Billing and Posting Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Prepare, assess, and submit professional and/or institutional claims to commercial, Medicare, and Medicaid payers.

• Transmit both electronic and paper claims to primary, secondary, and tertiary payers across various patient-care locations.

• Verify the acceptance of claims and rectify any rejections from the clearinghouse or payer.

• Address claim edits and rejections prior to submission to the payer.

• Validate modifiers and payer-required elements of claims against corresponding documentation.

• Complete charge entry, claim submission, rejection resolution, and payment posting in accordance with service-level standards.

• Record payments and adjustments from EOBs, ERAs, and patient payments.

• Reconcile payments with contractual allowances and fee schedules.

• Identify and direct underpayments, overpayments, denials, unapplied cash, credit balances, and discrepancies.

• Apply authorized adjustments and write-offs using approved reason codes and supporting documentation.

• Maintain precise patient account balances.

• Collaborate with coding, front-office, and accounts receivable teams to rectify billing issues.

• Ensure compliance with payer guidelines, HIPAA regulations, and internal billing policies.

• Support audits, reconciliations, month-end closings, AR management, denials management, and patient and payer collections as required.

• Keep records of collection activities and maintain account documentation.

• Assist in routine AR reporting and reconciliation tasks.

• Meet company goals for days to bill, clean claim rates, denial rates, and timelines for payment and denial postings.

⛳️ Requirements

• High school diploma or equivalent qualification.

• A minimum of 2 years’ experience in healthcare billing and payment posting.

• Familiarity with CPT, ICD-10, and HCPCS coding.

• Experience in billing for Medicare, Medicaid, and commercial insurance.

• Proficient in healthcare practice management or EHR systems (e.g., Epic, Athena, NextGen, eCW, Nymbl).

• Exceptional attention to detail and accuracy.

• Strong organizational and time management abilities.

• Capability to interpret EOBs and payer remittance data.

• A collaborative, process-oriented approach.

• Certification as a Certified Professional Biller (CPB) or equivalent is preferred.

• Experience in multi-specialty or high-volume billing environments is preferred.

🏝️ Benefits

• Tailored onboarding and a buddy system.

• Continuous learning opportunities through e-learning, training, and language courses.

• Competitive compensation packages.

• Medical, dental, and vision benefits.

• 401(k) retirement plan with employer matching contributions.

• 8 paid holidays.

• 13 vacation days, including your birthday and two (2) volunteer days.

• 8 sick days within your first year of employment.

• Paid parental bonding leave.

• Remote or hybrid work options based on organizational needs.