- Junior
- Escritório em Silver Spring
Position Summary
The Billing Office is seeking a Payment Poster to manage payment intake and reconciliation processes. This position is responsible for accurately processing and posting a high volume of payments, both manually and electronically, while ensuring all account adjustments are applied and records remain up to date. The Payment Poster will play a key role in maintaining accurate account standings and supporting the overall efficiency of the billing cycle.
The ideal candidate will hold a post-secondary degree and possess a minimum of one year of experience in accounts receivable, remittance processing, or a related role within medical billing or customer service. Strong attention to detail, organizational skills, and the ability to manage a fast-paced workload are essential for success in this position.
KEY FUNCTIONS AND RESPONSIBILITIES:
- Accurately accept payments and process billing statements in a timely manner.
- Record and reconcile patient and insurance payment deposits.
- Prepare and balance daily payment batches.
- Conduct regular audits to ensure accuracy of billing cycles.
- Review and interpret Explanation of Benefits (EOBs) from insurance carriers, including co-pays, deductibles, co-insurance, contractual adjustments, and denials, to verify patient account balances.
- Scan and upload all EOBs into the system while maintaining organized hard-copy files by date.
- Apply appropriate ANSI denial codes and document comments to support appeals and payment follow-up processes.
- Post all personal, insurance, and liability payments from remittances and EOBs to the correct accounts with minimal errors.
- Accurately apply both manual and automated payments across Medicare, Medicaid, and commercial insurance payors.
- Investigate unidentified payments to ensure accurate posting, contact senders for clarification when necessary.
- Reconcile variances on paper and electronic EOBs to determine proper allowances and ensure correct write-offs.
- Compare downloaded files to direct deposits and resolve discrepancies.
- Assist with daily check deposits and maintain detailed deposit logs.
- Communicate with patients, insurance companies, or third-party administrators to clarify payment details when required.
- Support the setup of Electronic Remittance Advices (ERAs) for payors.
- Maintain accurate billing records and promptly report discrepancies to the accounting team.
- Research and address inquiries in a professional and courteous manner, collaborating with Revenue Cycle team members to identify and resolve escalated customer concerns.
MINIMUM QUALIFICATIONS:
- High school diploma or GED required; associate or bachelor’s degree preferred.
- Minimum of one (1) year of experience in billing, clerical, or a related role, preferably in a medical setting.
- Demonstrated ability to process a high volume of work accurately and efficiently.
- Working knowledge of Explanation of Benefits (EOBs).
- Proficiency in data entry and typing.
- Strong attention to detail and organizational skills.
- Ability to multitask and manage time effectively in a deadline-driven environment.
- Ability to handle payments in accordance with established procedures and detailed instructions.
WORKING CONDITIONS:
- Maintain proper and professional grooming at all times.
- Perform tasks that may involve prolonged periods of standing, bending, or working at a computer.
- Lift items weighing up to 15 lbs. as needed.
- Thrive in a fast-paced, controlled, and complex work environment.
- Follow safety protocols when exposed to materials or situations that require protective equipment.
