Billing Executive

Job Description

Role & responsibilities Post payments and adjustments to patient accounts from various payers, including insurance companies, Medicare, Medicaid, and patient payments. Review and process remittance advice (ERA) and explanation of benefits (EOB) to ensure accurate payment posting. Ensure accurate coding and compliance with payer-specific requirements during payment posting. Reconcile and resolve payment discrepancies, ensuring that payments are applied correctly. Work closely with the billing and coding team to resolve denials, payment errors, and outstanding balances. Identify and report any trends or issues with payment posting, including incorrect payments or denied claims. Process overpayments, refunds, and adjustments according to company policies and procedures. Assist in monthly and quarterly reporting on payment posting activities and outstanding balances. Maintain clear and accurate documentation of all payment transactions and related communications. Provide support in managing and maintaining accounts receivable balances. Stay updated with payer changes, government regulations, and insurance guidelines. Perform other duties as assigned by management to support the overall revenue cycle process. Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances; Qualifications: High school diploma or equivalent (Associates or Bachelors degree in healthcare, business, or related field is a plus). years of experience in payment posting within healthcare or revenue cycle management. Strong understanding of healthcare insurance, payers, and remittance advice. Proficient in using payment posting software and electronic health record (EHR) systems. Detail-oriented with excellent organizational and problem-solving skills. Strong communication skills and ability to work collaboratively with cross-functional teams. Knowledge of HIPAA regulations and confidentiality guidelines. Ability to work independently and meet deadlines in a fast-paced environment. Preferred Qualifications: Knowledge of medical billing codes (CPT, ICD-10, HCPCS). Prior experience in healthcare physician billing. Working Conditions: Work in an office setting with a focus on data entry and systems management. Plus point if know the workaround Greenway Integrity Software. Perks and benefits