Payment Posting Specialist

The Payment Posting Specialist is responsible for collecting on patient account balances, posting payments and overall patient account management.

• Maintain records of medical billing and claims, settlements, and medical insurance payments.
• Answer questions from patients, clerical staff, and insurance companies.
• Identify and resolve patient billing questions.
• Maintain accurate records.
• Balance daily deposit and ensure daily close and claims run.
• Work closely with Patient Account Specialists by reporting insurance denials or incorrect insurance payments.

To perform the job successfully, an individual should demonstrate the following competencies:

• Problem Solving.
• Interpersonal Skills – Maintains confidentiality.
• Teamwork – Balances team and individual responsibilities.
• Judgment – Displays willingness to make decisions.
• Quality – Demonstrates accuracy and thoroughness; looks for ways to improve and promote quality.
• Safety and Security – Observes safety and security procedures; reports potentially unsafe conditions.

Requirements:

• Previous clinical or coding experience, required.
• At least 2 years' experience or payment posting in a healthcare setting.
• Proficient in understanding insurance explanation of benefits and denials.
• Knowledge of CPT, ICD9 and ICD 10 codes.
• HIPAA and OSHA rules and regulations.
• Understands insurance fee schedules and contractual obligations
• Ability to communicate effectively both written and verbally.  Ability to effectively present information and respond to questions from group of managers or peers.
• Strong analytical and conceptual skills.  Ability to interpret a variety of instructions furnished in written, oral, or schedule form.
• Basic computer skills. Familiarity with billing applications and basic Microsoft Office and Windows applications.

Desired Degree

High School