Billing Specialist

Position Summary:

The Payment Posting Specialist is responsible for accurately and efficiently posting all third-party and patient payments to the appropriate patient accounts in the billing system. This role ensures daily reconciliation of deposits and remittances, resolves unapplied cash, and maintains financial integrity through precise documentation. The ideal candidate is highly collaborative, detail-oriented, deadline-driven, and possesses a strong understanding of healthcare billing and payer remittance processes.

Key Responsibilities:

Post payments (manual and electronic) from insurance remittance advice (EOBs/ERAs) and patient payments into the billing system daily.

Reconcile payments posted with daily deposit reports and bank statements to ensure accuracy. Timely and accurate Statement reconciliation is a top priority.

Identify and resolve unapplied, misapplied, or unidentified payments promptly.

Follow up with internal teams or payers regarding discrepancies or missing remittance information.

Process adjustments, write-offs, and refunds according to established policies and with proper authorization.

Maintain documentation for audit trails, including scanned EOBs, deposit logs, and reconciliation sheets.

Work collaboratively with billing, collections, and AR teams ensuring that all invoices are coded and approved and in alignment across the entire revenue cycle process.

Assist with month-end closing tasks, including AR reconciliation reports.

Maintain patient confidentiality and comply with HIPAA and organizational privacy standards.

Participate in internal audits, system upgrades, and training initiatives.

Additional Responsibilities:

Picks up and distributes mail.

Assists with Office Supply orders.

Maintains Volunteer Hours records and contacts Volunteer Applicants.

Conducts Websites reviews and reports needed changes.

Required Qualifications:

High school diploma or equivalent; associate degree in business, accounting, or healthcare administration preferred.

1–3 years of healthcare payment posting or billing experience (Skilled Nursing, Hospice, or Home Health preferred).

Working knowledge of insurance remittance formats (ERA/EOB) and payer reimbursement policies.

Familiarity with billing systems (e.g., PointClickCare, MatrixCare, Epic, or similar).

Proficient in Microsoft Excel and financial reconciliation.

Strong attention to detail and numerical accuracy.

Ability to prioritize tasks in a fast-paced environment and meet deadlines consistently.

Preferred Qualifications:

Knowledge of Medicare, Medicaid, and commercial insurance payer rules.

Experience with electronic clearinghouses and EFT/ERA processes.

Familiarity with general ledger systems and financial reporting.

Working Conditions:

Typical office environment with extended periods at a computer workstation.

Occasional overtime during month-end or year-end close processes.