Payment Posting & AR Specialist

Qualderm; United States; Hybrid; USD 25,000 - 34,000; Full time

Benefits offered by this job

Competitive Pay

Comprehensive Health Coverage

Generous 401(k) Plan

Paid Time Off

Company-Paid Life Insurance

Disability Protection

Wellness Plans

Employee Discounts

Referral Bonus Program

Job summary

QualDerm Partners is hiring a Payment Posting Clerk to join our revenue cycle team. You will work with physicians and staff to post payments and adjustments, research issues, and ensure timely posting and accurate remittance processing.

You will interact with patients, insurers, and third-party payers, resolving questions about payments and offsets while supporting month-end close and reconciliation. A strong foundation in Excel and knowledge of EFT/ERA processes is beneficial.

Qualifications

• High school graduate or GED.
• 1-3 years of Payment Posting in a Medical Setting.
• Experience with Accounting, EFT /ERA setup is a plus.
• Mod Med/EMA practice management system experience is a plus.
• Ability to read and understand Explanation of Benefits is crucial.
• Knowledge of third-party billing and collection requirements to include Medicare, Medicaid and Managed care.
• Must have general knowledge in posting recoupments and reversals.
• Must have working knowledge of excel spreadsheets.
• Must be highly professional in appearance, tone and delivery and an effective communicator.
• Must be team-oriented and have demonstrated skills in working in a team environment.
• Dedicated to follow-thru and results.

Responsibilities

• Completes posting of all payments and adjustments at the patient account level in a timely and accurate manner, balancing to the bank deposit daily.
• Contact patients, insurance or third-party administrators when clarification of information is needed to successfully post payment.
• Call, chat, email insurances to resolve payments/offset questions
• Check websites for additional information to resolve payments/offset issues
• Work on recoupment accounts to resolution.
• Research and resolve insurance overpayments and credits.
• Processes patient refund requests and manages refund register.
• Assists with monthly close functions including month end balancing.
• Review all remittance advices for accuracy to identify errors or questionable data. Manages time to complete work in timely manner and be a team player.
• Meets productivity requirements as established by organization and external benchmarks.
• Proactively engages other operational personnel to review and resolve issues as needed.
• Provides professional assistance for patient billing calls.
• Keep up-to-date with current with payer guidelines and reimbursement policies (basic knowledge).
• Effectively uses billing system to document patient accounts using proper grammar, spelling, and syntax.
• Adheres to Code of Conduct and Mission & Value Statement.

Skills

Effective communicator

Team-oriented

Professional appearance

Follow-through

Education

High school diploma or GED

Tools

Mod Med/EMA practice management

Excel

Job description

QualDerm Partners is hiring a Payment Posting Clerk to join our revenue cycle team. You will work with physicians and staff to post payments and adjustments, research issues, and ensure timely posting and accurate remittance processing.

You will interact with patients, insurers, and third-party payers, resolving questions about payments and offsets while supporting month-end close and reconciliation. A strong foundation in Excel and knowledge of EFT/ERA processes is beneficial.