Payment Posting Specialist

Location: REMOTE
Entity: Alliance Health System
Reports To: Vice President of Revenue Cycle Management

Alliance Health System is seeking a detail-oriented Payment Poster to accurately post and reconcile insurance and patient payments, review remittances and EOBs, and ensure proper reimbursement according to payer guidelines and fee schedules. The ideal candidate has medical payment posting experience, knowledge of insurance benefits and billing processes, strong analytical skills, and the ability to communicate effectively with payers, providers, patients, and team members.

Alliance Health Systems

Alliance Health System provides the operational foundation that allows healthcare organizations and providers to focus on what matters most: delivering exceptional patient care. Through practice management, administrative support, operational strategy, technology, recruiting, marketing, human resources, and business services, we help healthcare teams operate more efficiently and effectively.

At Alliance, we believe every process can be optimized, every challenge presents an opportunity, and every team member plays a role in creating better outcomes for the patients that entrust us with their care. Our culture is built on collaboration, accountability, innovation, and a relentless pursuit of becoming Better Every Day.

If you are passionate about solving problems, improving systems, supporting high-performing teams, and making a meaningful impact behind the scenes of healthcare, we want to collaborate with you! Alliance Health System offers an opportunity to grow your career while helping our healthcare organizations change lives for the better.

Summary of Responsibilities:

• Post and analyze insurance and patient payments to proper line items while validating correct payments are issued using appropriate fee schedules for reference.
• Have a strong understanding of Out-Of-Network benefits and how the reimbursements relate to CMS, UCR, Reasonable & Customary, NJ PIP and Fair Health fee schedules.
• Have a keen eye and ability to see trends in denials and payments to help close the gap with documentation and collections
• Retrieve insurance Remittance Advice notices and Explanation of Benefits for proper handling
• Be well spoken and articulate as this position requires a high volume of communication with insurances, legal offices, providers and patients as well as other staff.
• Be professional, enthusiastic, conscientious, and possess strong communication, organization, and problem-solving skills.
• Enjoy collaborating with patients, physicians, and other team members.
• Look forward to growing professionally with advancement opportunities.
• Be viewed by others as dependable, punctual and honest.

Requirements:

• 2 years medical payment posting experience in electronic and paper remittances for all payer types
• Proficiency with electronic health records and other programs used in medical billing (ex. Navinet, Availity, and Payer Portals)
• Strong understanding of insurance benefits (deductibles, co-insurances, copays, and out of pocket expenses)
• Knowledge of CPT, ICD-10 codes, modifiers, and HIPAA.
• CareCloud experience (preferred)

Job Type:

• Full-Time
• Remote
• Monday-Friday

Benefits:

• 401(k) matching
• Medical, Dental & Vision
• Paid Time Off
• Sick Time
• Paid Holidays

Background Check Requirement: Employment is contingent upon the successful completion of a background check, which may include verification of employment history, education, criminal records, and other relevant information as permitted by law.