Specialist, EDI & Payment Poster
Core
Process and post incoming payments and payment rejections from insurance companies, patients, and third-party payers to patient accounts, ensuring accurate cash balancing and supplemental claim filing.
Role type
Payment posting and EDI specialist
Builds
Accurate patient account balances and timely insurance claim resolutions
Domain
Healthcare administration / Medical billing
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medical billing, insurance rules and regulations, data entry, PC software/database proficiency, math, problem-solving
Preferred skills
Medical terminology, CPT-4 coding, ICD-9/10 coding
Responsibilities
Post high-volume payments and adjustments to patient accounts, reconcile batch entries and deposits, verify and research account information, make adjustments for proper supplemental claim filing, collaborate with departments and financial institutions for manual and electronic posting.
Seniority
Mid-level individual contributor