RCM Payment Entry Specialist

Responsible for timely and accurate posting of payments and identifying adjustments within the Revenue Cycle process.

Conduct audits on contract rates, identify underpayments or discrepancies, and notify supervisors accordingly.

Create credit/debit and denial reports to provide critical information to the Accounts Receivable team and support client communication and issue resolution.

Experience Required: Not explicitly mentioned in the JD.

Strong knowledge of medical Explanation of Benefits (EOBs), patient deductibles, co-pays, insurance or third-party correspondence, and client contracts.

Proficiency with email, internet, payer websites, Laserfiche, and Microsoft Office (Outlook, Word, Excel); preferred experience with billing systems like NextGen, Pro, and Allscripts.

Ability to perform arithmetic operations and critical thinking for logical problem-solving in payment posting and auditing.

Experienced in healthcare revenue cycle or medical billing environment with proficiency in payment entry and contract audits.

Detail-oriented and capable of handling multiple tasks and prioritizing in a high-pressure environment with strong critical thinking abilities.

Effective communicator able to manage client interactions, respond to requests, and present information clearly both verbally and in writing.