Billing & Claims Reconciliation Coordinator

Position Summary 

The Billing & Claims Reconciliation Coordinator ensures alignment between services delivered, services billed, and payroll paid. This role identifies discrepancies, maintains reconciliation logs, and supports clean month-end close by protecting revenue integrity and payroll accuracy. 

This position serves as the organization’s primary reconciliation and revenue exception specialist. 

Essential Duties and Responsibilities 

Billing Reconciliation 

• Reconcile service delivery records to billing data. 
• Identify and track discrepancies between services rendered and claims submitted. 
• Monitor denial trends and escalate recurring revenue risks. 

Payroll Alignment 

• Reconcile payroll records against documented service delivery. 
• Identify and resolve discrepancies between scheduled, delivered, and paid hours. 
• Partner with People Operations on payroll alignment issues. 

Exception Management & Controls 

• Maintain and update the revenue and payroll exception log. 
• Support development and enforcement of clean-claim checklists. 
• Prepare documentation for internal review and audit readiness. 

Month-End Close Support 

• Prepare reconciliation summaries for the month-end packet. 
• Ensure reconciliation activities are completed within defined timelines. 
• Escalate unresolved high-risk discrepancies prior to close. 

Required Qualifications 

• Minimum 3 years of billing, payroll reconciliation, or financial operations experience 
• Strong analytical and detail-oriented skills 
• Experience working with payroll or billing systems 
• Ability to manage reconciliation deadlines 

Preferred Qualifications 

• Experience in healthcare or service-based billing models (Medi-Cal & CalAim)
• Familiarity with WellSky, eClinicalWorks, or Paychex 
• Experience supporting audit or compliance reviews 

Skills and Competencies 

• Financial and revenue accuracy 
• Reconciliation discipline 
• Analytical problem-solving 
• Clear documentation 
• Cross-functional communication 

Physical and Work Conditions 

• Office and remote work environment 
• Prolonged periods of sitting and computer use 
• Occasional in-state travel 
• Reasonable accommodations provided in accordance with applicable law 

Workweek, Compensation, and Benefits 

This is a full-time, non-exempt position paid hourly. Omatochi offers a comprehensive benefits package including medical, dental, and vision coverage; paid time off; holidays; and additional benefits consistent with company policy. Overtime, meal periods, and rest breaks are provided in accordance with California law. 

Compliance and Legal Notices 

Omatochi is an equal opportunity employer. Employment is at-will and may be terminated at any time, with or without cause or notice, consistent with applicable law. This position complies with California pay transparency requirements. Background checks may be required in accordance with applicable law.