Medical Payment Posting Specialist - Billing Specialist

Vero Orthopaedics; Vero Beach (FL); On-site; USD 45,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Disability benefits

401(k)

Paid time off

Background check

Drug screen

Job summary

Vero Orthopaedics is seeking an experienced Medical Payment Posting Specialist to join our Revenue Cycle team in a full-time, on-site capacity in Vero Beach, FL. The role focuses on posting insurance and patient payments, reconciling postings, and researching discrepancies to ensure accurate patient accounts.

The ideal candidate brings hands-on posting experience, solid A/R understanding, and familiarity with EOBs/ERAs, CPT/ICD-10 terminology, and various medical billing systems.

Qualifications

• Previous hands-on medical payment posting experience.
• Two years of medical billing, payment posting, or related Revenue Cycle experience preferred.
• Working knowledge of the healthcare Revenue Cycle and medical accounts receivable (A/R).
• Experience reviewing and interpreting EOBs and ERAs.
• Understanding of insurance payments, contractual adjustments, denials, credits, and patient account balances.
• Knowledge of third-party payers, including Medicare and commercial insurance plans.
• Basic accounting and reconciliation knowledge.
• Familiarity with medical billing terminology, CPT and ICD-10 codes strongly preferred.

Responsibilities

• Accurately posts insurance and patient payments received electronically or by mail.
• Posts contractual and other appropriate adjustments according to EOB and ERA information.
• Reviews and interprets EOBs and ERAs to ensure payments and adjustments are applied accurately.
• Reconciles and balances posted payments at the end of each day.
• Identifies, researches, and resolves payment posting discrepancies and issues.
• Researches and posts unidentified or unapplied payments within established timeframes.
• Identifies credit balances, underpayments, overpayments, denials, and other account discrepancies requiring additional review.
• Applies knowledge of medical accounts receivable to recognize posting issues that may impact balances and follow-up activity.
• Maintains knowledge and proper utilization of transaction and adjustment codes.
• Maintains a 98% payment posting accuracy rate.
• Consistently meets established department productivity and quality metrics.
• Communicates identified payer trends, recurring payment issues, and discrepancies to management.
• Maintains confidentiality of all patient and account information per HIPAA requirements.
• Adheres to CMS, payer, and organizational compliance guidelines.
• Follows established department policies and procedures.
• Attends required in-services, educational sessions, and department meetings.
• Performs other duties as assigned.

Skills

Medical payment posting

Revenue Cycle

Accounts receivable

EOBs/ERAs interpretation

CPT/ICD-10 knowledge

Tools

Medical billing software

Windows-based systems

Practice management systems

Job description

Medical Payment Posting Specialist - Billing Specialist

Full Time Legal Address, Vero, FL, US

2 days ago Requisition ID: 1229

Medical Payment Posting Specialist

As experts in their fields, our specialists and orthopaedic doctors at Vero Orthopaedics apply their dedication and expertise to provide customized treatment plans focused on your needs and goals. We treat a broad range of orthopaedic and neurologic injuries and conditions and are proud to offer rehabilitative, diagnostic, and other services to keep you moving.

Since 1976, our doctors and specialized staff have been the region's experts in orthopaedic, neurologic, and rehabilitative care. With our commitment to serve the needs of each patient, we proudly offer both innovative and conservative treatments for compassionate, individualized care to members of our communities in Vero Beach, Sebastian, and the surrounding areas.

At Vero Orthopaedics, we know that our employees are our best assets when it comes to providing exceptional orthopaedic care to our patients. It is for this reason that we are dedicated to hiring the most qualified staff to uphold our standards of care.

Summary

Vero Orthopaedics is seeking an experienced Medical Payment Posting Specialist to join our Revenue Cycle team. This is a full-time, on-site position ideal for someone with strong hands-on experience posting insurance and patient payments, reconciling payments, processing adjustments, and researching posting discrepancies.

The ideal candidate will also have a solid understanding of medical accounts receivable (A/R) and the overall revenue cycle. Knowledge of A/R is important to this role because successful payment posting requires an understanding of how payments, contractual adjustments, denials, credits, and outstanding balances impact patient accounts.

The Medical Payment Posting Specialist is responsible for accurately and timely posting payments and adjustments for designated payers and locations, reconciling posted payments, researching discrepancies and unidentified payments, and ensuring transactions are applied correctly to patient accounts.

Key Responsibilities

Accurately posts insurance and patient payments received electronically or by mail.

Posts contractual and other appropriate adjustments according to Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) information.

Reviews and interprets EOBs and ERAs to ensure payments and adjustments are applied accurately.

Reconciles and balances posted payments at the end of each day.

Identifies, researches, and resolves payment posting discrepancies and issues.

Researches and posts unidentified or unapplied payments within established timeframes.

Identifies credit balances, underpayments, overpayments, denials, and other account discrepancies requiring additional review.

Applies knowledge of medical accounts receivable (A/R) to recognize posting issues that may impact outstanding balances and follow-up activity.

Maintains knowledge and proper utilization of transaction and adjustment codes.

Maintains a 98% payment posting accuracy rate.

Consistently meets established department productivity and quality metrics.

Communicates identified payer trends, recurring payment issues, and discrepancies to management.

Maintains confidentiality of all patient and account information in accordance with HIPAA requirements.

Adheres to CMS, payer, and organizational compliance guidelines.

Follows established department policies and procedures.

Attends required in-services, educational sessions, and department meetings.

Performs other duties as assigned.

Basic Qualifications

Previous hands-on medical payment posting experience required.

Minimum of two years of medical billing, payment posting, or related Revenue Cycle experience preferred.

Working knowledge of the healthcare Revenue Cycle and medical accounts receivable (A/R).

Experience reviewing and interpreting EOBs and ERAs.

Understanding of insurance payments, contractual adjustments, denials, credits, and patient account balances.

Knowledge of third-party payers, including Medicare and commercial insurance plans.

Basic accounting and reconciliation knowledge.

Familiarity with medical billing terminology, CPT and ICD-10 codes strongly preferred.

Other Qualifications

Strong attention to detail and commitment to accuracy.

Ability to identify discrepancies and research account/payment issues independently.

Strong organizational and time-management skills.

Ability to maintain accuracy and productivity in a fast-paced environment.

Advanced computer skills and experience working with Windows-based programs and medical billing/practice management systems.

Ability to work independently while also contributing as a member of the Revenue Cycle team.

Strong written and verbal communication skills.

Physical Demands

While performing the duties of this job, the employee is regularly required to sit for long periods of time while working at a computer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Position Relationships

Does not supervise other employees. Receives supervision from department management on administrative and operational matters.

Work Qualities

Able to work effectively with co-workers, supervisors, physicians, and other departments.

Communicates professionally and effectively.

Demonstrates respect toward patients, physicians, employees, and vendors.

Maintains confidentiality and professionalism.

Provides service excellence in every interaction.

Administrative Support

Duties and responsibilities may be added, deleted, or changed at any time at the discretion of the Administrator or the Board, formally or informally, either verbally or in writing.

Job Type

Full-Time, On-Site
Monday-Friday

This is an on-site position and is not a remote position.

Benefits Offered

Medical, dental, and vision insurance

Disability benefits

401(k)

Paid Time Off

Competitive pay and comprehensive benefits

Must pass a background check and drug screen.