The Payment Posting role is responsible for managing and accurately posting various types of payments into the healthcare billing system. This role requires attention to detail, basic analytical skills, and a willingness to learn about Explanation of Benefits (EOBs), insurance payments, and bank reconciliation processes. The specialist ensures that all financial transactions are recorded correctly and reconciled with bank accounts.
Roles & Responsibilites :
Ensuring that all deposits are uploaded to the billing system daily.
Post all personal, insurance and liability payments from Remittance and EOBs to appropriate accounts with minimum errors.
Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances.
Analyze EOB information, including co-pays, deductibles, co-insurance, contractual adjustments, denials and more to very accuracy of patient balances.
Ensure the posting of the deposit batches are reconciled to the bank account daily and all completed before month end.
Assign proper adjustment transaction codes to contractual write offs and denials.
Day and monthly reconciliation of all deposits to include lockbox, EFT, cash and credit cards.
Monitor incoming payment inquiry for resolution.
Review and post incoming ERA denied claims Posts and no pays in a timely manner.
Assist in updating the Daily Reconciliation Log.
Investigate the source of unidentified payment to ensure they are applied to appropriate accounts. If necessary, will contact the sender to clarify where the payment should be posted.
Add appropriate denial codes and comments to assure all necessary appeals and post payment follow up can take place.
Required Experience, Skills and Qualifications:
bachelors degree in Accounting, Finance, Business Administration, or a related field preferred.
Minimum of 2-3 years of experience in payment posting, medical billing, or a related financial role in the healthcare industry.
Proficiency with healthcare billing software and electronic medical records (EMR) systems.
Strong knowledge of Explanation of Benefits (EOBs), Remittance Advices, and various insurance payment processes (Medicare, Medicaid, and Commercial Insurances).
Familiarity with financial reconciliation processes and tools.