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Remittance & Cash Posting Specialist

Optima Dermatology

Optima Dermatology

Portsmouth, NH, USA
Posted on Saturday, January 20, 2024

Multi-site Dermatology Group Seeks Remittance & Cash Posting Specialist

Optima Dermatology is recruiting an experienced full-time Remittance & Cash Posting Specialist to join our growing Dermatology and Medical Aesthetics group. Hybrid, remote, and on site opportunities available based out of our Portsmouth, NH office.

Position Summary:

Reporting directly to the AR and Posting Manager the Billing Remittance & Cash posting specialist is responsible for all work associated with posting remittance and payment information including but not limited to insurance and self-pay accounts within the AR for their assigned URLs within the Optima RCM department.


  • Analyzes and applies payments, denials, and informational data from third party and patient payers in all media types- (manually and electronically)
  • Interprets explanation of benefits and insurance/patient correspondence
  • Conducts data entry and remittance posting reconciliation activities
  • Releases electronic files and resolves error reports in the practice management system
  • Responsible for online payments in all systems, daily Lock box review, remittance review, posting payments and denials for assigned carriers or URL’s
  • Completes timely carrier recoupment requests
  • Maintain set standards, metrics and KPIs and ensure individual and departmental goals are met
  • Analysis of postings when necessary
  • Attaches files to batch and/or patient account
  • Proactively identify issues or trends and provide suggestions for resolution
  • Identify lockbox issues and actively work RCM team to escalate for resolution including effective written and oral communication of issues
  • The payment/remittance poster is challenged to create the most efficient and effective posting processes, daily payment reconciliation
  • Close all open batches daily, weekly, monthly
  • Collaborates with the AR team to ensure that aging receivables paid or adjudicated but not posted are remediated promptly and root cause identified and corrected
  • Informs management, as appropriate, regarding backlogs and time available for additional tasks
  • Utilize resources such as provider portal(s), websites, provider relations teams and telephone to research, escalate and resolve any issues with missing or delayed remittances or cash posting
  • Participate in revenue cycle projects as needed
  • Maintains working day to day knowledge of the practice management system
  • Accurately documents patient accounts
  • Apprises management of concerns as appropriate
  • Works to resolve any credits created from the posting process
  • Research and validate posted payments and adjustments to ensure claims processed and posted as expected and make corrections as needed to resolve balances and leave accounts in a zero-balance state, including working overpaid and credit accounts and applying refunds as needed
  • Work with supervisor(s) to streamline billing procedures based on denial and payment delay trends
  • All other tasks as assigned


  • High School diploma or equivalent
  • Minimum one (1) year of medical billing background and a consistent record of entering demographics and insurances
  • Customer facing experience at least 1-3 years
  • Capable of adapting to multiple applications of software
  • Skill in exercising initiative, judgment, discretion, and decision-making to achieve business unit objectives
  • Knowledge of reimbursement processes, billing, and accounts receivable
  • Knowledge of CPT and ICD-10 coding
  • Knowledge of payer billing guidelines and policies
  • Ability to work independently and as part of a team
  • As necessary, negotiates a work improvement plan with management to raise work quality and quantity to standards
  • Demonstrate excellent written and verbal skills, professional etiquette and courtesy when working with both internal and external customers


The position will offer competitive compensation. In addition, it will offer the personal reward associated with transforming our patients’ lives and building the most defensible healthcare services platform in the country.


Our benefits include generous health, dental, vision, disability, and life insurance.

About Optima Dermatology

At Optima Dermatology, our mission to revolutionize skin care is made possible by our world class team that is highly engaged, mission-driven, and inspired to set the new standard in dermatology. We are growing rapidly and looking for key team members who believe in our mission and want to make a difference in the lives of our patients. We foster a collaborative environment that is fun and hardworking and promise you will work alongside amazing colleagues you are proud to call your teammates.