Payment Posting Specialist

Job Summary

We are seeking a detail-oriented and experienced Payment Posting Specialist to join our DME billing team. The ideal candidate will be responsible for accurately posting payments, reconciling accounts, and ensuring seamless financial transactions related to insurance and patient payments. This role is critical in maintaining the financial integrity of our clients' DME billing operations.

Role & responsibilities

• Accurately post payments from insurance carriers (e.g., Medicare, Medicaid, commercial payers) and patients to the corresponding patient accounts in the billing system.
• Reconcile Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), and lockbox deposits with bank statements and billing records.
• Identify and resolve payment discrepancies, underpayments, overpayments, and zero-pay remits.
• Process adjustments, write-offs, refunds, and transfers in compliance with payer contracts and DME billing guidelines.
• Collaborate with the AR team to follow up on denied or partially paid claims and initiate appeals when necessary.
• Maintain detailed records of all postings and ensure audit-ready documentation.
• Generate daily/weekly reports on payment posting activities, aging accounts, and cash flow metrics.
• Stay updated on DME-specific coding (HCPCS), payer policies, and regulatory changes (e.g., HIPAA, CMS guidelines).
• Assist in month-end closing processes and support internal audits

Preferred candidate profile

• Proficiency in billing software
• Strong knowledge of EOB/ERA interpretation, CPT/ICD-10/HCPCS codes, and insurance payment methodologies.
• Excellent mathematical and reconciliation skills with high attention to detail.
• Proficient in MS Excel (pivot tables, VLOOKUP) and Google Sheets.
• Ability to handle high-volume transactions with accuracy and efficiency.
• Strong communication skills for team collaboration and client interactions.