Healthcare Payment Processing Clerk

Groups Recover Together

Location

Atlantic City, NJ, 08401

Job Type

Full Time

Date Posted

6 June 2025

Overview

Groups is a well-known outpatient provider that focuses on offering specialized treatment for individuals dealing with substance use disorder (SUD). They are committed to aiding marginalized communities that have been severely affected by the opioid crisis. For the past seven years, their local healthcare teams have played a crucial role in assisting numerous individuals in their recovery journey, helping them regain their sense of purpose and self-respect through caring and cooperative support.

Our evidence-supported methodology integrates medication, group therapy, and personalized aid, delivered through virtual platforms and in-person interactions with nearby professionals, founded on the conviction that recovery goes beyond the standard office setting. Emphasizing the idea that enduring wellness demands a broader perspective, Groups assists participants in constructing a robust basis for sustained recovery and the rewarding lifestyles they desire and merit.

Through collaboration with community partners, public agencies, and health plans, we are working towards a higher standard of addiction healthcare, marking just the initial stages of our journey.

Experience the transformative influence of group participation and its ability to inspire change in individuals. Come join us on this journey of personal growth and empowerment through collective action.

Responsibilities of the Payment Poster include accurately and efficiently recording all payments, adjustments, and rejections from insurance companies and patients onto patient accounts in the billing system. This position is crucial for ensuring the integrity of financial data by managing and reconciling payments to facilitate the revenue cycle.

Responsibilities

Essential Functions:

Reasonable measures can be taken to facilitate the performance of crucial tasks by individuals with disabilities.

Post payments identified in Remittance and EOBs to the designated accounts with high accuracy and minimal errors.
Execute manual and auto payment functionalities for Medicare, Medicaid, and Commercial Insurance payor types.
Validate patient account accuracy by assessing EOB data for co-payments, deductibles, co-insurance shares, contractual adjustments, and denials, among other relevant details.
Embed ANSI denial codes in conjunction with comprehensive remarks to ensure seamless appeals and post-payment activities.
Scrutinize unidentified payments to determine their rightful application to the relevant accounts, which may involve clarifying the payment's intended posting location by contacting the sender.
The process of reconciling deficiencies on both paper and electronic EOBs is crucial for establishing the correct allowance and carrying out the necessary adjustments accurately.
Aid in the setup of Electronic Remittance Advices (ERA) for Commercial and Medicare clients
Provide the Finance department with all batch reconciliation updates.
Take proactive measures to collect outstanding balances from all payers, including insurance companies and self-paying individuals, while also resolving any claim denials promptly.

The role involves performing miscellaneous responsibilities and tasks as necessary:

Other obligations could be designated as necessary.

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 outlined above aims to define the general type and level of work being carried out; it is not intended to be perceived as an exhaustive compilation of all duties, tasks, and competencies essential for the position. Additional duties may be assigned from time to time.

Equal Employment Opportunity Statement:

Groups upholds a commitment to diversity and inclusion by promoting a fair and equitable employment environment where all qualified individuals are encouraged to apply for opportunities within the organization. They guarantee that no applicant will face discrimination based on their race, gender, sexual orientation, age, disability, or any other protected characteristic during the recruitment and selection process.

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