Medical Payment Poster

West Coast Dermatology Billers

Redlands, CA 92374, USA

Published: 6/14/2022

Healthcare

Full Time

Job Description

WCDB is seeking an experienced and detail-oriented Payment Poster to join our Payment Posting Department.

The Payment Poster is responsible for accurately posting insurance and patient payments, applying appropriate adjustments, and ensuring payments and deposits are properly reconciled.

The ideal candidate will have strong knowledge of EOBs, ERAs, EFTs, insurance payments, patient payments, contractual adjustments, denials, recoups, and reconciliation. This position requires a high level of accuracy, organization, productivity, and the ability to independently identify and research payment discrepancies.

Key Responsibilities

Accurately post insurance payments received through electronic ERAs and manual EOBs.
Apply patient payments received by check, credit card, online portal, or in-office collections to the appropriate patient account and date of service.
Balance and reconcile daily posting batches with deposit records and internal reports.
Research and resolve payment discrepancies, underpayments, overpayments, denied line items, and payer adjustments.
Accurately post contractual adjustments, denials, zero-pays, takebacks, and recoups.
Retrieve, download, and process ERAs, EFTs, and payment information from payer portals.
Review payment information to ensure payments are applied to the correct patient, date of service, provider, and account.
Maintain accurate EOB, ERA, deposit, and payment documentation.
Work closely with Billing and A/R teams to identify underpayments, denials, missing payments, and payer issues requiring additional review.
Maintain payment reports, reconciliation logs, and weekly/monthly tracking as assigned.
Identify payment trends or discrepancies and communicate concerns to management in a timely manner.
Assist with month-end reconciliation and closing processes to ensure assigned payment posting is accurate and current.
Maintain patient confidentiality and follow all HIPAA requirements.

Core Competencies

Payment Posting Accuracy – Demonstrates a high level of accuracy when applying insurance and patient payments, adjustments, and account activity.
EOB & ERA Interpretation – Ability to read and understand EOBs, ERAs, payer adjustments, denial information, and remittance details.
Daily Reconciliation – Ability to balance posting batches against EFTs, checks, credit card payments, deposits, and internal reports.
Denials, Adjustments & Recoups – Strong understanding of contractual adjustments, denials, zero-pays, takebacks, and recoupments.
Payment Research & Problem Solving – Able to independently identify and research missing payments, incorrect applications, variances, underpayments, and overpayments.
High-Volume Productivity – Ability to manage a high volume of payment activity while maintaining accuracy and meeting deadlines.
Attention to Detail – Consistently reviews payment information and recognizes discrepancies that require additional research.
Organization & Time Management – Effectively prioritizes daily responsibilities and maintains assigned reconciliation and payment logs.
Multi-System Navigation – Comfortable working between practice management systems, payer portals, clearinghouses, and payment platforms.
Communication & Escalation – Recognizes payment trends or issues and communicates discrepancies to management and appropriate departments.
Team Collaboration – Works effectively with Payment Posting, Billing, A/R, and management to resolve payment-related issues.
HIPAA & Confidentiality – Maintains patient confidentiality and handles protected health and financial information appropriately.

Required Qualifications

High school diploma or GED required.
Minimum 1–2 years of medical payment posting or medical billing experience required.
Strong knowledge of commercial insurance, Medicare, Medicaid, EOBs, ERAs, EFTs, and medical terminology.
Experience with ModMed, NexTech, AdvancedMD, or similar practice management systems is preferred.
Experience working with payer portals and electronic remittance files.
Proficiency with Microsoft Excel.
Strong data-entry and computer skills.
Excellent attention to detail, organization, time management, communication, and problem-solving skills.
Ability to work independently in a productivity and accuracy-driven environment.
Familiarity with HIPAA and confidentiality requirements.

Work Requirements

This is a full-time, in-office position.

\nCompany Description

West Coast Dermatology Billers is a medical billing company with a focus on dermatology. We believe it takes communication, respect, trust, and empathy to create a positive culture in the workplace. We pride ourselves on quality, ethics, and having the best of the best with an average staff tenure of 8 years.