Billing Executive

Role & responsibilities

• Post payments and adjustments to patient accounts from various payers, including insurance companies, Medicare, Medicaid, and patient payments.
• Review and process remittance advice (ERA) and explanation of benefits (EOB) to ensure accurate payment posting.
• Ensure accurate coding and compliance with payer-specific requirements during payment posting.
• Reconcile and resolve payment discrepancies, ensuring that payments are applied correctly.
• Work closely with the billing and coding team to resolve denials, payment errors, and outstanding balances.
• Identify and report any trends or issues with payment posting, including incorrect payments or denied claims.
• Process overpayments, refunds, and adjustments according to company policies and procedures.
• Assist in monthly and quarterly reporting on payment posting activities and outstanding balances.
• Maintain clear and accurate documentation of all payment transactions and related communications.
• Provide support in managing and maintaining accounts receivable balances.
• Stay updated with payer changes, government regulations, and insurance guidelines.
• Perform other duties as assigned by management to support the overall revenue cycle process.
• Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances;

Preferred candidate profile :The Payment Posting Specialist is responsible for accurately posting payments from insurance companies, government payers, and patients to patient accounts within the Revenue Cycle Management (RCM) process. This role involves reconciling payment discrepancies, working closely with the billing department, and ensuring proper documentation of payment transactions. The Payment Posting Specialist plays a vital role in maintaining accurate financial records for healthcare providers.

Perks and benefits