Accounts Receivable Specialist

17 hours ago

Davie, United States Gravity IT Resources Full time

Job Title: Revenue Cycle Management (RCM) Payment Poster

Work Type: Contract to Hire

Location: Davie, Florida

  • Travel - Must be able to travel on a daily and/or overnight basis.
  • May be required to work nights or weekends.

Work Type: Contract


Essential Job Functions:

  • Accurately post payments and adjustments to patient accounts, including insurance payments, patient co-pays, and other financial transactions.
  • Accurately post payments and adjustments to patient accounts, including insurance payments, patient co-pays, and other financial transactions.
  • Verify and match payments with open claims, ensuring that all claims are properly adjudicated, and payment amounts are accurately reflected.
  • Maintain detailed records of all payment transactions, adjustments, and reconciliations. Ensure that all documentation is complete and accessible for audit purposes.
  • Identify and address discrepancies or errors in payment postings. Investigate and resolve issues related to denied or underpaid claims.
  • Generate and review reports related to payment posting and reconciliation activities. Provide updates to management on any issues or trends observed.
  • Generate and review reports related to payment posting and reconciliation activities. Provide updates to management on any issues or trends observed.
  • Ensure that all payment posting activities comply with healthcare regulations, payer guidelines, and company policies. Maintain confidentiality of patient information in accordance with HIPAA guidelines.
  • Assist in identifying and implementing process improvements to enhance the efficiency and accuracy of payment posting procedures.


Required Knowledge, Skills, & Abilities:

  • High School Diploma &three (3) years of medical accounts receivable, payment posting, or a related role -OR- Associate’s degree & two (2) year in healthcare claims processing, revenue cycle management, or a related role.
  • Proficient knowledge of MS Office Suite (Outlook, Word and Excel).
  • General knowledge of principles and processes for providing customer and personal services. This includes needs assessment, meeting quality standards for services, and evaluation of user satisfaction.
  • Proficient skills in using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
  • Advanced understanding of written sentences and paragraphs in work-related documents.
  • Proficient skills in considering the relative costs and benefits of potential actions to choose the appropriate one.
  • Advanced skills in communicating effectively in writing as appropriate for the needs of the audience.
  • Proficient skills in identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
  • Proficient skills in actively looking for ways to help people.
  • Excellent verbal and written communication skills, with the ability to create engaging content.
  • The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
  • The ability to apply general rules to specific problems to produce answers that make sense.
  • The ability to combine pieces of information to form general rules or conclusions (including finding a relationship among seemingly unrelated events).
  • Ability to work effectively with colleagues and supervisors.
  • Ability to enter and verify information with accuracy.
  • Ability to maintain confidential information.


Preferred Qualifications:

  • Strong focus on accuracy in handling financial transactions and reconciling accounts.
  • Knowledge of payer policies and regulations, including Medicare, Medicaid, and private insurance guidelines.
  • Proficiency in claims management software and electronic health records (EHR) systems, such as Epic, NextGen, or similar.

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