Payment Posting Specialist

We are seeking a detail-oriented and experienced Medical Payment Posting Specialist to join our healthcare billing team. The ideal candidate will be responsible for accurately posting insurance and patient payments, reconciling transactions, managing denials, and ensuring compliance with medical billing regulations. This role requires strong analytical skills, proficiency with billing software, and the ability to handle a high volume of transactions efficiently. The position operates during night shifts and offers a competitive salary along with comprehensive benefits.

Key Responsibilities

- Payment Application: Accurately post all insurance payments including Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs), patient payments, and other revenue adjustments into the practice management system.

- Reconciliation: Perform daily reconciliation of posted payments with bank deposits and ERAs to ensure accuracy and promptly identify discrepancies.

- Denial Management: Identify, analyze, and post claim denials, partial payments, and underpayments. Route denied claims to the appropriate department for resolution, such as denial management or appeals.

- Adjustment Posting: Post contractual adjustments, write-offs, and other non-payment adjustments following established policies and procedures.

- Credit Balance Resolution: Research and resolve patient and insurance credit balances in a timely manner, initiating refunds when necessary.

- ERA Management: Efficiently process electronic remittance advices and manage any exceptions or errors.

- Manual Payment Posting: Accurately post payments received via mail, phone, or in-person, including checks, credit cards, and cash.

- Reporting: Generate and review payment posting reports, balance daily deposits, and assist with month-end close activities related to payment posting.

- Communication: Effectively communicate with insurance companies, patients, and internal departments regarding payment inquiries, discrepancies, and resolutions.

- Compliance: Adhere strictly to HIPAA guidelines, medical billing regulations, and company policies concerning payment posting and data security.

- System Utilization: Utilize medical billing software, electronic health record (EHR) systems, and other relevant tools proficiently for payment posting and research.

- Problem Solving: Proactively identify and resolve payment posting issues, escalating complex problems to supervisors when necessary.

- Documentation: Maintain accurate and detailed documentation of all payment posting activities and communications.

Required Qualifications

- Minimum of 2-3 years of proven experience in medical payment posting within a healthcare or billing company setting.

- Demonstrated expertise with various payment posting methods, including ERA processing and manual payment application.

- Strong understanding of medical billing and coding principles, including CPT, ICD-10, and HCPCS codes.

- Experience interpreting and processing EOBs and ERAs from major insurance carriers such as Medicare, Medicaid, and commercial payers.

- Proficiency with practice management or billing software, specifically eClinicalWorks.

- Familiarity with different payment models and reimbursement methodologies.

- Experience in denial management and basic appeals processes.

- Proven ability to efficiently handle a high volume of transactions, consistently meeting daily productivity targets for both manual and electronic payment posting.

- Bachelor’s or Master’s degree is required.

Preferred Qualifications and Benefits

- Professional certification from recognized medical billing and coding organizations such as AAPC CPC or AHIMA CCS-P is highly valued.

- Proficiency in medical billing software and practice management systems.

- Strong data entry skills with a high degree of accuracy and speed.

- Intermediate to advanced skills in Microsoft Excel for reconciliation and reporting.

- Ability to navigate and utilize online payer portals for payment research.

- Work schedule: Monday to Friday, 6 PM to 3 AM PKT (night shift).

- Competitive gross salary ranging from $400 to $450 USD.

- Additional benefits include annual and Eid bonuses, provident fund, health insurance covering inpatient and outpatient services, fuel card or company-provided transportation, EOBI, and free meals.

This role offers an excellent opportunity for professionals seeking to advance their careers in medical billing within a supportive and structured environment.