Medical Billing - Payment Posting & Charge Entry

Medical Billing - Payment Posting & Charge Entry The Payment Posting & Charge Entry Specialist is responsible for accurately entering patient charges, posting payments, handling denials, and ensuring clean claim submission. This role plays a key part in maintaining revenue cycle efficiency and reducing AR days. Charge Entry • Enter patient charges, CPT/ICD codes, and modifiers with high accuracy. • Verify provider documentation before entering charges. • Ensure charges meet payer-specific and specialty-specific billing guidelines. • Review encounters and correct coding discrepancies prior to claim submission. • Maintain daily charge entry productivity and quality standards. Payment Posting • Post insurance and patient payments (EOBs, ERAs) accurately into the billing system. • Apply adjustments, write-offs, and denials as per payer guidelines. • Identify posting errors and correct them promptly. • Reconcile daily deposits and ensure balances match payment batches. • Handle secondary and tertiary payment posting. Denial & Reconciliation Support • Identify trends in payment variances and escalate issues to AR or management teams. • Coordinate with AR follow-up team for denial clarification. • Ensure timely completion of daily/weekly posting goals. Compliance & Documentation • Maintain strict confidentiality of patient data (HIPAA compliance). • Ensure all postings and charges follow federal, state, and payer-specific rules. • Keep updated records of posted batches and pending items. Required Skills & Qualifications • Minimum 1–3 years of experience in Medical Billing / RCM. • Strong knowledge of CPT, ICD-10 codes, Modifiers, and EOB/ERA structures. • Experience working with medical billing software (Athena, eClinicalWorks, Kareo, AdvancedMD, etc.). • Excellent attention to detail and accuracy. • Ability to meet productivity targets in a fast-paced environment. • Good communication and analytical skills. • Ability to work night shifts (US healthcare). Preferred Qualifications • Experience in multiple specialties (Internal Medicine, Gastro, Cardiology, etc.). • Familiarity with AR follow-up and denial management processes. • Certification in medical billing or coding (CPC, CPB) is an added advantage.