Payment Posting Representative

Role Description

US Heart and Vascular is needing a Remote Payment Posting Representative to join our team.

The Payment Posting Representative performs the role of accurately recording and reconciling incoming payments (electronic and manual) from patients, insurance companies, and other third-party payers. This position requires a strong attention to detail, financial acumen, and a thorough understanding of healthcare billing and reimbursement processes.

Responsibilities

• Post payments daily as assigned
• Receive and review incoming payments, including checks, electronic funds transfers, credit card payments, and electronic remittance advice (ERA) files from insurance companies.
• Verify the accuracy of payment amounts, patient information, and insurance details.
• Identify discrepancies or payment errors and escalate them to the appropriate staff members.
• Apply adjustments to patient accounts as necessary, such as deductibles, co-payments, or contractual adjustments.
• Ensure that denied claims are routed to the appropriate work queues in the EMR system.
• Generate and reconcile daily batch reports on all posting activities.
• Perform reconciliation of payments received against the EMR batches to validate posting amounts.
• Assist with the troubleshooting and resolution of system-related issues affecting cash posting processes.

Qualifications

• Familiarity with medical office procedures and billing practices
• Knowledge of the accounts receivables (A/R) process
• Min of 1 years of experience in revenue cycle management
• One year healthcare or insurance billing processing experience required
• One plus years' customer service experience required
• Knowledge of medical terminology, CPT, ICD-10-CM, HCPC codes, CCI edits and HIPAA regulations
• eClinicalWorks experience a plus
• SmartSheet experience a plus