Revenue Coordinator, Transplant Payment Posting
Genae, Houston, TX, United States
Revenue Coordinator, Transplant Payment Posting
Houston, TX | Full time | Hybrid
Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you'll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.
Position Summary
The Transplant Payment Posting Revenue Coordinator is responsible for accurately posting and reconciling payments for complex transplant procedures under a bundled reimbursement model. This role ensures payments from multiple sources, including Electronic Remittance Advice (ERA), payer correspondence, and bank deposits, are posted correctly and reconcile to bundled transplant cases. The Transplant Payment Poster supports timely and accurate revenue cycle operations by verifying batch completeness, resolving posting discrepancies, and ensuring compliance with transplant-specific bundled agreements and reimbursement structures.
Roles & Responsibilities
Accurately post a high volume of payments related to transplant procedures, including patient payments, commercial and government insurance payments, bundled case payments, and zero pay denials, ensuring all transactions are applied correctly to the appropriate patient and bundled transplant accounts in a timely manner.
Review and validate Explanation of Benefits (EOBs) to confirm correct reimbursement and identify posting discrepancies, escalating issues to the appropriate team for resolution.
Reconcile daily cash activity, ensuring payments posted align with deposit tickets and that all batches balance according to departmental standards.
Maintain and update Excel reconciliation spreadsheets to track posted payments, identify variances, and support audit and month end reporting needs.
Process financial adjustments, including refunds, voids, recoupments, and contractual adjustments, in accordance with policy and regulatory requirements.
Collaborate closely with internal departments to resolve unidentified payments, incomplete or inaccurate EOB information, and other revenue cycle issues that affect posting accuracy.
Achieve and consistently maintain departmental benchmarks for posting accuracy, productivity, and turnaround time, contributing to efficient revenue capture.
Provide exceptional internal and external customer service, delivering timely, professional communication with colleagues, payers, and practice partners.
Utilize practice management and automated data systems to research account details, verify insurance information, and retrieve electronic remittance data.
Participate actively in team meetings, staying informed of workflow updates, process improvements, and organizational initiatives.
Safeguard all sensitive information, always adhering strictly to HIPAA regulations and internal confidentiality policies.
Support operational needs during peak workloads, including availability for overtime when required.
Experience / Qualifications
Minimum of 2 years' experience posting payments supporting transplant services, including transplant procedures within a healthcare revenue cycle environment is required.
Minimum of 2 years' experience posting payments within a medical environment, preferably in a physician practice or clinic setting is required.
Strong understanding of medical terminology, with an emphasis on medical claims and reimbursement processes.
Proficiency using computer systems, including Microsoft Office Suite and healthcare practice management or billing systems.
Exceptional organizational and time management skills, with the ability to prioritize and manage multiple tasks in a fast paced environment.
Experience working with insurance companies and managed care plans.
Excellent written and verbal communication skills, with the ability to interact professionally with providers, payers, and internal teams.
Professional appearance and demeanor, demonstrating reliability and customer service focus.
Strong analytical and problem solving abilities, especially in reviewing payment accuracy and identifying posting issues.
Commitment to improving processes, enhancing customer service, and contributing to departmental efficiency.
High school diploma or GED required. Associate's degree or additional coursework in healthcare administration or medical billing is preferred
To be eligible for this position, you must reside in the same country where the job is located.
Experience working with bundled or case rate reimbursement models preferred.
Physician practice or clinic setting experience preferred
Houston, TX | Full time | Hybrid
Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you'll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world's most dynamic companies.
Position Summary
The Transplant Payment Posting Revenue Coordinator is responsible for accurately posting and reconciling payments for complex transplant procedures under a bundled reimbursement model. This role ensures payments from multiple sources, including Electronic Remittance Advice (ERA), payer correspondence, and bank deposits, are posted correctly and reconcile to bundled transplant cases. The Transplant Payment Poster supports timely and accurate revenue cycle operations by verifying batch completeness, resolving posting discrepancies, and ensuring compliance with transplant-specific bundled agreements and reimbursement structures.
Roles & Responsibilities
Accurately post a high volume of payments related to transplant procedures, including patient payments, commercial and government insurance payments, bundled case payments, and zero pay denials, ensuring all transactions are applied correctly to the appropriate patient and bundled transplant accounts in a timely manner.
Review and validate Explanation of Benefits (EOBs) to confirm correct reimbursement and identify posting discrepancies, escalating issues to the appropriate team for resolution.
Reconcile daily cash activity, ensuring payments posted align with deposit tickets and that all batches balance according to departmental standards.
Maintain and update Excel reconciliation spreadsheets to track posted payments, identify variances, and support audit and month end reporting needs.
Process financial adjustments, including refunds, voids, recoupments, and contractual adjustments, in accordance with policy and regulatory requirements.
Collaborate closely with internal departments to resolve unidentified payments, incomplete or inaccurate EOB information, and other revenue cycle issues that affect posting accuracy.
Achieve and consistently maintain departmental benchmarks for posting accuracy, productivity, and turnaround time, contributing to efficient revenue capture.
Provide exceptional internal and external customer service, delivering timely, professional communication with colleagues, payers, and practice partners.
Utilize practice management and automated data systems to research account details, verify insurance information, and retrieve electronic remittance data.
Participate actively in team meetings, staying informed of workflow updates, process improvements, and organizational initiatives.
Safeguard all sensitive information, always adhering strictly to HIPAA regulations and internal confidentiality policies.
Support operational needs during peak workloads, including availability for overtime when required.
Experience / Qualifications
Minimum of 2 years' experience posting payments supporting transplant services, including transplant procedures within a healthcare revenue cycle environment is required.
Minimum of 2 years' experience posting payments within a medical environment, preferably in a physician practice or clinic setting is required.
Strong understanding of medical terminology, with an emphasis on medical claims and reimbursement processes.
Proficiency using computer systems, including Microsoft Office Suite and healthcare practice management or billing systems.
Exceptional organizational and time management skills, with the ability to prioritize and manage multiple tasks in a fast paced environment.
Experience working with insurance companies and managed care plans.
Excellent written and verbal communication skills, with the ability to interact professionally with providers, payers, and internal teams.
Professional appearance and demeanor, demonstrating reliability and customer service focus.
Strong analytical and problem solving abilities, especially in reviewing payment accuracy and identifying posting issues.
Commitment to improving processes, enhancing customer service, and contributing to departmental efficiency.
High school diploma or GED required. Associate's degree or additional coursework in healthcare administration or medical billing is preferred
To be eligible for this position, you must reside in the same country where the job is located.
Experience working with bundled or case rate reimbursement models preferred.
Physician practice or clinic setting experience preferred