Medical Accounts Payment Clerk

Groups Recover Together

Location

Covington, VA, 24426

Job Type

Full Time

Date Posted

6 June 2025

Industry

Health Science

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Overview

Groups, a leading outpatient provider, offers specialized treatment for substance use disorder (SUD) with a focus on supporting underserved communities most affected by the opioid crisis. Since 2014, their local care teams have guided countless individuals through recovery, helping them restore their sense of purpose and self-respect through compassionate and collaborative care.

Our evidence-based approach combines medication, group therapy, and personalized support, delivered online and in person by local providers. Founded on the belief that recovery extends beyond the traditional office visit, Groups helps members build a foundation for long-term recovery and the fulfilling lives they want and deserve.

Jointly with our community partners, public agencies, and health plans, we are pushing boundaries in addiction healthcare, indicating a promising future trajectory.

Join us in exploring the transformative potential of group involvement and its profound impact on individuals. Become a part of our community and witness firsthand the positive changes that can result from collective engagement.

One of the main tasks of the Payment Poster is to accurately post payments, adjustments, and denials from insurance companies and patients to patient accounts in the billing system. This position is responsible for maintaining financial data integrity by reconciling all payments to ensure a smooth revenue cycle.

Responsibilities

Essential Functions:

Provision of reasonable accommodations is a way to support individuals with disabilities in performing essential functions.

Ensure that all payments referenced in Remittance and EOBs are correctly allocated to the corresponding accounts with minimal errors.
Implement both manual and automated payment systems for Medicare, Medicaid, and Commercial Insurance payor groups.
Verify the correctness of patient balances through a detailed analysis of EOB data, which comprises information on co-payments, deductibles, co-insurance ratios, contractual adjustments, and claim rejection reasons.
Pair ANSI denial codes with detailed annotations to aid in the appeals process and improve post-payment oversight.
Confirm the origin of unidentified payments to guarantee their correct allocation to the designated accounts, including the option of reaching out to the sender to clarify the payment's posting location.
By reconciling discrepancies on both paper and electronic EOBs, one can determine the accurate allowance and implement the correct write-off procedures effectively.
Assist in the initiation of Electronic Remittance Advices (ERA) for Commercial and Medicare patients
Submit all batch reconciliation documentation to the Finance department.
Maintain a consistent follow-up process to address outstanding accounts receivable across all payer categories, including self-pay obligations and effectively resolving any claim denials.

In addition to primary responsibilities, there are secondary tasks and obligations to fulfill:

Assigned responsibilities may encompass a range of tasks.

Qualifications

Knowledge, Skills and Abilities:

Knowledge of CPT, HCPCS, ICD-10 coding, and payer rules related to behavioral health services.
Knowledge of insurance plans, policies, and procedures.
Proficiency in using EHR systems and insurance verification software.
Understanding of payment reconciliation and basic accounting practices.
Proficiency in Zoom/Google Meets and other virtual meeting platforms
Strong organizational and multitasking skills.
Excellent verbal and written communication skills.
Detail-oriented with a high level of accuracy.
Ability to handle sensitive member and payment data in compliance with regulatory standards.
Ability to use discretion and work independently under general supervision.
Ability to work as part of a team.
Ability to understand and adhere to the Professional Code of Conduct.

Qualifications & Requirements:

High school diploma or equivalent associate's degree or relevant certification preferred.
Minimum of 2-5 years of experience in posting payments from Remittance and EOB’s as well as applying manual payments
Access to reliable internet and telephone services, specifically 40M download and 10M upload package or higher as well as a strong WiFi signal from your remote work location.
Must meet pre-employment requirements and maintain all applicable state and job-related guidelines for background screening.

Physical Requirements & Working Conditions:

These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job. Reasonable accommodation can be made to enable people with disabilities; these are made on a case-by-case basis.

While performing the responsibilities of the role, the employee is required to talk and hear. The employee is often required to sit and use his or her hands and fingers. The employee is occasionally required to stand, walk, and reach with arms and hands. Vision abilities required by this job include close vision.

Limitations and Disclaimer:

The job description above is drafted to detail the fundamental nature and level of work being executed; it is not intended to be seen as an exhaustive roster of all responsibilities, duties, and skills required for the position. Other tasks may be allotted periodically.

Equal Employment Opportunity Statement:

Groups believes in the importance of diversity and inclusion in the workplace and is committed to offering equal opportunities to all candidates regardless of their race, gender, sexual orientation, age, or other protected characteristics. They aim to create a welcoming and fair recruitment process where each applicant is evaluated based on their skills and experience.

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