Medical Claims Deposit Posting Specialist

BrightStar Care

Medical Claims Deposit Posting Specialist

Richardson, TX
Full Time
Paid
  • Responsibilities

    Benefits:

    Dental insurance

    Health insurance

    Opportunity for advancement

    Paid time off

    Vision insurance

    Key Responsibilities:

    Post insurance and patient payments (EOBs/ERAs) to patient accounts accurately and within established timelines.

    Reconcile daily deposits, including checks, EFTs, credit card payments, and lockbox transactions.

    Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) for accuracy and completeness.

    Apply contractual adjustments, denials, and patient responsibility amounts appropriately.

    Identify and escalate payment discrepancies, underpayments, or posting issues.

    Balance posted transactions to bank deposits and system reports daily.

    Process and post refunds, recoupments, and takebacks as needed.

    Work closely with billing and follow-up teams to resolve unapplied cash and variances.

    Maintain compliance with payer contracts, company policies, and regulatory requirements.

    Document posting procedures and maintain audit-ready records.

    Qualifications:

    High school diploma or equivalent required; associate or bachelor’s degree preferred.

    2+ years of experience in medical payment posting, cash applications, or revenue cycle operations.

    Strong understanding of EOBs, ERAs, CPT/HCPCS codes, and payer guidelines.

    Experience with practice management systems and clearinghouses (e.g., Office Ally, AlayaCare, ABS) preferred.

    Proficiency in Microsoft Excel and financial reconciliation processes.

    Strong attention to detail and accuracy.

    Ability to meet productivity and quality benchmarks.

    Key Competencies:

    Detail-oriented with strong analytical skills

    Time management and ability to meet deadlines

    Problem-solving and discrepancy resolution

    Knowledge of insurance payer rules and reimbursement methodologies

    Effective communication and teamwork

    Performance Metrics:

    Posting accuracy rate

    Daily/weekly productivity targets

    Reconciliation accuracy and timeliness

    Reduction of unapplied cash

    Error rate and audit findings

    Work Environment:

    Onsite Healthcare Revenue Cycle Environment

    May require extended periods of sitting and computer use

    Reporting Structure:

    Reports to Revenue Cycle Manager