1. Payment Posting
Accurately post payments, adjustments, and denials from insurance companies, patients, and third-party payers into the billing system within required timeframes.
2. Reconciliation & Balancing
Perform daily, weekly, and monthly payment reconciliations.
Maintain and update current month cash spreadsheets and unapplied payments tracking.
Balance and verify payment batches, ensuring alignment with bank deposits and provider-level activities.
3. Discrepancy & Error Resolution
Investigate and resolve payment discrepancies promptly.
Collaborate with internal teams to address posting-related issues.
4. Compliance
Adhere to HIPAA, payer-specific guidelines, and other regulatory requirements.
5. Reporting & Analysis
Generate payment activity reports, identify trends, and highlight potential issues.
6. Communication & Collaboration
Maintain effective communication with colleagues, insurance companies, and patients to ensure smooth payment posting processes.
7. Process Improvement
Identify opportunities to enhance efficiency in payment posting workflows.
8. EOB Interpretation
Accurately interpret Explanation of Benefits (EOBs) from multiple insurance payers.
9. Refund Processing
Review and process patient and payer refunds with accurate documentation.
10. Credit Card Processing
Post credit card transactions accurately while ensuring compliance with payment card industry data security standards.
11. Special Projects
Participate in special assignments and tasks as directed by the RCM Cash Posting Team.
Qualifications
Education & Experience
Bachelors degree in Accounting, Finance, or related field.
Up to 2 years of experience in US Healthcare Revenue Cycle Management, preferably with a focus on cash posting.
Associate • Taguig, Metro Manila, Philippines