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