Company62

Description
The Medical Payment Poster accurately posts and reconciles insurance and patient payments to maintain accurate patient accounts, support timely revenue recognition, and contribute to the overall effectiveness of the revenue cycle.
1) Posts and reconciles insurance and patient payments.
a) Posts electronic remittance advice (ERA), EFT, lockbox, check, credit card, and patient payments to patient accounts.
b) Performs detailed Explanation of Benefits (EOB) and ERA analysis to ensure payments, adjustments, deductibles, co-insurance, copays, and denial codes are applied correctly at the line-item level.
c) Reviews and posts contractual adjustments, write-offs, denials, recoupments, refunds, and underpayments according to payer guidelines and organizational policies.
d) Reconciles posted payments against payer remittances, bank deposits, and batch totals to ensure financial accuracy.
e) Investigates and processes overpayments, credit balances, and refund requests in accordance with established procedures.
2) Researches and resolves payment discrepancies while supporting revenue cycle operations.
a) Researches and resolves unapplied cash, unidentified payments, posting discrepancies, and payment variances.
b) Escalates unidentified payments, incomplete claims, payer issues, and reimbursement discrepancies, as appropriate.
c) Verifies payer reimbursement amounts against contracted rates, fee schedules, and reimbursement methodologies, when applicable.
d) Researches and corrects missing or erroneous account information to ensure accurate claim and payment processing.
e) Collaborates with billing, coding, collections, and accounts receivable teams to resolve claim and payment-related issues.
3) Monitors payment posting operations and maintains compliance.
a) Monitors daily payment posting queues and productivity standards to ensure timely processing of all transactions.
b) Identifies payer trends, denial patterns, reimbursement variances, and recurring posting issues, communicating findings to management.
c) Maintains compliance with HIPAA, payer regulations, and company policies.
d) Performs other duties as assigned.
Requirements
Required Qualifications
1) High school diploma or GED required
2) Two years of professional experience in medical payment posting, medical billing, accounts receivable, or revenue cycle management.
3) Certified Professional Biller (CPB) or equivalent billing certification preferred.
Knowledge, Skills & Abilities
1) Strong ability to maintain accuracy and attention to detail..
2) Strong analytical thinking and problem-solving skills.
3) Possesses effective time management, organizational, productivity, and follow-through skills
4) Strong verbal and written communication and customer service skills.
5) Strong collaboration and teamwork skills.
6) Advanced knowledge of confidentiality requirements, privacy practices, and professional standards.
7) Demonstrated ability to manage multiple priorities in a fast-paced environment.
8) Strong knowledge of healthcare insurance plans, including Medicare, Medicaid, Commercial, PPO, HMO, Managed Care, and other government-sponsored plans.
9) Intermediate understanding of EOBs, ERAs, reimbursement methodologies, contractual adjustments, and payment reconciliation processes.
10) Intermediate working knowledge of medical billing, claims processing, and accounts receivable workflows.
11) Intermediate knowledge of medical coding systems and reimbursement processes, including CPT, HCPCS, and ICD coding concepts.
12) Strong analytical, problem-solving, organizational, and data-entry skills with a high degree of accuracy.
13) Intermediate proficiency in the use of Microsoft Office applications, particularly Excel
14) Intermediate experience reviewing reimbursement methodologies, fee schedules, and payer contracts.
15) Intermediate knowledge of revenue cycle management workflows and insurance claim adjudication.
16) Strong experience with electronic payment posting, ERA processing, and clearinghouse platforms
17) Intermediate experience in posting payments within EHR and Practice Management systems, including eClinicalWorks, Azalea Health, Epic, and/or CureMD.
Telecommuting and Travel
This position is fully remote; required to be on-site for all staff meetings or as needed based on business needs.
Physical Demands
TAPI is committed to creating a safe and inclusive work environment and will provide reasonable accommodations as necessary to perform the essential functions of the position. Work is performed primarily in a climate-controlled office setting with extended periods of stationary work and frequent use of office technology. Employee must be able to exchange accurate information and move about the office to access files, equipment, and meeting spaces. Occasional lifting of office supplies, up to 20 pounds, may be required.