Compass Revenue Solutions · 1 day ago
Payments Specialist
Compass Revenue Solutions is seeking a Payments Specialist who will be responsible for accurately posting, reconciling, and managing insurance payments for behavioral health providers. This role is crucial for maintaining clean payment data and optimizing reimbursement outcomes to support the financial health of the company and its clients.
Responsibilities
Accurately post and reconcile insurance payments and electronic remittances (ERAs)
Review and interpret Explanation of Benefits (EOBs) to ensure correct allocation of payments and adjustments
Identify and escalate denied claims, underpayments, and payment discrepancies
Coordinate with third-party vendors to mitigate cost-containment impacts and support repricing workflows
Enter claim data into Compass’ workflow-management platform to support repricing and payment negotiation processes
Monitor for opportunities to recover additional revenue through rate negotiations and appeals
Maintain compliance with payer policies, HIPAA regulations, and internal documentation standards
Deliver accurate and timely reporting to internal stakeholders to support decision-making and operational alignment
Perform other duties as assigned by the Payments Supervisor or RCM Director
Qualification
Required
1–3 years of experience in medical billing, payment posting, or healthcare revenue cycle management (behavioral health preferred)
Familiarity with insurance reimbursement, claim processing, and third-party repricing vendors
Strong attention to detail, organization, and data accuracy
Proficiency with EHR systems, billing platforms, and Microsoft Office tools
Effective written and verbal communication skills
Strong critical thinking and problem-solving ability
Benefits
Medical, Dental, Vision, Life
Employee Assistance Program
401k Match
Paid-Time Off
Sick Time
Holiday Pay