Payment Posting Specialist

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Candid Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

💸 Finance

☁️ SaaS

💰 $150k Seed Round on 2020-03

Healthcare Insurance • Finance • SaaS

Candid Health is an innovative company providing a comprehensive revenue cycle automation platform tailored for healthcare providers. The platform helps streamline, automate, and optimize the entire revenue cycle, enabling healthcare organizations to enhance insurance collection rates and minimize billing issues. Candid Health offers seamless integration through modern APIs and direct connections with existing infrastructure, allowing for real-time opportunities to be pinpointed and claim issues to be prevented before they occur. This solution is particularly beneficial for fast-growing digital health companies aiming to improve financial health.

📋 Description

• 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.

🎯 Requirements

• 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.