Payment Processor/Poster

Omega Healthcare Management Services•Boca Raton, FL

13h•Remote

About The Position

The Payment Processor/Poster reviews and reconciles electronic remittance advice (ERA) files, paper checks, credit card transactions, and other payments, then accurately posts them to patient accounts using billing software or a database. The role investigates payment discrepancies, works with insurance companies, patients, and third-party payers to resolve inquiries or disputes, and processes credit balance requests and refunds according to company policies. It maintains transaction, credit, and refund records and completes required documentation, while keeping current with industry trends, regulations, and reimbursement practices. The position provides customer service for payment-related inquiries and performs other duties as directed. Work must comply with company policies and procedures, including HIPAA and compliance requirements, as well as applicable security policies. This is a full-time position operating in a remote home office environment. Work is generally Monday through Friday, 8:00 a.m. to 5:00 p.m., with occasional long hours and weekend work. Travel is minimal, up to 5%.

Requirements

Minimum of 1–2 years of experience or knowledge of payment posting procedures, insurance claim processing, and billing practices.
Familiarity with payment methods including ERA, checks, credit cards, and online payment systems.
Proficiency with billing software and Microsoft Office Suite.
High school diploma or equivalent.
Proven customer service or call center experience, preferably in healthcare.
Excellent attention to detail and accuracy in data entry and record keeping.
Ability to prioritize and multitask in a fast-paced, changing environment; work across work types and specialties; self-motivate, set goals, and meet deadlines.
Problem-solving and critical-thinking skills to identify and implement appropriate solutions.
Excellent verbal communication and active listening skills, with the ability to interact professionally with insurance companies, patients, and colleagues.
Ability to maintain courteous and professional working relationships with employees at all levels.
Ability to operate a personal computer and use a variety of software applications.
Ability to follow corporate and organizational security policies and take appropriate action to prevent and report security compromises.

Nice To Haves

Additional education in healthcare administration or a related field.
Knowledge of JCAHO, coding compliance, and HIPAA HITECH standards affecting medical records, reimbursement, and accreditation.

Responsibilities

Review and reconcile ERA files, paper checks, credit card transactions, and other forms of payment.
Accurately post payments to patient accounts using billing software or a database.
Identify and resolve discrepancies or issues with posted payments while ensuring accuracy and regulatory compliance.
Work with insurance companies, patients, and third-party payers to resolve payment-related inquiries or disputes.
Identify overpayments and initiate refunds according to company policies and procedures.
Maintain accurate, updated records of payment transactions, credits, and refunds, and complete necessary documentation.
Stay current with industry trends, regulations, and changes in reimbursement practices.
Respond promptly and professionally to inquiries or requests related to payments, credits, or refunds.
Perform other duties as directed or assigned.
Follow company policies and procedures, including HIPAA and compliance requirements, and safeguard corporate and client assets in accordance with security policies.