Payment Posting Analyst - Medical Billing

About the position

The Payment Posting Analyst role at Coastal Pulmonary Associates is a full-time position focused on optimizing revenue performance through effective payment reconciliation and cash posting workflows. The ideal candidate will have a strong background in healthcare revenue cycle management and will be responsible for recording and reconciling payments, interpreting payer communications, and participating in process improvement activities.

Responsibilities
• Record and reconcile payments received from insurance companies, patients, or other third-party payers.
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• Interpret payer explanation of benefits, remittance advices, and other correspondence to document payments, adjustments, and denials with an eye on data quality.
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• Familiarity with payer websites and contacts to collect payment information and reconcile outstanding accounts.
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• Work towards modernizing payment communications with a technology-first mindset, contacting payers to convert mail payments into ACH/EFT and manual posting to electronic remittance.
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• Investigate and appeal denied claims, identifying reasons for rejection and taking appropriate actions for resolution.
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• Participate in the denials workgroup, where frequent errors resulting in nonpayment are identified, analyzed, and resolved.
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• Process and route nonpayment correspondence to the follow-up team for resolution.
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• Actively participate in process and service improvement activities, raising concerns, questions, and solutions in a timely manner.

Requirements
• High school diploma or equivalent required; additional education in medical billing and coding preferred.
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• Previous experience in medical billing in a healthcare setting is desirable.
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• Proficiency in medical terminology, ICD-10 and CPT coding, and insurance billing procedures.
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• Attention to detail is crucial to ensure payer responses and payments are accurately posted to inform appropriate action.
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• Effective written and verbal communication skills are essential for interacting with insurance companies and internal teammates.
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• Familiarity with medical billing software and electronic health records (EHR) systems is beneficial.
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• Collaborative attitude and ability to work effectively as part of a healthcare team.
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• Willingness to adapt to changes in billing regulations, technology, and healthcare industry standards.

Nice-to-haves
• Experience in revenue cycle management
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• Familiarity with medical billing software and electronic health records (EHR) systems

Benefits
• 401(k)
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• 401(k) matching
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• Dental insurance
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• Flexible schedule
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• Health insurance
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• Life insurance
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• Paid time off
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• Vision insurance

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