Payment Reconciliation Specialist

📢 We’re hiring a bilingual Medical Payment Reconciliation Specialist!

At Kansas City Clinic Advisors (KCCA) , we’re looking for an analytical and proactive Payment Reconciliation Specialist to join our team and support the financial operations of a U.S.-based hospital. This is the perfect role for someone who enjoys working with numbers, investigating discrepancies, and following issues through to resolution.

🔹 Key Responsibilities:

• Reconcile insurance payments against contracted rates and expected reimbursement amounts.

• Identify underpayments and payment discrepancies that may represent opportunities for additional revenue recovery.

• Research the root cause of underpayments, including incorrect rates, payer processing issues, contractual discrepancies, or other payment variances.

• Follow up on identified underpayments and take appropriate action to help recover outstanding revenue.

• Track underpayment cases through resolution and maintain accurate supporting documentation.

• Post charges related to observation stays, ensuring accuracy and appropriate documentation.

• Review financial and payment data to identify trends, recurring discrepancies, and potential revenue opportunities.

• Perform account and payment reconciliations and investigate unresolved differences.

• Work with payer portals, internal systems, and other available resources to validate payments and resolve discrepancies.

• Collaborate with Finance, Billing, and other internal teams to ensure payment and revenue information is accurate.

• Proactively identify opportunities to improve reconciliation processes and strengthen revenue capture.

🔹 Requirements:

• Bachelor's Degree in Accounting, Finance, Business Administration, or a related field.

• English proficiency, both written and spoken.

• 3+ years of experience in accounting, payment reconciliation, financial reconciliation, revenue analysis, or a related role.

• Strong analytical and problem-solving skills, with the ability to investigate discrepancies and follow them through resolution.

• Advanced Excel skills and experience working with ERP, accounting, billing, or revenue management systems.

• Experience in the healthcare industry is highly valued.

What we offer: 💻 Work mode: Fully remote (100% if you’re outside Buenos Aires). If you’re in Buenos Aires, you can also come to our Palermo office once a week. 🕒 Schedule: Full-time (8am to 5pm CST) 🤝 Employment type: Formal employment relationship with social security and health coverage. 📍 Location: Argentina (our team works from Argentina for physicians in the U.S.). 📈 Growth and stability: Join a growing project committed to quality, healthcare excellence, and the ethical use of artificial intelligence.