Healthcare Payment Posting Specialist

Description

HighFive Healthcare is a leading specialty dental partnership organization that collaborates with best-in-class oral surgeons and endodontists to provide exceptional patient experiences, fostering a culture of quality, innovation, and stewardship.

We are seeking a Healthcare Payment Posting Specialist who is responsible for accurately and efficiently posting payments received from insurance companies and patients into the healthcare provider’s accounts receivable system. This position plays a critical role in ensuring the timely and correct application of payments, resolving discrepancies, and maintaining accurate financial records.

The specialist will also collaborate with other departments to streamline processes and support the revenue cycle. The goal is to maintain payment posting metrics within 72 hours of receipt of payment.

Key Responsibilities

• Accurately post payments from insurance companies, government programs, and patients into the appropriate accounts in the system. Ensure payments are properly coded and applied based on explanation of benefits (EOBs), ERA/remittance advice, and patient statements.
• Reconcile payments and adjustments to patient accounts on a daily basis. Identify and investigate discrepancies and take appropriate action to resolve issues. Complete end of day reconciliation process to the lockbox for cash control purposes.
• Work closely with the accounts receivable and billing teams if any trends are identified during the posting process. Communicate any underpayments trends identified during the posting process.
• Make necessary adjustments to accounts based on overpayments, underpayments, or discrepancies in payments. Ensure proper adjustments are reflected in the accounts receivable ledger to ensure secondary or patient liability.
• Maintain high standards of accuracy and attention to detail when posting payments and managing payment records. Ensure all transactions are processed within established timelines.
• Respond to internal inquiries related to payment posting, providing timely updates on payment status and resolving any issues that arise.
• Generate and review payment posting reports. Provide accurate information to management regarding payment trends.
• Adhere to healthcare industry regulations, including HIPAA, and ensure all payment posting activities comply with internal policies and external regulations.
• Work with the accounts receivable, billing, and collections teams to streamline payment posting processes, improve efficiency, and ensure accurate financial reporting.
• Stay up to date with updates in healthcare payment systems and ensure all new policies and protocols are adhered to during payment posting.
  
  

Requirements

• Minimum of 2 years of experience in healthcare payment posting, billing, or revenue cycle management.
• High school diploma or equivalent; an Associate's degree in healthcare administration, finance, business, accounting, or a related field is preferred.
• Familiarity with insurance payment structures, Insurance EOBs (Explanation of Benefits), and remittance advice for large healthcare providers or central business offices, preferably for practices with more than 50+ providers.
• Familiarity with electronic remittance and electronic posting process.
• Strong analytical skills with the ability to identify and resolve payment discrepancies efficiently.
• Proficiency in healthcare billing software and electronic payment systems.
• Exceptional attention to detail and excellent organizational skills.
• Strong communication skills, both written and verbal, to effectively interact with team members and patients.
• Ability to work independently and collaboratively within a fast-paced environment.
• Knowledge of HIPAA regulations and healthcare compliance requirements.
  
  

What We Offer

• A collaborative work environment with supportive leadership
• Medical, Dental and Vision Insurance
• Life Insurance and Long and Short-Term Disability
• Paid Time Off
• 401(K) with Company Match
  
  

We look forward to hearing from you!