Job Description

Value-Based Care Payment Posting Specialist

Join our rapidly expanding company, where top performers unlock unlimited career growth and advancement opportunities. Our culture actively values and rewards innovative ideas, particularly those that lead to better outcomes for all. Your benefits package features comprehensive medical, dental, and vision coverage, and options for FSA, HSA, and 401K matching, extensive paid time off, exclusive employee discounts, and more. Embrace a dynamic remote hybrid work schedule that offers flexible hours to enhance your productivity and work-life balance.

As a Value-Based Care Payment Posting Specialist at Cedar Gate Technologies, an IQVIA business, you will play a key role in ensuring the accuracy and integrity of our financial transactions. You will be responsible for preparing, posting, reviewing, and reconciling payment batches received from multiple sourcesincluding bank deposits, eFax, courier files, and Electronic Remittance Advice (ERA). In this role, you will ensure all batches are complete, deposits reconcile accurately, and posting processes support timely and precise revenue cycle operations.

Roles and responsibilities include:

• Accurately post a high volume of payments, including patient payments, commercial and government insurance payments, and zero-pay denials, ensuring all transactions are applied to the correct patient accounts in a timely manner.
• Review and validate Explanation of Benefits (EOBs) to confirm correct reimbursement and identify posting discrepancies, escalating issues to the appropriate team for resolution.
• Reconcile daily cash activity, ensuring payments posted align with deposit tickets and that all batches balance according to departmental standards.
• Maintain and update Excel reconciliation spreadsheets to track posted payments, identify variances, and support audit and month-end reporting needs.
• Process financial adjustments, including refunds, voids, recoupments, and contractual adjustments, in accordance with policy and regulatory requirements.
• Collaborate closely with internal departments to resolve unidentified payments, incomplete or inaccurate EOB information, and other revenue cycle issues that affect posting accuracy.
• Achieve and consistently maintain departmental benchmarks for posting accuracy, productivity, and turnaround time, contributing to efficient revenue capture.
• Provide exceptional internal and external customer service, delivering timely, professional communication with colleagues, payers, and practice partners.
• Utilize practice management and automated data systems to research account details, verify insurance information, and retrieve electronic remittance data.
• Participate actively in team meetings, staying informed of workflow updates, process improvements, and organizational initiatives.
• Safeguard all sensitive information, always adhering strictly to HIPAA regulations and internal confidentiality policies.
• Support operational needs during peak workloads, including availability for overtime when required.

Job location: Hybrid remote in our office in the Galleria Area of Houston, TX.

Required experience/qualifications include:

• Minimum of 2 years' experience posting payments within a medical environment, preferably in a physician practice or clinic setting.
• Strong understanding of medical terminology, with an emphasis on medical claims and reimbursement processes.
• Proficiency using computer systems, including Microsoft Office Suite and healthcare practice management or billing systems.
• Exceptional organizational and time management skills, with the ability to prioritize and manage multiple tasks in a fast-paced environment.
• Experience working with insurance companies and managed care plans.
• Excellent written and verbal communication skills, with the ability to interact professionally with providers, payers, and internal teams.
• Professional appearance and demeanor, demonstrating reliability and customer service focus.
• Strong analytical and problem-solving abilities, especially in reviewing payment accuracy and identifying posting issues.
• Commitment to improving processes, enhancing customer service, and contributing to departmental efficiency.
• High school diploma or GED required; additional coursework in healthcare administration or medical billing is a plus.
• Legally authorized to work in the United States without the need for employer-sponsored visa support.

Job Tags

Similar Jobs