- Accurately post insurance and patient payments based on EOBs, ERAs, and payer guidelines.
- Process adjustments, contractual write-offs, refunds, recoupments, and reversals as applicable.
- Reconcile posted payments and identify discrepancies between payments received and billed amounts.
- Analyze and resolve unapplied cash, underpayments, overpayments, and payment posting exceptions.
- Review remittances to ensure accurate allocation of payments and adjustments.
- Maintain daily productivity and quality standards while ensuring adherence to client-specific processes.
- Generate and maintain payment posting reports and assist in month-end reconciliation activities.
- Ensure compliance with HIPAA regulations and organizational quality standards.
Required Skills & Qualifications
- Minimum 2+ years of experience in Payment Posting within Physician Billing.
- Hands-on experience with eClinicalWorks (ECW) preferred and Care Tracker will be an add-on advantage
- Strong understanding of EOBs, ERAs, CPT/ICD concepts, payment reconciliation, and adjustment posting.
- Knowledge of Medicare, Medicaid, Commercial, and Managed Care insurance payment processes.
- Ability to identify payment variances and resolve discrepancies efficiently.
- Strong analytical, problem-solving, and attention-to-detail skills.
- Good communication skills and ability to work effectively in a team setting.
Preferred Qualifications
- Experience handling high-volume physician billing accounts.
- Understanding of denial management and overall Revenue Cycle Management (RCM) processes.
- Familiarity with payer contracts and reimbursement methodologies.
- Exposure to multiple physician specialties will be an added advantage.