Posting Specialist I

DCH Health Care Authority•Clinics in Millport Fayette Tuscaloosa, AL
•Hybrid

About The Position

The Payment Poster supports the Revenue Cycle in a professional billing office by ensuring accurate and timely posting of payments and adjustments for a range of medical services. The role ensures patient and insurance payments are properly documented, allocated to patient accounts, and balanced to optimize revenue collection and reduce discrepancies. The position uses hospital billing and EHR systems to track payment activity, reconcile accounts, generate reports, investigate discrepancies, and coordinate with internal teams and external parties to resolve payment issues. Onsite presence is essential, with the possibility of a hybrid work schedule. The role also requires valid driver’s license and automobile liability insurance, personal transportation for office courier services, and some light driving.

Requirements

  • High school diploma or GED, or three years of experience in a healthcare setting.
  • At least six months of clerical experience.
  • Ability to read and comprehend instructions, short correspondence, and memos.
  • Excellent written and verbal communication skills, including the ability to present information in one-on-one and small-group meetings.
  • Multitasking, prioritization, time-management, and critical-thinking skills.
  • Proficient computer skills, including Microsoft Office.
  • Ability to use personal transportation to provide courier services for the office.
  • Strong customer-service skills and ability to answer questions from patients and insurance companies.
  • Ability to analyze problems and develop solutions.
  • Proficiency with healthcare billing systems, EHR, and RCM software.
  • Strong attention to detail and ability to identify and resolve payment-posting and account-reconciliation errors.
  • Good understanding of medical terminology, insurance claims processing, and denial management.
  • Ability to work independently and prioritize tasks in a fast-paced environment.
  • Strong communication and interpersonal skills to coordinate with team members, departments, and external partners.
  • Valid driver’s license and automobile liability insurance.
  • Normal or corrected hearing and vision within normal range.
  • Ability to perform the duties with or without reasonable accommodation.
  • Good manual and finger dexterity and ability to tolerate prolonged periods of sitting.

Nice To Haves

  • Prior experience in physician/provider professional fee billing.

Responsibilities

  • Post insurance payments, patient payments, electronic remittances, and manual check payments and adjustments to the appropriate patient accounts.
  • Reconcile daily, weekly, and monthly postings against patient records and financial reports, and investigate and resolve discrepancies.
  • Manage EFT and ERA processes, identifying missing or misallocated payments and working with insurers or patients to resolve issues.
  • Work with billing and claims teams to identify, research, and correct denied claims or underpayments, and adjust accounts according to hospital policies and payer guidelines.
  • Collaborate with internal teams, including billing, coding, and patient access, and external parties such as payers and financial institutions to resolve payment issues.
  • Use billing and EHR systems to track payments and generate reports on payment and adjustment activity, providing insights into revenue-affecting patterns.
  • Answer patient and insurance company questions and provide customer service.
  • Adhere to DCH performance, compliance, behavioral, safety, policy, and procedural standards.
  • Perform all other duties as assigned.
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