Men’s Health Foundation connects men at risk to comprehensive healthcare and wellness through education, collaboration and advocacy, inspiring and empowering all men to live longer, healthier and happier lives. We see a world where inequity and stigma do not separate men from healthcare. At Men’s Health Foundation we are reimagining men’s healthcare. |
OverviewThe Medical Payment Poster is responsible for accurately posting and reconciling all payments received from insurance carriers, patients, and third-party payers. This role requires a strong understanding of healthcare reimbursement processes, including electronic remittance advice (ERA) and manual explanation of benefits (EOBs), as well as experience working with multiple insurance classes such as Medicare and Medi-Cal. The ideal candidate is detail-oriented, efficient, and able to maintain accuracy in a high-volume environment.
Essential Functions and Responsibilities - Post payments from insurance companies, patients, and other payers using both electronic (ERA/835) and manual (EOB) methods.
- Accurately apply payments, adjustments, denials, and contractual write-offs to patient accounts.
- Review and interpret EOBs to ensure proper posting and identify discrepancies.
- Reconcile daily, weekly, and monthly payment batches to ensure all deposits are accounted for.
- Balance posted payments against bank deposits and system reports.
- Identify and report payment variances, underpayments, and overpayments for follow-up.
- Maintain detailed and accurate documentation within the billing system (including voucher notes where applicable).
- Work closely with billing, AR, and management teams to resolve posting issues and discrepancies.
- Ensure compliance with payer guidelines, company policies, and regulatory requirements (including HIPAA).
- Assist with audit requests and provide supporting documentation as needed.
QualificationsExperience - Minimum 2–3 years of experience in medical payment posting.
- High School Diploma or equivalent a company requirement.
Technical Skills - Hands-on experience with both electronic (ERA) and manual (EOB) payment processing.
- Strong knowledge of insurance types, including Medicare, Medi-Cal, Commercial, and Managed Care plans.
- Experience reconciling payment batches and balancing deposits.
- Ability to interpret EOBs, denial codes, and payer adjustments accurately.
- Proficiency in medical billing systems and Microsoft Excel.
Skills and Abilities - Strong attention to detail and high level of accuracy.
- Ability to meet productivity and quality standards in a fast-paced environment.
- Strong analytical and problem-solving skills.
- Excellent organizational and time management abilities.
- Ability to work independently and collaboratively.
- Effective communication skills, both written and verbal.
- High level of accountability and professionalism.
- Ability to handle high-volume workloads with accuracy.
- Maintain confidentiality of patient and financial information.
- Maintain compliance with HIPAA and company policies.
- Meet or exceed departmental productivity benchmarks.
- Adheres to company attendance and performance standards.
Preferred Qualifications - Experience in laboratory or specialty billing environments.
- Familiarity with clearing houses and payment posting tools.
- Knowledge of CPT, ICD-10, and basic coding principles.
- Experience with audit processes and compliance reviews.
Company Requirements- Must be able to pass a pre-employment drug test, physical, and a background check to include a 7-year criminal, 10-year SSN & employer history reference check.
- Must be able to provide proof of COVID-19 vaccination on the first day of work.
- Excellent interpersonal skills.
- Attention to detail.
- Must be able to work flexible schedules.
- Must take yearly flu shot or wear flu mask during flu season for patient-facing positions and test for tuberculosis as required by the Centers for Disease Control and Prevention.
|