Payment Integrity Lead Payments Posting Executive

Payment Integrity Lead Payments Posting Executive Job Description Our healthcare Revenue Cycle Management (RCM) team's "Financial Ledger Custodian" and "Cash Reconciliation Specialist" is the Payment Posting Executive in Medical Billing. Your main responsibility is to ensure that the healthcare provider's accounts receivable ledger accurately represents actual bank deposits by processing, parsing, and applying both manual and computerized financial insurance payments to patient accounts. As the "Zero-Variance Data Guardian," you bear direct responsibility for deciphering patient cash receipts, Explanation of Benefits (EOBs), and Electronic Remittance Advices (ERAs). This position manages urgent risks such as out-of-balance batches, incorrectly applied contractual write-offs, or overlooked secondary insurance crossover adjustments during the crucial completion stage of the billing cycle. Responsibilities Electronic & Manual Payment Posting: Accurately enter and apply patient credit card transactions, paper checks, automatic ERAs, and electronic fund transfers (EFT) into the billing ledger. EOB/Remittance Advice Parsing: Carefully examine EOBs and divide non-covered amounts, deductibles, co-insurance obligations, patient co-pays, and insurance payments into the appropriate software categories. Contractual Adjustments and Write-Offs Application: Based on provider-insurance agreements, compute and post accurate contractual write-offs and permissible changes, immediately identifying unforeseen underpayments. Batch Balancing & Bank Reconciliation: Prior to closing a financial batch, ensure zero-variance reconciliation by balancing the total posted daily cash amounts against primary bank deposit logs. Denial Tracking & Code Tagging: During posting, accurately identify and record denial cause codes (such CARCs and RARCs) to immediately route refused claims into specific AR call buckets for recovery. Skills: Fluency in US Healthcare Accounting Systems: Full comprehension of the basic CMS-1500 remittance structures, deductible breakdowns, co-insurance distribution, and the insurance claim lifecycle. Advanced Numerical Data & Math Precision: Outstanding math abilities, including the innate capacity to compute and reconcile multi-tiered financial columns fast and without rounding errors. Denial Shorthand & CARC/RARC Literacy: A thorough understanding of common insurance adjustment reason codes to guarantee that data entry records accurately reflect the insurance company's decision. Speed & Alphanumeric 10-Key Fluidity: Maintaining an error-free data entry rate for extended periods of high-volume processing requires quick, tactile keyboard abilities on a desktop numeric pad. We invite you to apply and explore this exciting opportunity! Warm Regards, HR - Maria