Reconciliation Senior Specialist

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Summary

The Senior Invoicing Reconciliation Specialist/Analyst is responsible for ensuring the accuracy and integrity of invoicing data through detailed reconciliations, analysis, and reporting. This role investigates accounts receivable variances, identifies trends, supports process improvements, and partners with Finance, Operations, Collections, and Technology teams to improve billing accuracy and efficiency.

Responsibilities

• Perform detailed reconciliations between invoicing, payment, and operational data to ensure completeness and accuracy.
• Analyze billing discrepancies, identify root causes, and recommend corrective actions.
• Investigate invoice exceptions, missing charges, duplicate billings, and other data inconsistencies.
• Prepare recurring and ad hoc reports to monitor invoicing accuracy, trends, and key performance metrics.
• Support month-end close by completing reconciliations and validating invoicing data.
• Partner with Operations, Finance, Collections, and Account Management to resolve complex billing issues.
• Validate data from multiple systems to ensure accurate customer invoicing.
• Identify opportunities to automate manual processes and improve invoicing workflows.
• Assist with testing and validation of system enhancements and process changes affecting invoicing.
• Maintain reconciliation documentation, procedures, and audit support.
• Provide analytical support for special projects and management requests.
• Ensure compliance with company policies and established billing standards.

Qualifications

• Bachelor’s degree in Accounting, Finance, Business Administration, Information Systems, or a related field.
• 3+ years of experience in accounting, reconciliations, financial analysis, or related functions.
• Strong understanding of invoicing, reconciliations, and financial controls.
• Excellent analytical, investigative, and problem-solving skills.
• Ability to identify trends, anomalies, and process improvement opportunities.
• Strong organizational skills with the ability to manage multiple priorities.
• Excellent written and verbal communication skills.
• Ability to work independently in a fast-paced environment.

Technical Skills

• Advanced Microsoft Excel, including formulas, PivotTables, and data analysis.
• Experience supporting financial system implementations or process improvement initiatives.
• Familiarity with PowerBI dashboard reporting and performance metrics.
• Ability to work with large datasets and produce meaningful reports.
• Experience validating data accuracy across multiple systems.

Preferred

• Experience in Revenue Cycle Management.
• Experience with ERP systems

Pay Range

$90,000—$120,000 USD

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.