication and problem-solving skills.
• Time management and multitasking skills.
• Financial reconciliation skills.
• Data reporting and interpretation skills.
• Confidentiality and compliance awareness.

Skills

• Accuracy
• Attention to detail
• Revenue cycle understanding
• Analytical thinking
• Time management
• Multitasking
• Financial reconciliation
• Data reporting
• Data interpretation
• Confidentiality awareness
• Compliance awareness
• Knowledge of ERAs, EOBs, CPT/ICD-10 codes, and insurance payer processes
• Proficiency with billing systems (e.g., Epic, Athena, NextGen, eClinicalWorks, Kareo, etc.)
• Proficiency with Excel/Google Sheets
• Communication
• Problem-solving

Experience Level

• 3-5 years of experience in medical billing, payment posting, or healthcare revenue cycle operations

Education Level

• High school diploma or equivalent
• Associate degree or business/healthcare coursework preferred

Salary/Compensations

• Competitive compensation packages that reflect the value you bring

Benefits

• Competitive compensation packages
• Annual company performance bonus for full-time employees
• Comprehensive health coverage: medical, dental, and vision options
• High-quality medical options, including a $0 deductible PPO
• Company-funded HSA
• Employer-paid life insurance
• Employer-paid disability insurance
• Generous paid time off
• 10 paid company holidays
• HSA contributions
• Optional FSA benefits
• Optional commuter benefits
• Full coverage of all 401(k) account fees (employer match not currently offered)
• Paid parental leave

About the Company

• Abby Care is building the leading AI-native platform for family-led care.
• Addresses America's growing care crisis, supporting over 50 million family caregivers.
• Believes families are the largest untapped caregiving workforce, empowered by technology for better care outcomes.
• Combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers.
• Helps health plans and government partners understand, verify, and improve home care.
• Expands care access, reduces reliance on higher-cost settings, and ensures effective public dollar spending.
• Partners with leading health plans, providers, and community organizations.
• Backed by top VCs.
• Envisions a future where family-led care is a core part of the healthcare system.
• Values include: Families First, Urgency with Precision, Relentlessly Resourceful, Purpose with Positivity, and Driven to Redefine What’s Possible.

Equal Opportunity

• We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws.
• Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.