Payment Posting & Collections Specialist (In Person Position)

Medbridge Healthcare • Glen Burnie, MD

8d • Onsite

About The Position

Pivotal Health is seeking a highly motivated Payment Posting & Collections Specialist for their sleep medicine and diagnostic testing services. This full-time, in-person role is crucial for ensuring accurate reimbursement, resolving insurance issues, and supporting exceptional patient care within the Revenue Cycle team. The specialist will be responsible for accurate payment processing and maximizing reimbursement for sleep testing and sleep apnea services.

Requirements

• Minimum 1 year of experience in medical payment posting, accounts receivable, collections, or medical billing.
• Strong understanding of medical billing processes, insurance claims, and reimbursement methodologies.
• Experience reviewing and interpreting EOBs.
• Knowledge of commercial insurance, Medicare, Medicaid, and other healthcare payers.
• Excellent analytical, organizational, and problem-solving skills.
• Strong verbal and written communication skills.
• Ability to prioritize tasks, meet deadlines, and work independently with minimal supervision.
• Proficiency with medical billing and practice management software.

Nice To Haves

• Experience in sleep medicine, sleep apnea treatment, diagnostic testing, respiratory care, or DME billing.
• Experience with denial management and insurance appeals.
• Familiarity with high-volume medical payment posting environments.

Responsibilities

• Accurately post insurance and patient payments, adjustments, denials, and contractual write-offs.
• Analyze and interpret Explanation of Benefits (EOBs), including deductibles, coinsurance, copays, and contractual adjustments.
• Reconcile payment activity and maintain accurate accounts receivable records.
• Track and document electronic and manual payment deposits.
• Investigate payment discrepancies, underpayments, and outstanding balances.
• Conduct insurance follow-up to resolve denied, rejected, or unpaid claims.
• Prepare and submit appeals through payer portals and paper-based processes.
• Monitor claim status and identify barriers to reimbursement.
• Communicate effectively with insurance carriers to resolve claim and payment issues.
• Collaborate with providers and internal teams to obtain missing or incomplete information needed for claim adjudication.
• Respond professionally to patient and payer billing inquiries.
• Scan, organize, and maintain EOB documentation and supporting records.
• Identify reimbursement trends, payer issues, and denial patterns and report findings to management.
• Utilize billing software and revenue cycle tools efficiently to optimize workflow and collections.

Benefits

• Opportunities for advancement
• Collaborative, supportive, and mission-driven culture
• Work with experienced healthcare and revenue cycle professionals
• Full-time, stable position

What This Job Offers

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