Managed Care Reconciliation & Payments Specialist

JOB DESCRIPTION

Position: Managed Care Reconciliation & Payments Specialist

Pay Range: $33 - $36/Hourly

Reporting To: VP of Finance

Work Type: On-site

Position Summary

Libertana is seeking a highly analytical and detail-oriented Managed Care Reconciliation & Payments Specialist to support the organization’s complex healthcare payment model. This role focuses on reconciling managed care payments, investigating discrepancies, and ensuring accurate payment flows between health plans and facilities.

Key Responsibilities

Reconcile payments from managed care plans against expected amounts
Investigate discrepancies between claims, remittances, and submitted invoices
Identify and resolve underpayments and missing payments
Follow up with team members to resolve payment issues
Support accurate facility payment disbursements
Collaborate with billing, operations, and support teams
Maintain documentation for audit and compliance
Analyze trends and escalate systemic issues

Qualifications

2–5+ years in healthcare billing, managed care, or reconciliation
Strong understanding of managed care payment models
Advanced Excel skills
Strong analytical and investigative mindset
Excellent communication and organizational skills

PHYSICAL REQUIREMENTS:

Stand, sit, talk, hear, reach, stoop, kneel and use of hands and fingers to operate computer, telephone, and keyboard on a frequent basis (up to 75% of the time).
Close vision requirements due to computer work.
Light to moderate lifting may be required.