Payment Posting Specialist

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🕒 Junho 24

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Candid Health

SiteLinkedInTodas as Vagas

11 - 50 funcionários

💼 Consultoria

🛡️ Seguros

🏥 Saúde

💰 $150.000 Seed Round em 2020-03

Consulting • Insurance • Healthcare

A Candid Health é uma empresa inovadora que oferece uma plataforma abrangente de automação do ciclo de receita personalizado para provedores de saúde. A plataforma ajuda a simplificar, automatizar e otimizar todo o ciclo de receita, permitindo que as organizações de saúde melhorem as taxas de coleta de seguros e minimizem problemas de faturamento. A Candid Health oferece integração perfeita através de APIs modernas e conexões diretas com a infraestrutura existente, permitindo que oportunidades em tempo real sejam identificadas e problemas de reivindicação sejam evitados antes que ocorram. Esta solução é particularmente benéfica para empresas de saúde digital em rápido crescimento que buscam melhorar a saúde financeira.

Descrição

• Accurately post payments, adjustments, and denials from Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to the appropriate patient accounts within the billing system. • Identify, locate, and retrieve remittance information, including EOBs, from various payer-specific online portals (e.g., Availity, Change Healthcare, government payer sites) and internal queues to ensure all payments are posted in a timely manner. • Ensure all transactions are balanced daily. • Proactively identify and resolve ERA gaps (electronic remittance files not matching expected receipts or claims) by investigating missing remittances, contacting payers, or manually posting payments as needed to maintain clean accounts receivable. • Research and correct claims or posting errors that prevent claims from reconciling properly.

🎯 Requisitos

• Minimum of 2-3 years of experience in medical billing, payment posting, or a similar RCM role. • Proven experience navigating and extracting remittance data from major payer portals. • Demonstrated experience with credit balance resolution and refund processing. • Proficiency with medical billing software and Electronic Health Record (EHR) systems. • Expert-level understanding of EOBs, ERAs, CPT, ICD-10, and standard adjustment/denial codes. • Exceptional data entry speed and accuracy. • Strong analytical and problem-solving skills, particularly for reconciling complex accounts and identifying missing remit issues. • Excellent organizational and time management abilities to handle high-volume processing. • You are capable of rolling up your sleeves but can be flexible / resourceful to adapt to the ever changing needs of the business. • You are a clear and concise communicator; you enjoy the challenge of explaining complicated ideas in simple terms, both in-person and in writing.