Purpose
The Healthcare Posting Specialist is responsible for accurately and efficiently posting payments from payers, patients, and other sources. This role requires a strong understanding of explanation of benefits (EOBs), electronic remittance advice (ERAs), electronic funds transfers (EFTs), and lockbox processing, as well as knowledge of healthcare reimbursement practices. The Posting Specialist will ensure compliance with regulatory standards and state and federal payment practices.
Key Responsibilities
- Payment Posting:
- Process payments, adjustments, and denials, ensuring accurate and timely posting to patient accounts.
- Manage ERA, EFT, and lockbox transactions, ensuring compliance with payer and regulatory requirements.
- Verify payment information, identify discrepancies, and resolve issues to maintain accurate posting records.
- Compliance and Quality Assurance:
- Adhere to state and federal regulations, payer guidelines, and company policies in all payment posting activities.
- Stay updated on reimbursement guidelines, utilization standards, and regulatory requirements for posting practices.
- Maintain accurate records of payment posting activities and support reporting needs for reimbursement analysis.
- Assist in generating reports related to payment posting, discrepancies, and reconciliation issues.
- Work closely with the Revenue Cycle, billing, and collections teams to resolve posting and
reimbursement issues.
- Communicate with team members to clarify EOBs and other payer documents as needed.
- Experience:
- Minimum of three years of experience in payment posting, with a solid understanding of healthcare reimbursement and payer EOBs.
- Proficiency in electronic remittance advice (ERA) and electronic funds transfer (EFT) processing.
- Familiarity with lockbox operations and payment posting software.
- Proficient in Microsoft Office Suite and healthcare billing or revenue cycle software.
- Knowledgeable in payer reimbursement, utilization practices, and state and federal regulatory requirements related to payment posting.
- Strong attention to detail and accuracy in data entry.
- Problem-solving skills to address payment posting discrepancies.
- Effective communication skills for working in a remote team environment.
- Ability to work independently with minimal supervision.
Work Environment
This is a remote position. Candidates must have a reliable internet connection and a dedicated workspace to perform their duties.
The estimated hiring salary range for this position is $22/hr to $24/hr.* The actual salary will be based on a variety of job-related factors, including geography, skills, education and experience. The range is a good faith estimate and may be modified in the future. This role is also eligible for a range of benefits including medical, dental and 401Kretirement plan.