Payment Posting & Reconciliation Specialist

CF Solutions Philippines Inc.; Quezon City; On-site; PHP 240,000 - 360,000; Full time

Job summary

CF Solutions Philippines Inc. is seeking a detail-oriented Medical Billing Payment Posting specialist in the Metro Manila area. The role requires posting insurance and patient payments, ERAs, EOBs, and adjustments with accuracy and speed, while ensuring proper balance transfers per COB rules.

Responsibilities include bank reconciliation, month-end close, and handling denials and takebacks. Proficiency in Excel and experience with EHR systems are essential for timely, compliant postings.

Qualifications

• Minimum 2 years of medical billing payment posting experience.
• Experience with EHR/Practice Management systems and clearinghouses.
• Strong understanding of ERAs, EOBs, allowed amounts, contractual adjustments, sequestration, and balance transfers.
• Knowledge of Medicare, Medicaid, commercial insurance, and coordination of benefits.
• Proficiency in Excel with strong analytical skills and attention to detail.

Responsibilities

• Post insurance and patient payments, ERAs, EOBs, adjustments, denials, and zero-pay remittances within 24–48 hours.
• Verify payer allowed amounts and apply contractual adjustments; identify reimburse­ment discrepancies.
• Apply payments, deductibles, copays, and coinsurance; transfer remaining balances per COB guidelines.
• Validate sequestration reductions, payer offsets, and adjustments to ensure correct posting.
• Reconcile daily payment batches against bank deposits, EFTs, checks, and lockbox reports.
• Prepare month-end reconciliation reports for payments, deposits, unapplied cash, and discrepancies.
• Review payer recoupments, offsets, and reversals; track recoveries.
• Compare payments against contracted rates to identify underpayments.
• Review insurance and patient credits; prepare refund documentation for approval.
• Attach EOBs and payer letters to accounts and route correspondence within 24 hours.
• Post denials and zero-pay claims with correct codes; route follow-ups to AR team.
• Maintain daily productivity and reconciliation reports; escalate unresolved issues.

Skills

Excel proficiency

Analytical skills

Attention to detail

Time management

Tools

EHR/Practice Management systems

Clearinghouses

Job description

CF Solutions Philippines Inc. is seeking a detail-oriented Medical Billing Payment Posting specialist in the Metro Manila area. The role requires posting insurance and patient payments, ERAs, EOBs, and adjustments with accuracy and speed, while ensuring proper balance transfers per COB rules.

Responsibilities include bank reconciliation, month-end close, and handling denials and takebacks. Proficiency in Excel and experience with EHR systems are essential for timely, compliant postings.