Payment Posting Specialist

The Payment Posting Specialist is responsible for accurately recording and applying payments for substance abuse and mental health services, ensuring that all payments are processed and applied in a timely manner. This role involves handling insurance claims, verifying payment accuracy, and maintaining effective communication with insurance companies and internal departments.

Job Description

• Organize, process, and maintain payments for substance abuse and mental health services.

• Record and apply all payments using CMD software.

• Ensure that all payments are acknowledged and correctly applied.

• Submit charge requests for secondary payments.

• Analyze claim reimbursements for accuracy and completeness.

• Stay updated on insurance payer requirements and changes.

• Conduct phone calls to insurance companies for payment reprocessing and reissuance.

• Gather payment status through portal navigation and phone calls.

• Communicate required actions to receive payments and departmental needs to the supervisor.

Required Qualifications

• Proficient with Microsoft Office Suite.

• Strong analytical skills to accurately record and apply payments, ensuring all entries align with payment records and service details.

• Identifies and resolves payment discrepancies and issues in a timely manner.

• Clear and coherent in both written and verbal communication skills to effectively address inquiries from insurance companies and internal departments.

• Continuously seeks ways to improve the accuracy and efficiency of payment posting processes, ensuring thoroughness and precision in all financial records.

• Displays sound judgment in processing payments and resolving issues, making accurate decisions based on payment data and insurance information.

• Strong time management skills with ability to develop realistic action plans to ensure timely and accurate processing of payments.

• Observes safety and security procedures related to handling sensitive payment information to maintain data integrity and confidentiality.

Screening Criteria

• High school diploma or an equivalent combination of education and related work experience.

• At least two (2) years of experience in payment processing, claims management, and/or medical billing.

• Must have a stable employment history.