The Role:
You will be responsible for accurately and efficiently posting payments, adjustments, and denials to patient accounts. A strong understanding of various payer systems and medical billing practices is essential for success in this role.
What You’ll Be Doing:
Payment and Remittance Posting:
Accurately post payments, adjustments, and denials from Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to the appropriate patient accounts within the billing system.
Identify, locate, and retrieve remittance information, including EOBs, from various payer-specific online portals (e.g., Availity, Change Healthcare, government payer sites) and internal queues to ensure all payments are posted in a timely manner.
Ensure all transactions are balanced daily.
ERA and Claim Management:
Proactively identify and resolve ERA gaps (electronic remittance files not matching expected receipts or claims) by investigating missing remittances, contacting payers, or manually posting payments as needed to maintain clean accounts receivable.
Research and correct claims or posting errors that prevent claims from reconciling properly.
Who You Are:
Minimum of 2-3 years of experience in medical billing, payment posting, or a similar RCM role.
Proven experience navigating and extracting remittance data from major payer portals.
Demonstrated experience with credit balance resolution and refund processing.
Proficiency with medical billing software and Electronic Health Record (EHR) systems
Expert-level understanding of EOBs, ERAs, CPT, ICD-10, and standard adjustment/denial codes.
Exceptional data entry speed and accuracy.
Strong analytical and problem-solving skills, particularly for reconciling complex accounts and identifying missing remit issues.
Excellent organizational and time management abilities to handle high-volume processing.
You are capable of rolling up your sleeves but can be flexible / resourceful to adapt to the ever changing needs of the business.
You are a clear and concise communicator; you enjoy the challenge of explaining complicated ideas in simple terms, both in-person and in writing.
Pay Transparency
The estimated starting annual salary range for this position is $20-$24 USD per hour. The listed range is a guideline from Pave data, and the actual base salary may be modified based on factors including job-related skills, experience/qualifications, interview performance, market data, etc.