Payment Posting Specialist

Orthopaedic Associates of Michigan • Grand Rapids, MI

1d • Onsite

About The Position

The Payment Posting Specialist is responsible for posting insurance and patient payments accurately and in a timely manner while ensuring all transactions are properly reconciled. This role reviews payment activity to identify discrepancies, denials, and underpayments requiring follow-up. The specialist supports overall Business Office operations by providing cross-coverage for various functions as needed. A strong focus on accuracy, efficiency, and compliance with contractual and regulatory requirements is essential. The position requires effective problem-solving skills and the ability to research and resolve payment issues. Additionally, the role demands a high level of customer service when interacting with patients, staff, and insurance representatives.

Requirements

• High school diploma, GED, or equivalent.
• Proficiency in Microsoft Office and general computer applications.
• Knowledge of HIPAA requirements and healthcare privacy practices.

Nice To Haves

• One to two years of college or equivalent vocational training.
• Experience with computerized patient accounting systems.
• Experience with payment posting and daily balancing.

Responsibilities

• Post all insurance and patient payments by line item accurately and within established timelines.
• Reconcile and balance transactions at the end of each batch day.
• Identify payments, denials, and rejections that were not processed correctly or are not paid according to contract terms, and route them for follow-up.
• Create secondary claims in the practice management system and forward supporting documentation, including explanation of benefits (EOBs), to the appropriate claims processing staff.
• Save, print, and route EOBs and related documents to the appropriate denial or collection workflows.
• Identify overpayments and process patient credit card refunds and check refund requests as appropriate.
• Contact insurance companies to research payments received without EOBs or payments that cannot be readily identified.
• Cross trains to front desk responsibilities including but not limited to registering patients, prepping charts, answering phones.
• Review patient accounts and identify accounts that may require collection activity.
• Provide cross-coverage for front desk responsibilities, including patient registration, chart preparation, and answering phones, as needed.
• Maintain confidentiality of patient information and comply with HIPAA, compliance, and organizational policies.
• Maintain working knowledge of the practice management system and other software required to perform job duties.
• Greet and assist customers in person and by phone in a prompt, courteous, and professional manner.
• Participate in webinars, educational conferences, meetings, and other training opportunities to improve Revenue Cycle and Business Office processes.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees