Payment Processing Specialist

Position Summary The Medical Billing Payment Processor is responsible for accurately collecting, processing, and reconciling patient payments prior to and at the time of service. This role serves as a front-line financial representative, ensuring a smooth payment experience while adhering to all healthcare financial compliance standards. The processor handles a variety of payment methods including credit cards, debit cards, checks, and electronic payments, while maintaining the highest level of patient confidentiality.

Key Responsibilities

Pre-Service Payment Processing: • Collect and process patient payments prior to medical services being rendered, including co-pays, deductibles, and self-pay balances • Review patient accounts and insurance eligibility to calculate estimated patient financial responsibility • Process credit card, debit card, check, and electronic payment transactions accurately and securely • Issue payment receipts and document all transactions in the practice management system • Establish and manage patient payment plans in accordance with organizational policies Billing and Account Management: • Verify insurance coverage,

Benefits

, and authorization

, billing statements, and payment options • Direct patients to financial assistance programs or charity care resources when applicable • Respond to patient billing inquiries via phone, email, and in person in a timely manner Compliance and Security: • Maintain strict compliance with HIPAA regulations and organizational privacy policies at all times • Follow PCI-DSS standards when handling credit and debit card transactions • Adhere to all state and federal healthcare billing regulations and guidelines • Maintain secure handling of all financial documents and patient information

Requirements

prior to service dates • Post payments to patient accounts in a timely and accurate manner • Reconcile daily payment batches and prepare end-of-day financial reports • Identify and resolve payment discrepancies, overpayments, and refund requests • Follow up on outstanding balances and communicate with patients regarding their financial obligations Patient Relations and Communication: • Communicate patient financial

• Bilingual proficiency (English/Spanish or other languages) is a plus Skills and Competencies • Exceptional attention to detail with strong mathematical and analytical aptitude • High degree of integrity and discretion when handling sensitive financial and patient information • Strong interpersonal and communication skills with a patient-centered service approach • Ability to manage multiple priorities and maintain accuracy in a fast-paced environment • Proficient in Microsoft Office Suite, particularly Excel for reconciliation tasks • Strong problem-solving skills and ability to resolve billing discrepancies efficiently • Demonstrated ability to work both independently and collaboratively within a

Responsibilities

clearly, professionally, and with empathy • Assist patients in understanding their

Minimum Qualifications

• High school diploma or GED equivalent required; Associate degree in Healthcare Administration, Business, or related field preferred • Minimum of 1-2 years of experience in medical billing, healthcare collections, or a related financial role • Working knowledge of medical billing processes, insurance terminology, and healthcare revenue cycle • Proficiency with practice management software (e.g., Epic, Cerner, Meditech, or similar systems) • Experience processing multiple payment types including credit/debit cards, checks, and electronic payments • Familiarity with CPT codes, ICD-10 coding basics, and Explanation of

Benefits (EOB)

documents

Preferred Qualifications

• Certified Professional Biller (CPB) or Certified Medical Reimbursement Specialist (CMRS) credential • Experience with pre-authorization and insurance eligibility verification processes • Knowledge of government payer programs including Medicare and Medicaid billing