Job Summary
The Payment Posting Specialist plays a key role in the organization's revenue cycle by ensuring accurate and timely posting of payments. This role is responsible for processing patient (self-pay) and insurance payments, applying contractual adjustments, and performing daily reconciliation of bank deposits. The specialist will also investigate and resolve missing or misapplied payments to maintain account accuracy.
Screening Criteria
- At least 1–2 years of experience in payment posting, accounts receivable, or a related role within a healthcare or revenue cycle management environment
- Minimum of 1 year experience using EPIC software
- Proficiency in Microsoft Excel
- Experience working with healthcare payment systems
- Stable employment history
- Amenable to working onsite in any of the following locations: Angeles, Ortigas, Davao, or Cebu
Key Responsibilities
- Accurately post insurance and self-pay payments to patient accounts on the date of receipt, following client policies and procedures
- Ensure all posted payments match the actual amounts deposited in the bank
- Research and apply insurance contractual adjustments to maintain accurate account balances
- Perform daily reconciliation of posted and deposited payments, including reporting
- Investigate and resolve misapplied or missing payments to ensure proper account allocation
- Participate in regular quality assurance evaluations in line with organizational standards
- Maintain compliance with company policies and applicable regulations, including HIPAA, FDCPA, and FCRA
Required Qualifications
- Strong understanding of healthcare payment systems and insurance processes
- Ability to read and interpret Explanation of Benefits (EOB) documents
- Knowledge of identifying and applying appropriate adjustment codes
- High attention to detail with the ability to identify discrepancies and resolve issues efficiently
- Ability to follow established procedures for payment posting and reconciliation
- Strong written and verbal communication skills in English
