Payment Posting Specialist

Position Summary:
Join one of the fastest-growing companies in the US, Clarity RCM, as a Junior Payment Posting Specialist! We are on the lookout for a skilled individual with at least 2 years of experience in payment posting. In this role, you’ll play a vital part in our revenue cycle management by ensuring accurate and efficient processing of payments, reconciliations, and insurance claims. If you’re detail-oriented, thrive in a fast-paced environment, and eager to contribute to our continued success, we want you on our team!

Responsibilities:
-Accurately post payments from various sources, including insurance companies, Medicare, Medicaid, and patients, ensuring precise application of funds.
-Conduct thorough reconciliation of payment discrepancies and variances, swiftly identifying and resolving issues to maintain financial integrity.
-Verify insurance payments against submitted claims and explanations of benefits (EOBs), ensuring compliance with policies and procedures.
-Investigate and resolve payment denials and discrepancies, collaborating with the billing team to reduce outstanding accounts receivable.
-Process refunds accurately and timely, maintaining detailed records for audit and reporting purposes.
-Collaborate with the billing department to ensure accurate and timely posting of insurance payments and patient payments
-Review payment documentation for accuracy and completeness, including checks, electronic transfers, and credit card transactions.
-Coordinate with third-party payment processors to reconcile discrepancies and ensure accurate recording of transactions.
-Investigate and resolve any issues related to unapplied payments, unidentified cash, or unapplied credits.
-Generate reports and provide analysis on payment posting metrics, such as cash flow projections, aging reports, and reconciliation summaries.
-Collaborate with the accounts receivable team to address any billing or payment-related inquiries from insurance and patients
-Participate in cross-functional meetings and projects to improve overall financial processes and systems.
-Support internal and external audits by providing documentation and explanations related to payment posting activities.

Qualifications:
-Minimum 2 years of experience in payment posting in healthcare.
-Strong grasp of takebacks, reconciliation processes, and financial record-keeping.
-Proficiency in billing systems and electronic health records (EHR) software.
-Familiarity with healthcare billing and reimbursement processes, including knowledge of CPT, ICD-10, and HCPCS codes.
-Ability to prioritize tasks effectively and manage multiple deadlines in a dynamic work environment.
-Experience working in a healthcare, insurance, or financial services industry preferred.
-Experience with accounts receivable management, including understanding aging reports and collection processes.
-Ability to work efficiently under pressure and meet tight deadlines without compromising accuracy.
-Knowledge of insurance claims processing, including Medicare and Medicaid.
-Excellent analytical skills and attention to detail.
-Ability to work independently and as part of a team.
-Effective communication skills.

Requirements:
-For Laptop: 8th generation (8000 series) Core i5 or better; AMD Ryzen series processors
-For Desktop: Ryzen 5 3000 series and above. If Core i3 – 10th generation or higher.
-For Mac: Core i5 – 2017 or higher Core i7 – 2016 or higher (not recommended : Core i3)
-A suitable work-from-home space in the Philippines
-Internet connection: 25 Mbps minimum

Perks:
-Work-from-home setup
-Monthly internet allowance

IMPORTANT: We’d love to get to know you better! Please send us a brief 1-minute intro video along with your application. Please share a Google drive link for your video. Thanks!