Senior Executive - Payment Posting

We are seeking a highly competent and detail-oriented Senior Executive - Payment Posting to join our team. This role is a critical component of the revenue cycle, responsible for accurately and efficiently posting payments from various sources to patient accounts. The ideal candidate will have extensive experience in payment posting, a strong understanding of medical billing processes, and a commitment to maintaining financial accuracy and compliance.

Key Responsibilities :

• Receive and review payment documents , including Explanation of Benefits (EOBs) , remittance advices, and electronic payment files.
• Match payments to corresponding patient accounts , verifying the accuracy of payment details.
• Accurately enter payment information into the healthcare organization's billing and accounting systems.
• Reconcile payments and adjustments to ensure they align with expected amounts based on contractual agreements and fee schedules.
• Identify and resolve discrepancies , such as underpayments, overpayments, or denials.
• Analyze and address denied or rejected claims by investigating the reason for denial, correcting errors, and resubmitting claims as necessary.
• Validate payments against expected reimbursement rates and established billing guidelines, escalating any discrepancies to the appropriate personnel.
• Generate and provide reports on payment posting activities , including payment trends, outstanding balances, and accounts receivable status.
• Adhere strictly to healthcare industry regulations, such as HIPAA , ensuring that all payment posting processes comply with established policies and procedures.
• Maintain patient confidentiality and the security of sensitive financial information.

Job Requirements :

Skills Required

Payment Posting, Medical Billing, Reconciliation, healthcare industry, Medical Coding