Reconciliation Specialist – Healthcare Claims

About the role

The Reconciliation Specialist will manage daily reconciliation processes for hospital and client accounts, ensuring accurate handling of claim rejections and supporting the revenue cycle management function. The role involves close collaboration with clients, audit teams and internal stakeholders to drive continuous improvement and digitalisation of billing operations. You will also prepare reports, dashboards and action plans to mitigate rejection reasons and support decision‑making.

Key responsibilities

• Maintain daily reconciliation processes for hospital and client accounts.
• Conduct reconciliation meetings with clients to discuss and finalize account rejections.
• Prepare resubmission reports and documentation to recover accurate rejections.
• Coordinate with claim audit teams for cross‑audit and accurate rejection analysis.
• Develop and maintain dashboards, weekly reports, and action plans to monitor and reduce rejection reasons.
• Review contract and discount setups and stay updated on medical billing requirements.

Required profile

• Bachelor’s degree in a medical field (Medicine, Pharmacy, or Dentistry).
• Minimum 3 years of experience in claims operations or healthcare finance.
• Strong knowledge of claims management, reconciliation, and financial impact of rejections.