Medical Payment Specialist

Company: Novus Group
Location: Pittsburgh
Posted on: February 17, 2026

Job Description:

Job Description Job Description Job Title: Payment Specialist Department: Revenue Cycle Payment Posting Facility: Corporate Revenue Cycle Location: Pittsburgh, PA 15212 Shift: Full-Time, Day Job (Monday - Friday, Business Hours) Salary Range: Up to $21.00 per hour, to start Work Arrangement: On-site – Direct Hire as an employee of the Company Benefits Performance-based increases can be earned, after hire Payment Specialist: Financial Integrity & Revenue Control This critical Full-Time, Day Job role is essential for maintaining the financial health and integrity of the Company’s medical billing systems. You are not just posting payments—you are the guardian of accurate financial data. This role requires a sharp analytical mind, excellent attention to detail, and a deep understanding of the complex relationship between payments, denials, and patient accounts. What You'll Do: Key Responsibilities You will be responsible for analyzing, posting, balancing, and reporting all incoming payments and denials for designated entities and payers across various billing systems (HB, PB, & SBO). 1. Payment Posting & Reconciliation (Technical Focus) Electronic Remittance Management: Manage the retrieval, verification, import, and posting of electronic remittance files (ERAs/EFTs) , ensuring funds are deposited before posting. Balancing & Audit: Reconcile posted funds to bank deposits, identify and resolve out-of-balance situations , and promptly communicate delays or issues to management. Manual Entry: Accurately key payment data from lockbox work and EOBs, capturing all relevant data, including payer remark codes crucial for denial follow-up by the Billing Department. Exception Handling: Manually resolve rejected electronic payments (post, refund, or transfer) and manage financial adjustments like non-sufficient funds (NSFs), stop payments, and chargebacks. 2. Financial Analysis & Account Integrity Complex Interpretation: Possess expanded knowledge of Payer Level Balancing (PLB) processes and accurately interpret the relationship between co-pays, deductibles, co-insurance, allowances, and payments to ensure accurate account balances . Denial Management: Post and/or code non-cash data accurately, selecting the standard code for the reason (denial, refund request, etc.). Research & Resolution: Thoroughly research questionable or unidentified payments posted to suspense, clearing, or UTL accounts, resolving them within the established 7-day departmental standard. Audit Support: Interpret and key RAC Audit correspondence into the Audit system. 3. Reporting & Compliance Reporting: Generate and distribute payer-specific electronic posting summary and exception reports to departmental designees immediately upon completion of file runs. Productivity: Consistently meet departmental productivity standards and serve as a resource to Payment Specialist I employees as requested by management. External Communication: Navigate various payer websites or call payers directly to resolve payment inquiries as needed. What You'll Bring (Required Qualifications) Education: High School Diploma or GED is required. Experience: Four (4) years of experience in an accounts receivable environment, preferably within the health care or insurance field . Skills: Strong working knowledge of payment application, billing, and reconciliation processes . Analytical mindset with a proven ability to resolve complex financial and math challenges (out-of-balance situations). Rapid typing/data entry skills and proficiency with personal computer software, including Microsoft Excel . Preferred Qualifications Associate or B.A. degree in accounting or business.

Keywords: Novus Group, Warren , Medical Payment Specialist, Accounting, Auditing , Pittsburgh, Ohio