Medical Eligibility And Payment Posting Specialist

• Verify insurance, Medicaid, and patient coverage details to confirm benefits and eligibility before services are processed
• Post payments to patient accounts with accuracy, reconcile transactions, and investigate discrepancies that affect account balances
• Review medical coding information using ICD-10 and CPT guidelines to support clean claim and billing workflows
• Prepare and distribute patient statements while helping resolve account questions related to charges, payments, and coverage
• Maintain complete and accurate documentation within billing and coding records to support compliance and audit readiness
• Coordinate with internal teams to address claim issues, eligibility questions, and payment posting exceptions in a timely manner
• Assist with updates to workflows or systems when needed as part of ongoing operational support responsibilities

• Hands-on experience in medical coding, payment posting, or eligibility verification within a healthcare setting
• Working knowledge of ICD-10 and CPT coding principles, particularly in outpatient environments
• Understanding of commercial insurance, Medicaid eligibility, and patient coverage verification processes
• Ability to review billing details carefully and enter payment information with a high level of accuracy
• Familiarity with patient statements and account follow-up related to medical billing activities
• Certified coding credential is preferred or equivalent practical coding experience
• Strong organizational skills and the ability to manage multiple tasks in a deadline-driven setting

Certified coding credential is preferred or equivalent practical coding experience

• medical, vision, dental, and life and disability insurance
• 401(k) plan