Credit Balance/Payment Posting Specialist - Medical Insurance Claims

OS • Waukesha, WI

3d • Hybrid

About The Position

The Credit Balance/Payment Posting Specialist is a combination position and plays a key role in supporting OS revenue cycle management projects. The successful candidate on the credit balance side is responsible for resolving insurance and patient overpayments, undistributed payments, and requests for refunds. This involves researching insurance benefits, understanding coordination of benefits between payers, distributing/reapplying or transferring payments to the appropriate date of service/provider or account. On the payment posting side of this role the successful candidate will be responsible for accurate posting and timely reconciliation of all third-party/government payers and patient payments. Reading EOB's as they relate to contractual allowances and denials and verification of processed batches balancing to reports. This role is ideal for someone who takes ownership of their work, enjoys problem-solving, and is motivated to continuously grow their expertise in medical coding and reimbursement.

Requirements

• Minimum of one year revenue cycle AR knowledge in either the credit balance or posting realm.
• Demonstrated knowledge of medical insurance terminology, posting, credit, and billing forms.
• Strong technical proficiency, including Excel, Outlook, and Microsoft Teams.
• Excellent organizational and time management skills.
• Ability to manage a high-volume workload in a fast-paced environment.
• Solid understanding of HIPAA and patient confidentiality standards.
• Commitment to accuracy, quality, and productivity.
• Interest in revenue cycle operations and continuous learning.
• Comfortable working in a fully paperless environment.

Responsibilities

• Resolving insurance and patient overpayments, undistributed payments, and requests for refunds.
• Researching insurance benefits.
• Understanding coordination of benefits between payers.
• Distributing/reapplying or transferring payments to the appropriate date of service/provider or account.
• Accurate posting and timely reconciliation of all third-party/government payers and patient payments.
• Reading EOB's as they relate to contractual allowances and denials.
• Verification of processed batches balancing to reports.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed