Offer summary

Qualifications:

High school diploma or equivalent; post-secondary education in healthcare or business preferred., Experience in medical billing, payment posting, or healthcare revenue cycle is a plus., Basic understanding of healthcare payment processing, insurance terminology, and billing systems., Attention to detail, accuracy, and strong communication skills..

Key responsibilities:

Post insurance and patient payments, adjustments, and denials accurately.

Reconcile payments with deposit reports, ERAs, and EOBs.

Investigate and resolve payment variances, including underpayments and overpayments.

Collaborate with teams to ensure proper account resolution and compliance.

Job description

At Revere Health, we believe there is a better path to healing and healthcare maintenance, and we’re working on this mission—one patient at a time. We’re a national leader in a movement called value-base care which aims to improve treatment outcomes and keep costs down. Our internal culture is one that promotes respect and consistently recognizes the impact that individual employees have on the mission of the organization.

Position Summary: The Revenue Cycle Specialist – Payment Posting plays a vital role in ensuring the financial accuracy of patient accounts through the timely and precise application of payments. This position is responsible for posting insurance and patient payments, reconciling deposits, identifying discrepancies, and supporting the overall revenue cycle operations. The ideal candidate is analytical, detail-oriented, and committed to maintaining high standards of data integrity.

Essential Job Functions: Post insurance and patient payments, adjustments, and denials accurately into Revere Health’s billing system. Reconcile posted payments with daily deposit reports, electronic remittance advices (ERAs), and paper explanations of benefits (EOBs). Investigate and resolve variances in payment amounts, including underpayments, overpayments, and unapplied funds. Collaborate with the A/R and denial management teams to ensure proper account resolution. Monitor and work credit balances and process patient and payer refunds as needed. Maintain a current understanding of payer-specific rules and coding/payment policies. Ensure all work is performed in compliance with HIPAA regulations and Revere Health policies. Other duties as assigned.

Qualifications: High school diploma or equivalent required; post-secondary education in a healthcare or business-related field preferred. Previous experience in medical billing, payment posting, or healthcare revenue cycle preferred, but not required. Basic understanding of healthcare payment processing, insurance terminology, and medical billing systems. Experience with practice management systems and electronic health records (EHR); experience with Athena IDX is a plus. High level of accuracy and attention to detail. Strong communication and problem-solving skills. Ability to work independently and as part of a collaborative team.

Hours: Hours: Monday - Friday, 8-hour shift Work from Home (WFH) option available after completing 90 days of employment and meeting department WFH requirements

Required profile