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Payment Posting Specialist
QualDerm Partners. Complete posting of all payments and adjustments at the patient account level in a timely and accurate manner, balancing to the bank deposit daily .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in payment posting within a medical setting, including proficiency in handling patient accounts, resolving insurance issues, and adhering to payer guidelines. Strong communication skills and a team-oriented approach are essential for effective collaboration and problem resolution.
Highest-signal resume keywords
Payment Posting ExperienceKnowledge of Third-Party BillingUnderstanding of Explanation of BenefitsExcel Spreadsheet ProficiencyMod Med/EMA Practice Management System Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payment PostingInsurance Overpayment ResolutionRecoupment and Reversal PostingPatient Refund ProcessingMonth-End BalancingRemittance Advice ReviewEFT/ERA SetupData Accuracy VerificationBank Deposit BalancingDocumentation of Patient Accounts
Soft Skills
Effective CommunicationTeam-OrientedProfessional AppearanceFollow-ThroughResults-Driven
Tools & Technologies
Billing SystemMod Med/EMA
Certifications & Qualifications
High School Graduate or GED
Industry Keywords
MedicareMedicaidManaged CarePatient BillingPayer GuidelinesReimbursement Policies
About the role
Key responsibilities & impact- Complete 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, and email insurers to resolve payment and offset questions
- Check websites for additional information to resolve payment and offset issues
- Work on recoupment accounts to resolution
- Research and resolve insurance overpayments and credits
- Process patient refund requests and manage the refund register
- Assist with monthly close functions, including month-end balancing
- Review remittance advices for accuracy and identify errors or questionable data
- Meet productivity requirements established by the organization and external benchmarks
- Engage operational personnel to review and resolve issues as needed
- Provide professional assistance for patient billing calls
- Keep up to date with payer guidelines and reimbursement policies
- Use the billing system to document patient accounts using proper grammar, spelling, and syntax
- Adhere to the Code of Conduct and Mission & Value Statement
- Report to the Supervisor, Payment Posting and/or Director, Cash Management
Requirements
What you’ll need- 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
- Applicants must be currently authorized to work in the United States in a full-time basis
Benefits
Comp & perks- Competitive Pay – Attractive compensation to reward your hard work
- Comprehensive Health Coverage – Includes Medical, Dental, and Vision plans to keep you covered
- Generous 401(k) Plan – Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
- Paid Time Off (PTO) – Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year
- Company-Paid Life Insurance – Peace of mind with basic life coverage, with the option for additional plans
- Disability Protection – Short-term and long-term disability coverage to protect you in unexpected circumstances
- Additional Wellness Plans – Accident, critical illness, and identity theft protection plans for extra security
- Employee Assistance Program (EAP) – Access confidential support for personal or work-related challenges
- Exclusive Employee Discounts – Save on products and services with special discounts just for you
- Referral Bonus Program – Earn bonuses by referring qualified candidates to join the team