Billing & Collections/Posting Specialist

ARSA - Advanced Reconstructive Surgery Alliance; Dallas (TX); On-site; USD 42,000 - 65,000; Full time

Job summary

ARSA - Advanced Reconstructive Surgery Alliance is seeking a detail-oriented Billing & Collections / Payment Posting Specialist to join our Revenue Cycle team in Dallas. Responsibilities include payment posting, denial management, and AR follow-up in a high-volume setting.

The ideal candidate has 2+ years in medical billing collections, familiarity with CPT/ICD-10, and experience with EMR systems. Strong communication and confidentiality are essential.

Qualifications

• Minimum 2 years of experience in payment posting and/or medical billing collections.
• Familiarity with CPT, ICD-10 codes, and medical terminology.
• Experience reading EOBs and ERAs.
• Familiarity with commercial, Medicare, and Medicaid payer guidelines.
• Proficiency in EMR/practice management systems (Epic, Athena, or similar).
• Strong mathematical and analytical skills.
• Excellent written and verbal communication skills.
• Ability to manage multiple tasks in a high-volume environment.
• High regard for confidentiality and HIPAA compliance.

Responsibilities

• Payment management & AR follow-up
• Identify and resolve issues hindering payment of claims by third-party payers
• Perform AR follow-up on outstanding balances for timely resolution
• Monitor open accounts receivable, adjustments, refunds, and account changes
• Respond to denial letters, appeals, and requests for information from payers
• Submit corrected claims and appeals per timely filing guidelines
• Identify denial trends and escalate to management with documentation
• Collaborate with physicians, payers, and management to resolve disputes and expedite payments
• Maintain accurate documentation for all open and pending claims
• Ensure confidentiality per HIPAA standards
• Post payments to the practice management system (cash, checks, credit card, EFT/ERA)
• Record and balance batch totals daily
• Reconcile and audit payment reports to resolve discrepancies
• Review and apply EOBs/ERAs per payer contracts
• Route unapplied payments, overpayments, and credits for resolution

Skills

CPT codes

ICD-10 codes

EMR systems

Communication skills

Analytical skills

HIPAA compliance

Job description

Job Title: Billing & Collections/Posting Specialist

We are seeking a detail-oriented Billing & Collections / Payment Posting Specialist to join our Revenue Cycle team. This position is responsible for the accurate and timely resolution of insurance claims, payment posting, and communication with insurance carriers, physicians, and management. The role encompasses both insurance collections — including denial management and AR follow-up — as well as posting payments to the practice management system and reconciling reports. The ideal candidate thrives in a high-volume environment and brings a strong commitment to accuracy, confidentiality, and results.

Key responsibilities

Payment management & AR follow-up

• Identify, analyze, and resolve issues hindering the proper payment of claims by third-party payers
• Perform thorough AR follow-up on outstanding insurance and patient balances to ensure timely resolution
• Monitor and review open accounts receivable, adjustments, refunds, and account changes
• Promptly respond to denial letters, appeals, and requests for additional information from insurance companies
• Submit corrected claims and formal appeals to payers in accordance with timely filing guidelines
• Identify denial trends and escalated recurring issues to management with supporting documentation
• Collaborate with physicians, insurance carriers, and management to resolve claim disputes and expedite payments
• Maintain clear, accurate, and up-to-date documentation for all open and pending claims
• Ensure patient and company confidentiality is maintained at all times in accordance with HIPAA standards
• Post payments accurately to the practice management system, including cash, live checks, online credit card payments, and EFT/ERA deposits
• Record and balance batch totals daily to ensure system accuracy
• Reconcile and audit payment reports to ensure proper documentation and resolve discrepancies promptly
• Review and apply EOBs and ERAs in accordance with payer contracts and fee schedules
• Flag and route unapplied payments, overpayments, and credit balances for appropriate resolution

Requirements

• Minimum 2 years of experience in payment posting and/or medical billing collections
• Working knowledge of CPT, ICD-10 codes, and medical terminology
• Experience reading and interpreting EOBs and ERAs
• Familiarity with commercial, Medicare, and Medicaid payer guidelines
• Proficiency in EMR/practice management systems (Epic, Athena, or similar)
• Strong mathematical and analytical skills
• Excellent written and verbal communication skills
• Ability to manage multiple tasks in a high-volume environment
• High regard for confidentiality and HIPAA compliance