Payment Posting Representative - Intermediate

UT Health San Antonio•San Antonio, TX

About The Position

The Payment Posting Representative is responsible for timely and accurate posting of payments, denials, and adjustments. The role includes posting insurance Explanation of Benefits (EOB) payments and patient check or credit card payments to patient accounts. The representative serves as a focal point for payment posting and problem solving to support positive outcomes for the organization and its patients. The position requires handling a high volume of work while maintaining attention to detail and accuracy, along with strong oral and written communication skills.

Requirements

  • Working knowledge of EOBs, EFTs, and ERAs.
  • Ten-key proficiency.
  • Ability to read and understand Explanation of Benefits forms, claim forms, and the insurance billing process.
  • Strong attention to detail and accounting skills.
  • Intermediate experience with Microsoft Office products, including Word, Excel, and Outlook.
  • Ability to work overtime if needed.
  • High school diploma or GED.

Responsibilities

  • Post payments daily in the Practice Management System.
  • Retrieve EOBs and other correspondence from insurance websites and other entities.
  • Post denials to patient accounts.
  • Balance posted payments against the original deposit amounts.
  • Transfer copay, coinsurance, and deductible balances to patient responsibility.
  • Post contractual adjustments to patient accounts.
  • Post insurance payments from EOBs against the appropriate service line items and enter adjustments as indicated.
  • Assist with researching and resolving posting discrepancies.
  • Perform payment audits as directed by management.
  • Review and verify the internal consistency, completeness, and accuracy of documents and transactions.
  • Interpret, evaluate, and clarify requests to identify potential payment issues.
  • Assist other team members as needed.
  • Perform other duties as assigned.
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