Medical Billing Payment Posting Specialist

Description:

Responsibilities:

• Accurately post insurance and patient payments (EOBs/ERAs) within defined timelines
• Reconcile payments with bank deposits, ERA files, and system reports to ensure accuracy
• Apply appropriate adjustments, write-offs, denials, and patient balances as per payer guidelines
• Review EOBs/ERAs to identify underpayments, overpayments, and discrepancies, and take necessary action
• Perform follow-ups on unpaid, underpaid, and denied claims with insurance companies
• Work on AR aging reports to prioritize and resolve outstanding claims efficiently
• Analyze denials, take corrective actions, and submit appeals when required
• Process refunds and manage credit balances according to company policies
• Maintain accurate documentation of all transactions and follow-up activities in the system
• Collaborate with billing, coding, and other teams to resolve issues and improve cash flow
• Ensure compliance with HIPAA and meet daily productivity and quality targets

Requirements:

• Minimum Bachelor’s degree
• 1–3 years of experience in US healthcare RCM, including payment posting and AR follow-up
• Strong understanding of EOBs, ERAs, CPT/ICD codes, and payer reimbursement methodologies
• Hands-on experience with AR follow-up, denial management, and appeals process
• Experience working with insurance portals and clearinghouses
• Knowledge of contractual adjustments, denial codes, and aging reports
• Strong analytical and problem-solving skills with high attention to detail
• Good communication skills for dealing with insurance representatives
• Experience with Office Ally software for payment posting