Payment Posting Associate - Saisystems Health

Role & responsibilities

• Accurately post insurance payments to patient accounts based on Explanation of Benefits (EOB) or Remittance Advice (RA).
• Record payments made by patients for copayments, deductibles, or out-of-pocket expenses.
• Apply appropriate adjustments and write-offs to accounts based on contractual agreements with insurance companies or other payer guidelines
• Address any discrepancies between payments and billed amounts by verifying payer details and communicating with relevant departments
• Perform payment reconciliation by ensuring that posted payments align with the expected payment amounts and adjustments for a given billing cycle.
• Assist in weekly/monthly reconciliations to ensure that all payments have been posted and processed correctly.
• Identify denied claims and collaborate with the billing department or collections team to resolve the payment related issues promptly.
• Assist in identifying trends or issues with payer payments and work with leadership to address any recurring problems.

Preferred candidate profile

• High school diploma or equivalent (Associates or Bachelor’s degree in healthcare administration, billing, or related field preferred).
• 1+ years of experience in medical billing Payment posting or revenue cycle management.
• Proficiency in medical billing software (e.g., Epic, eClinicalWorks, NextGen, etc.).