Job Description:

Job Title: Revenue Cycle Management (RCM) Payment Posting Specialist

Overview:

As a Payment Posting Associate III within our Revenue Cycle Management (RCM) team, you will play a vital role in managing the team and keeping a tab on the ongoing overall posting process. You will have to attend the client call, staff meetings and educational sessions, and follow HIPAA guidelines. Your attention to detail and commitment to maintaining data integrity will contribute to optimizing our revenue cycle performance and ensuring accurate financial reporting.

Key Responsibilities:

1. Accurate Payment Posting:

- Accurately post all insurance and patient payments by line item using medical claim billing software.

2. Meeting Payment Posting Deadlines:

- Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable.

3. Interpretation of Explanation of Benefits (EOBs):

- Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting.

4. Attendance at Staff Meetings and Educational Sessions:

- Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices.

5. Additional Duties as Requested:

- Perform additional duties as requested by the supervisory or management team to support departmental objectives.

6.Training and solving queries:

- To help the team with their queries and concern, help the team to reach their goals and required accuracy while posting.  

7. HIPAA Compliance:

 - Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes.

8. Data Security and Integrity:

 - Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements.

9. Revenue Cycle Performance Analysis:

 - Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis.

10. Policies and Procedures Development:

- Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions.

Qualifications:

- High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, Commerce/Arts or related field preferred.

- Minimum of 1 to 2 years of experience in medical billing or revenue cycle management, with a focus on payment posting.

- Strong attention to detail and accuracy in data entry and payment reconciliation.

- Knowledge of medical billing software and electronic health record (EHR) systems.

- Familiarity with insurance EOBs and payment reconciliation processes.

- Understanding of HIPAA regulations and patient privacy requirements.

- Excellent communication and interpersonal skills.

- Ability to work independently and collaboratively in a fast-paced environment.

- Commitment to meeting deadlines and achieving departmental goals

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.