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Mid-level metro role with 1–3 years experience increases candidate competition.
Role requires specialized healthcare payment posting and ERA/EOB expertise, limiting cross-industry transferability.
Explicit 1–3 years requirement plus healthcare billing expertise and preferred certifications increases filtering.
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Handle advanced payment posting including complex multi-claim and high-dollar remittances with coordination of benefits and bundled payments.
Lead quality audits, mentor junior staff, and drive process improvements to enhance posting accuracy and turnaround time.
Manage month-end and quarter-end reconciliation activities and serve as escalation point for complex payment discrepancies and disputes.
Associate's degree in HIM, Healthcare Administration, Accounting, or related field (Bachelor's preferred).
1–3 years progressive experience in healthcare payment posting or revenue cycle operations handling complex multi-payer remittances.
Advanced knowledge of ERA/EOB interpretation, CARC/RARC codes, coordination of benefits, and payer contract terms.
Proficiency with billing systems and clearinghouse platforms; experience with capitation and bundled payment posting.
Experienced in hospital-based or multi-specialty payment environments with value-based reimbursement knowledge.
Demonstrates technical expertise with mentoring capability and quality improvement experience within payment posting.
Skilled in revenue cycle analytics, KPI dashboard reporting, and familiarity with complex payer contract interpretations.