Medical Payment Posting Specialist - Billing Specialist

Vero Orthopaedics Inc • Vero Beach, FL

8d • Onsite

About The Position

Vero Orthopaedics is seeking an experienced Medical Payment Posting Specialist to join our Revenue Cycle team. This is a full-time, on-site position ideal for someone with strong hands-on experience posting insurance and patient payments, reconciling payments, processing adjustments, and researching posting discrepancies. The ideal candidate will also have a solid understanding of medical accounts receivable (A/R) and the overall revenue cycle. Knowledge of A/R is important to this role because successful payment posting requires an understanding of how payments, contractual adjustments, denials, credits, and outstanding balances impact patient accounts. The Medical Payment Posting Specialist is responsible for accurately and timely posting payments and adjustments for designated payers and locations, reconciling posted payments, researching discrepancies and unidentified payments, and ensuring transactions are applied correctly to patient accounts.

Requirements

• Previous hands-on medical payment posting experience required.
• Working knowledge of the healthcare Revenue Cycle and medical accounts receivable (A/R).
• Experience reviewing and interpreting EOBs and ERAs.
• Understanding of insurance payments, contractual adjustments, denials, credits, and patient account balances.
• Knowledge of third-party payers, including Medicare and commercial insurance plans.
• Basic accounting and reconciliation knowledge.
• Advanced computer skills and experience working with Windows-based programs and medical billing/practice management systems.
• Strong attention to detail and commitment to accuracy.
• Ability to identify discrepancies and research account/payment issues independently.
• Strong organizational and time-management skills.
• Ability to maintain accuracy and productivity in a fast-paced environment.
• Ability to work independently while also contributing as a member of the Revenue Cycle team.
• Strong written and verbal communication skills.

Nice To Haves

• Minimum of two years of medical billing, payment posting, or related Revenue Cycle experience preferred.
• Familiarity with medical billing terminology, CPT and ICD-10 codes strongly preferred.

Responsibilities

• Accurately posts insurance and patient payments received electronically or by mail.
• Posts contractual and other appropriate adjustments according to Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) information.
• Reviews and interprets EOBs and ERAs to ensure payments and adjustments are applied accurately.
• Reconciles and balances posted payments at the end of each day.
• Identifies, researches, and resolves payment posting discrepancies and issues.
• Researches and posts unidentified or unapplied payments within established timeframes.
• Identifies credit balances, underpayments, overpayments, denials, and other account discrepancies requiring additional review.
• Applies knowledge of medical accounts receivable (A/R) to recognize posting issues that may impact outstanding balances and follow-up activity.
• Maintains knowledge and proper utilization of transaction and adjustment codes.
• Maintains a 98% payment posting accuracy rate.
• Consistently meets established department productivity and quality metrics.
• Communicates identified payer trends, recurring payment issues, and discrepancies to management.
• Maintains confidentiality of all patient and account information in accordance with HIPAA requirements.
• Adheres to CMS, payer, and organizational compliance guidelines.
• Follows established department policies and procedures.
• Attends required in-services, educational sessions, and department meetings.
• Performs other duties as assigned.

Benefits

• Medical, dental, and vision insurance
• Disability benefits
• 401(k)
• Paid Time Off
• Competitive pay and comprehensive benefits

What This Job Offers

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