On-Site Medical Payment Posting & Reconciliation Specialist

Vero Orthopaedics

Vero Beach (FL)

On-site

USD 45,000 - 64,000

Full time

38 hours ago
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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

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.

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