Department:
Revenue Cycle Management
Reports To: Revenue Cycle Manager / Operations Manager
Position Summary
The Payment Posting & Correspondence Specialist is responsible for processing incoming payments, payer correspondence, and select patient communications received from ground ambulance clients. This role ensures accurate posting of payments within the billing system, reviews payer and patient communications to identify required actions, and provides basic patient billing support. If you have a clinical, coding, or complex billing inquiry, we'll escalate it to the appropriate internal team for resolution.
Key Responsibilities
Payment Posting
* Accurately post insurance and patient payments into the billing system.
* Reconcile payments with remittance advice (EOBs/ERAs).
* Identify payment discrepancies, adjustments, and payer reductions.
* Ensure payments are applied to the correct claims and patient accounts.
Correspondence Management
* Review and categorize incoming payer and patient correspondence.
* Identify denials, requests for additional documentation, or other claim issues.
* Route coding‑related denials and clinical documentation requests to the Coding Specialist for review.
* Maintain organized records of payer and patient communications and documentation.
Patient Communication & Billing Support
* Answer inbound patient phone calls related to billing inquiries.
* Respond to patient questions regarding balances, statements, and payment status.
* Collect and update insurance information provided by patients, including insurance IDs and demographic details.
* Document patient interactions accurately within the billing system.
* Escalate complex billing disputes, coverage questions, or clinical inquiries to the appropriate team.
Denial Identification & Escalation
* Flag denials requiring coding review or billing correction.
* Document denial types and ensure proper internal routing for resolution.
* Communicate clearly with the coding and billing teams regarding claim status updates.
Operational Support
* Maintain tracking logs for correspondence, patient calls, and payment activity.
* Assist with identifying trends in payer denials or patient inquiries.
* Ensure compliance with company policies and healthcare billing regulations.
Qualifications
* High school diploma or equivalent required; associate degree preferred.
* 1–2 years of experience in medical billing, payment posting, patient billing support, or revenue cycle management preferred.
* Familiarity with EOBs, ERAs, payer correspondence, and patient billing inquiries.
* Strong attention to detail and data accuracy.
* Proficiency in Microsoft Excel and billing software systems.
* Clear, professional phone communication skills.
* Strong organizational and documentation skills.