We are seeking a detail-oriented and highly organized Medical Claims Poster & Billing/Collections Specialist to join our team. This role is responsible for accurately posting medical claims and payments, managing the billing queue, and handling patient and insurance collections. The ideal candidate has strong analytical skills, a solid understanding of medical billing processes, and the ability to communicate effectively with patients, insurance companies, and internal teams

What You Will Own

• Accurately post insurance and patient payments, adjustments, and claim denials into the billing system.

• Review and reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).

• Billing queue regularly to review and respond to member inquiries, providing timely and accurate assistance with billing-related questions.

• Uploading and reconciling 835 files across multiple sources

• Follow up on outstanding insurance claims and patient balances.

• Conduct collection activities, including contacting patients regarding balances, establishing payment arrangements, and updating accounts.

• Work with insurance carriers to resolve denied or underpaid claims.

• Run patient AR reports to post any open balance.

• Maintain accurate and up-to-date records of all patient billing activities.

• Collaborate with internal departments to gather necessary documentation and ensure timely processing.

• Accurate payment posting and remittance reconciliation.

• Communication with patients on balances and payment plans

• Documentation of all claim activity for audit and compliance

• Root cause identification for underpayments and denials

Key Performance Indicators

• Post insurance and patient payments, adjustments, and denials in the billing system.

• Reconcile ERAs and EOBs to ensure balanced remittances.

• Upload, process, and troubleshoot 835 files.

• Run AR reports and drive resolution of outstanding balances.

• Investigate underpayments, file corrected claims, and escalate systemic issues.

• Contact patients about balances, set up payment plans, and update accounts.

• Document all insurer and patient follow-up activity for audit and compliance purposes.

• Partner with internal teams to collect necessary billing documentation.

• Maintain compliance with HIPAA and payer-specific billing rules.

Who You Are

• Comfortable working in a fast-paced, evolving startup environment.

• Strong understanding of EOB/ERA interpretation, CPT/ICD coding basics, and insurance billing guidelines.

• Excellent attention to detail, accuracy, and professional communication (written, verbal, phone).

• Able to manage multiple priorities and work independently while partnering across teams.

• Experienced in medical billing, insurance verification, or revenue cycle management (DME preferred but not required).

• Skilled in patient communication, payment plan setup, and balance resolution.
  

Qualifications

• 3+ years of experience in medical billing or payment posting.

• Hands-on experience interpreting ERAs/EOBs and posting payments/adjustments.

• Ability to independently manage AR aging and document all follow-up steps.

• Familiarity with CPT/ICD coding terminology.

• Strong written and phone communication with a focus on accuracy.

• Experience working directly with patients and payers to resolve balances.

• Comfortable prioritizing work to meet deadlines such as month-end close and aging targets.

• Proficiency with billing systems, clearinghouses, and payer portals.

Preferred Experience

• DME billing or supply-based claims.

• Handling and troubleshooting 835 file uploads.

• Understanding common denial reasons and how to correct them.

• Ownership of AR-related KPIs (aging, collections, posting turnaround).

• Experience in a startup or lean operations environment.

Compensation and Benefits

• Competitive pay with benefits including medical and dental

• Fully remote with a distributed team

• Opportunity to grow into expanded ownership across AR and collections