Payment Posting Analyst - Medical Billing

About the position

The Payment Posting Analyst role at Coastal Pulmonary Associates is a full-time position focused on optimizing revenue performance through effective payment reconciliation and cash posting workflows. The ideal candidate will have a strong background in healthcare revenue cycle management and will be responsible for recording and reconciling payments, interpreting payer communications, and participating in process improvement activities.

Responsibilities

• Record and reconcile payments received from insurance companies, patients, or other third-party payers.
• Interpret payer explanation of benefits, remittance advices, and other correspondence to document payments, adjustments, and denials with an eye on data quality.
• Familiarity with payer websites and contacts to collect payment information and reconcile outstanding accounts.
• Work towards modernizing payment communications with a technology-first mindset, contacting payers to convert mail payments into ACH/EFT and manual posting to electronic remittance.
• Investigate and appeal denied claims, identifying reasons for rejection and taking appropriate actions for resolution.
• Participate in the denials workgroup, where frequent errors resulting in nonpayment are identified, analyzed, and resolved.
• Process and route nonpayment correspondence to the follow-up team for resolution.
• Actively participate in process and service improvement activities, raising concerns, questions, and solutions in a timely manner.

Requirements

• High school diploma or equivalent required; additional education in medical billing and coding preferred.
• Previous experience in medical billing in a healthcare setting is desirable.
• Proficiency in medical terminology, ICD-10 and CPT coding, and insurance billing procedures.
• Attention to detail is crucial to ensure payer responses and payments are accurately posted to inform appropriate action.
• Effective written and verbal communication skills are essential for interacting with insurance companies and internal teammates.
• Familiarity with medical billing software and electronic health records (EHR) systems is beneficial.
• Collaborative attitude and ability to work effectively as part of a healthcare team.
• Willingness to adapt to changes in billing regulations, technology, and healthcare industry standards.

Nice-to-haves

• Experience in revenue cycle management
• Familiarity with medical billing software and electronic health records (EHR) systems

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance