Job Description
About the position
The Payment Posting Analyst role at Coastal Pulmonary Associates is a full-time position focused on optimizing revenue performance through effective payment reconciliation and cash posting workflows. The ideal candidate will have a strong background in healthcare revenue cycle management and will be responsible for recording and reconciling payments, interpreting payer communications, and participating in process improvement activities.
- Responsibilities
- Record and reconcile payments received from insurance companies, patients, or other third-party payers. ,
- Interpret payer explanation of benefits, remittance advices, and other correspondence to document payments, adjustments, and denials with an eye on data quality. ,
- Familiarity with payer websites and contacts to collect payment information and reconcile outstanding accounts. ,
- Work towards modernizing payment communications with a technology-first mindset, contacting payers to convert mail payments into ACH/EFT and manual posting to electronic remittance. ,
- Investigate and appeal denied claims, identifying reasons for rejection and taking appropriate actions for resolution. ,
- Participate in the denials workgroup, where frequent errors resulting in nonpayment are identified, analyzed, and resolved. ,
- Process and route nonpayment correspondence to the follow-up team for resolution. ,
- Actively participate in process and service improvement activities, raising concerns, questions, and solutions in a timely manner.
- Requirements
- High school diploma or equivalent required; additional education in medical billing and coding preferred. ,
- Previous experience in medical billing in a healthcare setting is desirable. ,
- Proficiency in medical terminology, ICD-10 and CPT coding, and insurance billing procedures. ,
- Attention to detail is crucial to ensure payer responses and payments are accurately posted to inform appropriate action. ,
- Effective written and verbal communication skills are essential for interacting with insurance companies and internal teammates. ,
- Familiarity with medical billing software and electronic health records (EHR) systems is beneficial. ,
- Collaborative attitude and ability to work effectively as part of a healthcare team. ,
- Willingness to adapt to changes in billing regulations, technology, and healthcare industry standards.
- Nice-to-haves
- Experience in revenue cycle management ,
- Familiarity with medical billing software and electronic health records (EHR) systems
- Benefits
- 401(k) ,
- 401(k) matching ,
- Dental insurance ,
- Flexible schedule ,
- Health insurance ,
- Life insurance ,
- Paid time off ,
- Vision insurance
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