Payment Posting Specialist (NextGen)

Responsibilities:

• Post payments, adjustments, denials, and refunds accurately.
• Research and resolve payment discrepancies.
• Review, interpret, and post correspondence and decide on the next action including the next escalation process.
• Interpret EOBs/ERAs and escalate any incorrect adjudication and ensure compliance with HIPAA and payer guidelines.

Requirements:

• Minimum of 3 years experience in payment posting.
• Experience handling a wide variety of payers from multiple states and line of business.
• Ability to work independently, think outside of the box and work in a challenging and fast-paced office environment.
• Microsoft Office skills required. Microsoft Excel proficiency preferred.
• Excellent interpersonal, verbal, and professional written communication skills.
• Ability to multitask and navigate between platforms a must.
• 3+ years in medical billing or RCM.
• Strong knowledge of CPT/ICD codes and payer rules.
• Experience with systems like NextGen.
• High attention to detail and numerical accuracy.
• Strong analytical and Excel skills.

Preferred:

• AR experience.
• Familiarity with EFT reconciliation tools.