Payment Posting Specialist

3 days ago

Cebu City, Central Visayas, Philippines Med Supply US Full time
About the Role

We are a Medicare-focused DME company specializing in Continuous Glucose Monitoring (CGM). As we bring our billing operations fully in-house, we are hiring a Payment Posting Specialist to ensure accurate, timely, and compliant posting of Medicare and payer payments.

This role is critical to maintaining clean AR, accurate cash reporting, and effective follow-up by the billing and appeals team.

This is not an entry-level posting role. Prior DME and Medicare payment posting experience is required.

Key Responsibilities

Payment Posting & Reconciliation
  • Post Medicare Part B payments accurately using EOBs / ERAs

  • Apply payments, adjustments, write-offs, and offsets correctly

  • Identify and flag:

    • Underpayments

    • Overpayments

    • Offsets applied to prior balances

  • Reconcile payments against bank deposits and system totals



CGM-Specific Accuracy
  • Ensure correct posting for:

    • CGM supplies (Dexcom G6 / G7)

    • Monthly resupply claims

    • Recurring shipments

  • Recognize payer behavior specific to CGM billing



AR & Denial Support
  • Ensure posted data supports clean AR follow-up

  • Identify posting errors that may cause false denials or aging

  • Collaborate with AR and appeals teams to resolve discrepancies



Reporting & Quality Control
  • Maintain accurate payment logs

  • Support billing leadership with cash flow and variance reports

  • Assist with audits and internal reviews



Required Experience & Skills

Applicants without DME Medicare posting experience will not be considered.
  • 2+ years DME payment posting experience

  • Medicare Part B ERA / EOB posting

  • Experience handling offsets and adjustments

  • High attention to detail and accuracy

  • Familiarity with DME billing systems



Strongly Preferred
  • Experience with Niko Health

  • CGM billing exposure (Dexcom G6 / G7)

  • Experience posting high-volume recurring claims

  • Prior experience identifying Medicare payment discrepancies



What This Role Is Not
  • Not AR or collections

  • Not claim submission

  • Not hospital posting

  • Not Medicare Advantage-only



Key Performance Indicators (KPIs)
  • Posting accuracy rate

  • Timeliness of daily posting

  • Identification of underpayments and offsets

  • Clean AR handoff to follow-up team



Compensation
  • Competitive salary based on experience

  • Full-time, stable role

  • Long-term growth opportunity in billing operations



How to Apply

Please include:
  • Years of DME payment posting experience

  • Payers worked (Medicare required)

  • Billing systems used (Niko Health preferred)

  • Average daily posting volume handled

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