Medical Claims Poster – Billing/Collections Specialist

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November 21

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Better Health Partnership

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Healthcare Insurance • Social Impact • Non-profit

Better Health Partnership is a regional health improvement collaborative based in Northeast Ohio, led by community stakeholders from various sectors. The organization focuses on advancing system-level change to achieve exceptional health value and eliminate health disparities. By fostering collaboration across sectors, Better Health Partnership addresses the social determinants of health, improves health outcomes for individuals with chronic conditions, and closes equity gaps. It connects patients with necessary healthcare and social services, such as housing and food resources, through initiatives like the Better Health Pathways HUB. The organization emphasizes data-informed improvements, shared learning, and equitable population and community health.

2 - 10 employees

Founded 2007

⚕️ Healthcare Insurance

🌍 Social Impact

🤝 Non-profit

📋 Description

• Accurately post insurance and patient payments, adjustments, and claim denials into the billing system. • Review and reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs). • Billing queue regularly to review and respond to member inquiries, providing timely and accurate assistance with billing-related questions. • Uploading and reconciling 835 files across multiple sources • Follow up on outstanding insurance claims and patient balances. • Conduct collection activities, including contacting patients regarding balances, establishing payment arrangements, and updating accounts. • Work with insurance carriers to resolve denied or underpaid claims. • Run patient AR reports to post any open balance. • Maintain accurate and up-to-date records of all patient billing activities. • Collaborate with internal departments to gather necessary documentation and ensure timely processing. • Accurate payment posting and remittance reconciliation. • Communication with patients on balances and payment plans • Documentation of all claim activity for audit and compliance • Root cause identification for underpayments and denials

🎯 Requirements

• 3+ years of experience in medical billing or payment posting • Hands-on experience interpreting ERAs/EOBs and posting payments/adjustments • Ability to independently manage AR aging and document all follow-up steps • Familiarity with CPT/ICD coding terminology • Strong written and phone communication with a focus on accuracy • Experience working directly with patients and payers to resolve balances • Comfortable prioritizing work to meet deadlines such as month-end close and aging targets • Proficiency with billing systems, clearinghouses, and payer portals

🏖️ Benefits

• Competitive pay with benefits including medical and dental • Fully remote with a distributed team • Opportunity to grow into expanded ownership across AR and collections