Payment Posting & Collections Specialist (In Person Position)

About the role

Help Patients Sleep Better. Help Healthcare Run Better. At Pivotal Health, we're dedicated to improving lives through advanced sleep apnea diagnostics, home sleep testing, and innovative sleep health solutions. Our team plays a vital role in helping patients receive timely diagnoses and effective treatment that improves their health, energy, and quality of life. We're looking for a highly motivated Payment Posting & Collections Specialist who thrives in a fast-paced healthcare environment and is passionate about ensuring accurate reimbursement, resolving insurance issues, and supporting exceptional patient care.

Responsibilities

• Accurately post insurance and patient payments, adjustments, denials, and contractual write-offs.
• Analyze and interpret Explanation of Benefits (EOBs), including deductibles, coinsurance, copays, and contractual adjustments.
• Reconcile payment activity and maintain accurate accounts receivable records.
• Track and document electronic and manual payment deposits.
• Investigate payment discrepancies, underpayments, and outstanding balances.
• Conduct insurance follow-up to resolve denied, rejected, or unpaid claims.
• Prepare and submit appeals through payer portals and paper-based processes.
• Monitor claim status and identify barriers to reimbursement.
• Communicate effectively with insurance carriers to resolve claim and payment issues.
• Collaborate with providers and internal teams to obtain missing or incomplete information needed for claim adjudication.
• Respond professionally to patient and payer billing inquiries.
• Scan, organize, and maintain EOB documentation and supporting records.
• Identify reimbursement trends, payer issues, and denial patterns and report findings to management.
• Utilize billing software and revenue cycle tools efficiently to optimize workflow and collections.

Qualifications

• Minimum 1 year of experience in medical payment posting, accounts receivable, collections, or medical billing.
• Strong understanding of medical billing processes, insurance claims, and reimbursement methodologies.
• Experience reviewing and interpreting EOBs.
• Knowledge of commercial insurance, Medicare, Medicaid, and other healthcare payers.
• Excellent analytical, organizational, and problem-solving skills.
• Strong verbal and written communication skills.
• Ability to prioritize tasks, meet deadlines, and work independently with minimal supervision.
• Proficiency with medical billing and practice management software.

Preferred Experience

• Experience in sleep medicine, sleep apnea treatment, diagnostic testing, respiratory care, or DME billing.
• Experience with denial management and insurance appeals.
• Familiarity with high-volume medical payment posting environments.

Benefits

Full-time, stable position in an expanding specialty healthcare field.

Schedule

In Person Work Schedule could be: 8:00AM - 4:30PM, 8:30AM - 5:00PM, or 9:00AM - 5:30PM.

Pay

Competitive salary based on experience and qualifications.

About Pivotal Health

Pivotal Health specializes in sleep apnea diagnosis, sleep testing, and patient-centered sleep health solutions. Our mission is to help patients achieve healthier lives through better sleep. Every member of our team contributes to delivering outstanding care, improving patient outcomes, and supporting a seamless healthcare experience.

Equal Opportunity Employer

Pivotal Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, protected veteran status, or disability status.

Reasonable Accommodation

Applicants with disabilities who require a reasonable accommodation during the application or hiring process may contact: Brenda Underwood, HR Director.

E-Verify Participation

Pivotal Health participates in E-Verify. Federal law requires employers to verify the identity and employment eligibility of all individuals hired to work in the United States.