Payment Posting Specialist

Description

REMOTE OPTION IS AVAILABLE FOR THIS POSITON.

Job Summary:

The Payment Posting Specialist is responsible for accurately posting patient and insurance payments to patient accounts and performing timely account reconciliations. This role plays a critical part in ensuring the financial integrity of the revenue cycle by verifying payment accuracy, resolving discrepancies, and maintaining up-to-date patient account records.

Essential Duties and Responsibilities:

• Post payments from insurance companies, patients, and third- party payers to patient accounts with a high degree of accuracy and attention to detail. 
• Process paper and electronic remittance advice (ERA) and explanation of benefits (EOB) documents.
• Apply adjustments, and denials according to organizational policies and payer contracts. 
• Research and resolve misapplied or unidentified payments.
• Work with insurance carriers, patients, and internal departments to clarify and correct posting errors.
• Escalate complex discrepancies or unresolved items to management or appropriate teams. 
• Other duties may be assigned and are subject to change with or without notice. 

Professional Requirements:

• Maintain detailed records of payment activities and reconciliation processes. 
• Assist in generating reports related to payment posting, reconciliation, and outstanding items. 
• Ensure compliance with internal policies, payer rules, and regulatory requirements.
• Completes and maintains all required education and/or training requirements.
• Complies with HIPAA regulations and always maintains patient confidentiality.
• Follows and maintains all lawful safety, health requirements, and regulations, and follow protocols for required protective equipment (PPE).
• Promptly reports safety issues, job-related injury, or illness, near misses, etc. in SafetyZone.
• Follows Hillsboro Health Standards of Behavior.

Requirements

Education and/or Experience:

• High school diploma or equivalent required; associate’s degree or coursework in accounting, healthcare billing, preferably in a multi-payer environment. 
• 3+ years of experience in medical payment posting or healthcare billing, preferably in a multi-payer environment. 
• Strong understanding of insurance EOBs, ERAs, and medical billing terminology.
• Experience with practice management systems (e.g., CPSI, Cerner, Oracle Health, etc.) and electronic payment systems preferred.
• Strong attention to detail and excellent organizational skills.
• Proficiency in Microsoft Excel and other Office applications a plus.

Certificates and Licenses:

None

Physical Demands:

Physical demands of the position, including vision, hearing, repetitive motion, and environment are required. A separate document will be provided upon hire, during annual evaluation process, and upon request. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

CORPORATE COMPLIANCE

Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health’s Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows whether to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.