Payment Posting Specialist

CND Life Sciences

Description

Position Summary

The Payment Posting Specialist is responsible for accurately posting, reconciling, and validating all insurance and patient payments, adjustments, and denials within the practice management system, Quadax. This role ensures timely and precise allocation of payments to support accurate financial reporting, efficient accounts receivable management, and overall revenue cycle effectiveness.

Job Responsibilities

Accurately post insurance payments (electronic and manual), patient payments, and adjustments to patient accounts.
Reconcile daily payment batches, reconcile deposits with bank statement and ensure the accuracy of all posted transactions.
Post denials and adjustments based on the explanation of benefits and other payor correspondence, including appropriate codes and reasons.
Process refunds, reversals and adjustments according to established guidelines.
Generate and analyze reports to monitor and escalate payment variances, underpayments, or emerging denial trends to management.
Ensure compliance with payer rules, contractual obligations, and organizational policies.
Communicate with payors, patients and internal teams to resolve posting errors or payment inconsistencies.
Assist with month-end close by ensuring all batches are balanced, posted, and documented accurately.
Maintain clear, accurate records to ensure all transactions are auditable.
Protect patient information and adhere to HIPAA privacy and security requirements.
Assist with Special Projects: Provide support for additional projects or assignments as needed, contributing to department-wide initiatives and improvements.
Demonstrate the ability to work independently while contributing to a collaborative team environment. Identify areas for process improvement and recommend solutions.
Meet or exceed performance goals and objectives as set by management, including maintaining a high level of productivity and efficiency.

Knowledge, Skills & Experience

1-2 years of experience in medical billing, payment posting, reconciliation, accounting, or revenue cycle operations preferred.
Experience with Salesforce and Quadax is a plus.
Strong understanding of EOBs, ERAs, insurance payment structures, and denial codes.
Familiarity with CPT, HCPCS, ICD-10, and HIPAA regulations (preferred). Strong understanding of Medicare, Medicaid, Tricare, and other federal and commercial insurance plans.
Strong written, verbal, and interpersonal skills with the ability to clearly convey technical concepts to diverse audiences.
Exhibit professionalism and empathy when interacting with patients and clinics.
Strong analytical and problem-solving skills.
Ability to multitask effectively in a fast-paced environment.
Advanced proficiency in Excel and data analysis.
Experience with practice management systems, billing software, and MS Office applications.

Education, Certifications, and Licensures

High School diploma or equivalent required.
Related coursework or education (e.g., billing certificate, AA, or bachelor's degree) with a focus on billing or related area preferred.
Knowledge of business processes, accounting principles, billing practices, medical terms, CPT, and ICD10 coding

Other

High attention to detail and accuracy.
Strong analytical and reconciliation skills.
Excellent organizational and time-management abilities.
Effective written and verbal communication skills.
Ability to work independently and meet daily posting deadlines.
Problem-solving mindset with the ability to identify payment trends or discrepancies.
This is a remote position. It may require quarterly travel for meetings in our Scottsdale, AZ headquarters or regional office in Atlanta.

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Vacancy posted 1 day ago

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