Payment Posting Specialist - Remote

Overview

The Payment Posting Specialist plays a crucial role in ensuring accurate and efficient posting of payments, adjustments, and denials from insurance companies, patients, and third-party payers. This role is essential in maintaining financial integrity and supporting revenue cycle operations by reconciling payments and identifying discrepancies.

In Short

• Post all insurance and patient payments, adjustments, and denials accurately in the billing system.
• Reconcile electronic remittance advice (ERA) and paper explanation of benefits (EOB) with payments received.
• Ensure payments are applied to the correct accounts, charges, and services.
• Accurately post payer adjustments and write-offs based on contractual agreements.
• Flag denied claims for review and escalate trends in underpayments or denials.
• Perform daily reconciliation of posted payments and adjustments to ensure accuracy.
• Investigate and resolve discrepancies in payment postings or account balances.
• Collaborate with AR, billing, and collections teams to resolve payment discrepancies.
• Assist in providing payment-related data for audits, appeals, or patient inquiries.
• Maintain accurate documentation of payment postings and adjustments.

Requirements

• Payment Processing Expertise: Knowledge of EOBs, ERAs, and payer-specific payment policies.
• Analytical Thinking: Ability to identify and resolve discrepancies efficiently.
• Communication Excellence: Strong verbal and written communication skills for working with internal teams and external payers.
• Technical Proficiency: Experience with NextGen and payment posting tools.
• Attention to Detail: Ability to ensure high accuracy in financial transactions.
• High school diploma or GED required; Associate’s degree in Healthcare Administration, Accounting, or a related field preferred.
• Minimum of 1-2 years of experience in medical billing, payment posting, or healthcare accounts receivable.
• Certification in medical billing or coding (e.g., CPC, CCA) is a plus.
• Experience with automated payment posting systems and payer portals.
• Knowledge of financial reconciliation processes in healthcare settings.

Benefits

• PTO Accruals Start at 3 Weeks
• Comprehensive Medical and Dental Insurance
• Company-Paid Optical Allowance
• Company-Paid Routine Eye Care
• Short-Term and Long-Term Disability Insurances
• Educational Allowance
• Paid Holiday Program
• 401K with Company Match