Senior Executive - Payment Posting

Senior Executive - Payment Posting

Key Responsibilities:

• Receive and review payment documents

  , including

  Explanation of Benefits (EOBs)

  , remittance advices, and electronic payment files.

• Match payments to corresponding patient accounts

  , verifying the accuracy of payment details.

• Accurately enter payment information

  into the healthcare organization's billing and accounting systems.

• Reconcile payments and adjustments

  to ensure they align with expected amounts based on contractual agreements and fee schedules.

• Identify and resolve discrepancies

  , such as underpayments, overpayments, or denials.

• Analyze and address denied or rejected claims

  by investigating the reason for denial, correcting errors, and resubmitting claims as necessary.

• Validate payments

  against expected reimbursement rates and established billing guidelines, escalating any discrepancies to the appropriate personnel.
• Generate and provide

  reports on payment posting activities

  , including payment trends, outstanding balances, and accounts receivable status.
• Adhere strictly to

  healthcare industry regulations, such as HIPAA

  , ensuring that all payment posting processes comply with established policies and procedures.
• Maintain

  patient confidentiality

  and the security of sensitive financial information.

Job Requirements:

• Prior experience in payment posting

  or healthcare revenue cycle management is required.
• A strong understanding of

  medical billing, coding, and reimbursement processes

  .
• Knowledge of

  medical terminology

  , and coding systems including

  CPT, HCPCS, and ICD

  .
• Familiarity with insurance payer guidelines, including

  Medicare and Medicaid

  .
• Proficiency in using

  healthcare billing systems and electronic medical records (EMR) software

  .
• Exceptional

  attention to detail and accuracy

  .
• Excellent analytical and problem-solving skills.
• Effective communication and interpersonal skills.
• The ability to work both independently and collaboratively in a team environment.