Payment Posting Specialist
shift: First
work hours: 8 AM - 4 PM
education: High School Responsibilities Key Responsibilities
- Accurate Posting: Process both manual and electronic insurance and patient payments across multiple dates of service, payers, and accounts.
- Reconciliation & Allocation: Break down complex, lump-sum payments and accurately allocate them across various patient accounts; research and resolve unapplied payments.
- Variance Research: Independently investigate payment variances, underpayments, and discrepancies to validate correct contractual applications.
- Denial Management: Resolve complex payment denials and collaborate closely with billers, collectors, and payers to clear outstanding balances.
- Process Improvement: Follow internal Standard Operating Procedures (SOPs) while proactively suggesting workflow and automation improvements.
- 3–5 years of experience in healthcare payment posting (both manual and electronic environments).
- Deep understanding of payer rules , including Medicare, Medicaid, Commercial insurance, and Workers' Compensation.
- Technical knowledge of EOBs, EFTs, ERAs, COB, and 835 file interpretation .
- Solid grasp of contractual adjustments, proration logic, and secondary/tertiary payment rules.
- Familiarity with basic accounting principles related to the healthcare revenue cycle.
- Prior experience working within Interactant (HCS) , WellSky , or similar EMR and payment posting systems
- AR
- Basic Accounts Receivable
- AR Billing
- Medicare Compliance
- home health
- EOB
- EFT
- ERA
- 835 file interpretation
- OSHA
- HIPAA
- Basic Software Skills
- Years of experience: 3 years
- Experience level: Experienced
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected]. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days.
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