Payment Posting Specialist

HighFive Healthcare; United States; À distance; USD 42 000 - 65 000; Plein temps

Avantages offerts par ce poste

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

401(k) with Company Match

Résumé du poste

HighFive Healthcare is seeking a Payment Posting Specialist to accurately post payments from insurance, government programs, and patients into the accounts receivable system. You will reconcile payments, resolve discrepancies, and work with AR/billing teams to address denials or underpayments, ensuring timely postings and compliant processes.

The role requires familiarity with EOBs/remittance advice, strong analytical skills, and attention to detail.

Qualifications

• 2+ years of experience in healthcare payment posting or revenue cycle management.
• Proficient in healthcare billing software and electronic payment systems.
• Familiarity with insurance payment systems, EOBs (Explanation of Benefits) and remittance advice.
• Experience with mid or large-scale healthcare business offices.
• Strong analytical, attention to detail, and organizational skills.
• Excellent written and verbal communication.
• Knowledge of HIPAA regulations and healthcare compliance requirements.

Responsabilités

• Accurately post payments from insurance companies, government programs, and patients into the appropriate accounts in the system.
• Reconcile payments and adjustments to patient accounts and resolve discrepancies.
• Collaborate with AR and billing teams to resolve denied or partially paid claims.
• Make adjustments for overpayments, underpayments, or discrepancies.
• Maintain high accuracy and ensure all transactions are processed within timelines.
• Respond to internal inquiries and provide updates on payment status.
• Generate and review payment posting reports and report trends to management.
• Adhere to HIPAA and internal regulations in posting activities.
• Streamline posting processes with AR, billing, and collections teams.
• Stay updated with payment systems and new policies.

Connaissances

Healthcare payment posting

Billing software

HIPAA compliance

Analytical skills

Communication skills

Formation

High school diploma or equivalent

Outils

Billing software suites

Electronic payment systems

Description du poste

Fully Remote

Description

The Payment Posting Specialist is responsible for accurately and efficiently posting payments received from insurance companies and patients into the healthcare provider's accounts receivable system. This position plays a critical role in ensuring the timely and correct application of payments, resolving discrepancies, and maintaining accurate financial records. The specialist will collaborate with other departments to streamline processes and support the revenue cycle. The goal is to maintain payment posting metrics within 72 hours of receipt of payment.

Responsibilities

• Accurately post payments from insurance companies, government programs, and patients into the appropriate accounts in the system. Ensure payments are properly coded and applied based on explanation of benefits (EOBs), ERA/remittance advice, and patient statements.
• Reconcile payments and adjustments to patient accounts. Identify and investigate discrepancies and take appropriate action to resolve issues.
• Work closely with the accounts receivable and billing teams to resolve denied or partially paid claims. Notify management team of any underpayments identified during the posting process.
• Make necessary adjustments to accounts based on overpayments, underpayments, or discrepancies in payments. Ensure proper adjustments are reflected in the patient account.
• Maintain high standards of accuracy and attention to detail when posting payments and managing payment records. Ensure all transactions are processed within established timelines.
• Respond to internal inquiries related to payment posting, providing timely updates on payment status, and resolving any issues that arise.
• Generate and review payment posting reports. Provide accurate information to management regarding payment trends.
• Adhere to healthcare industry regulations, including HIPAA, and ensure all payment posting activities comply with internal policies and external regulations.
• Work with the accounts receivable, billing, and collections teams to streamline payment posting processes, improve efficiency, and ensure accurate financial reporting.
• Stay up to date with updates in healthcare payment systems and ensure all new policies and protocols are adhered to during payment posting.
• Meet or exceed required accounts per day to meet HighFive and provider's expectations.

Requirements

• High school diploma or equivalent; or a related field preferred.
• Minimum of 2 years of experience in healthcare payment posting, billing, or revenue cycle management.
• Proficient in healthcare billing software and electronic payment systems.
• Familiarity with insurance payment systems, EOBs (Explanation of Benefits), and remittance advice.
• Prior experience with mid or large-scale healthcare business office of 100 or more providers preferred.
• Strong analytical skills with the ability to identify and resolve payment discrepancies.
• Excellent attention to detail and organizational skills.
• Strong communication skills, both written and verbal, to interact with team members and patients.
• Ability to work independently and as part of a team in a fast-paced environment.
• Knowledge of HIPAA regulations and healthcare compliance requirements.

Benefits

• Medical, Dental, and Vision Insurance
• Life Insurance
• Long and Short-Term Disability
• Paid Time Off
• 401(k) with Company Match