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Hybrid Payment Reconciliation Specialist chez Children's Hospital & Medical Center

Children's Hospital & Medical Center · Omaha, États-Unis d'Amérique · Hybrid

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Schedule: Mon-Fri flexible hours

At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most.

A Brief Overview
The Payment Reconciliation Specialist is responsible for balancing and reconciling all payment transactions, including cash, checks, electronic payments, credit/debit cards, and transfers. This role ensures the accurate recording of financial data, prepares deposits, generates reports, and provides support for payment processing functions. The specialist collaborates with internal teams to maintain financial accuracy and compliance with healthcare billing policies. 

Essential Functions

  • Payment Balancing & Reconciliation • Reconcile all payment transactions (cash, checks, electronic payments, refunds, transfers, etc.) to ensure accuracy in daily financial records.  
  • Maintain a structured daily spreadsheet to track deposits for multiple entities (e.g., Children's Hospital, Children's Specialty, and Children's Physician) by payment type.
  • Prepare and submit daily bank deposits for each entity.  
  • Generate and distribute net payment reports to Finance and ensure all transactions balanced with financial records. 
  • Payment Processing & Support 
  • Provide backup support for processing payments, including cash, electronic remits, checks, and credit/debit card transactions.  
  • Assist in running credit card payments through the processing system.  
  • Support the preparation of payment batches per departmental guidelines and ensure proper logging of outgoing transactions.  
  • Work directly with credit card integration vendors and Children’s Nebraska IT team to troubleshoot issues and stay current on system changes and upgrades. 
  • Regular attendance at work is an essential function of the job.
  • Perform physical requirements as described in the Physical Requirements section


Education Qualifications

  • Associate's Degree in billing, coding, business, finance Required or
  • Related field required equivalent work experience may be substituted for education. Required

Experience Qualifications

  • Minimum 3 years’ experience working with commercial or government payment posting and/or reconciliation experience.    Required

Skills and Abilities

  • Ability to review, interpret and understand managed care contracts with third-party payers
  • Intermediate computer skills including the use of spreadsheets.
  • Basic understanding of accounting principles
  • Strong interpersonal skills with attention to detail and ability to organize, interpret, and present data
  • Excellent oral and written communication skills as this position will deal directly with the public daily.


Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic.

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