Job Description

Payment Posting Specialist

The Payment Posting Specialist is expected to maintain high levels of accuracy, productivity, accountability, and professionalism while ensuring timely and compliant payment posting within XiFin.

Essential Functions

• Post insurance and patient payments, adjustments, denials, recoupments, refunds, and EFT/ERA transactions accurately and within established turnaround times.
• Maintain daily productivity standards while managing assigned work queues and minimizing backlog.
• Reconcile daily deposits, payment batches, and account balances; identify and escalate discrepancies promptly.
• Apply contractual adjustments and payer-specific posting guidelines in accordance with company policies and regulatory requirements.
• Research and resolve unapplied cash, posting errors, and payment variances.
• Process refund requests in compliance with company policies, HIPAA regulations, CMS guidelines, and payer requirements.
• Utilize XiFin and related systems effectively while following established workflows and standard operating procedures.
• Collaborate with billing, coding, accounts receivable, and client billing teams to resolve payment and account issues.
• Maintain confidentiality of patient and financial information
• Assist with month-end close activities, audits, and reporting requests as needed.
• Communicate professionally with leadership and team members regarding issues, escalations, and workflow updates.
• Maintain dependable attendance, punctuality, professionalism, and accountability in daily job performance.

Job Requirements and Skills

• High school diploma or equivalent required.
• Minimum three (3) years of medical billing, payment posting, and/or accounts receivable experience required.
• Laboratory billing and revenue cycle experience preferred.
• Experience with XiFin or similar healthcare billing systems preferred.
• Advanced knowledge of commercial and government insurance plans, including PPO, HMO, IPA, Medicare, and Medicaid.
• Strong understanding of claims adjudication, reimbursement methodologies, denials, appeals, contractual adjustments, and accounts receivable workflows.
• Working knowledge of CPT and ICD coding, insurance eligibility, benefits verification, and payer requirements.
• Ability to interpret and analyze EOBs, ERAs, remittance advice, payment variances, and payer correspondence.
• Strong analytical, problem-solving, and research skills with the ability to resolve account discrepancies accurately and efficiently.
• Excellent attention to detail, organizational skills, and time management abilities in a fast-paced, high-volume environment.
• Ability to prioritize workload, manage multiple tasks, and meet productivity expectations independently.
• Proficient in Microsoft Office Suite, including Excel and Word, and comfortable navigating multiple electronic billing and reporting systems.
• Strong written and verbal communication skills with the ability to collaborate professionally across departments.
• Demonstrated adaptability, reliability, accountability, and professionalism.

Compensation and Benefits

• The compensation is paid semi-monthly on an eight (8) hour per day, forty (40) hour per week. Final salary offer subject to multiple factors including candidate experience and expertise, geographic location of the role, and current market data.
• 401(k) includes an employer match up to 4%
• Robust health plans including dental, vision, life, and mental health support.
• Offer generous annual vacation and sick time
• 10 paid holidays

Work Environment

This position operates in an office environment and involves frequent time spent at a desk using a computer. This position works individually, as well as with peers and supervisors frequently.

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