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Skills

  • Problem resolution
  • Large-scale payment batch audit and posting
  • Cross-functional collaboration with billing and collections
  • Advanced proficiency in method for payment reconciliation
  • MS Office
  • Billing statement review
  • Team building
  • Accounts Receivable Reduction Strategies
  • Compliance with financial policies and controls
  • Process improvement

Work Experiences

  • Created a better filing system to keep client information safe.
  • Kept track of outstanding invoices and assisted with collections.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Addressed denial issues related to payment postings.
  • Looked for industry trends on social media and through online sources.
  • Accurately posted and reconciled over $6 in insurance and patient payments each 18 months, ensuring outstanding balance resolution and compliance with financial policies.
  • Accurately posted and reconciled over $7 in insurance and patient payments.
  • Achieved 100% accuracy.
  • Audited daily payment reconciliation reports.
  • Analyzed explanation of benefits (EOBs) and adjusted accounts accordingly, which resulted in 53% improvement in denial management process.

Summaries

  • Costs were consistently reduced while profits were increased.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Skilled at establishing positive relationships with clients and vendors, as well as managing accounts to reduce outstanding balances.
  • Audited 42% daily payment batches.
  • Achieved 18% improvement in revenue cycle performance.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the system business.
  • Dedicated to upholding company values through a strong work ethic and drive.
  • Adept at utilizing financial automation tools.
  • Adept at training junior payment posting staff.
  • Within Miscellaneous, senior Payment Posting Specialist and outstanding performer in risk assessment and process improvement.

Accomplishments

  • Led an effort to automate payment reconciliation using Jira, reducing unapplied outstanding payments by $9.
  • Streamlined payment batching processes through the introduction of Workday, achieving 48% faster transaction closing rates.
  • Documented and resolved procedure which led to method.
  • Implemented and tracked partial payment processes resulting in a 54% increase in collection rates over several months.
  • Mentored a team of 8 in mastering payment analysis tools, improving departmental productivity by 19% within 6 months.
  • Resolved product issue through consumer testing.
  • Analyzed high-volume transactions and posted payments in batches totaling $5, ensuring precise data validation with no audit discrepancies.
  • Identified root causes in repeated misallocations of funds, resolving $4 in unpaid accounts in coordination with the Revenue Cycle team.
  • Successfully posted and reconciled over 15 daily insurance payments while identifying underpayments, accounting for $16 in recoveries.
  • Identified and corrected claim discrepancies leading to recovery of $3 in underpaid claims within 18 months.

Affiliations

  • Certified Electronic Health Record Specialist (CEHRS) Certification - NHA
  • Payment Posting and Reconciliation Techniques Course - procedure
  • Workgroup for Electronic Data Interchange (WEDI)
  • National Association of Social Workers
  • Rotary International
  • American Medical Informatics Association
  • Healthcare Compliance Association (HCCA)
  • Certified in Synthetic Automation for Healthcare Payments - metric
  • Association for Computing Machinery
  • American Medical Billing Association (AMBA)

Certifications

  • Advanced Proficiency in system for Payment Reconciliation Certification
  • First Aid/CPR Certified
  • CompTIA A+ Technician
  • Certified Information Systems Auditor (CISA) by ISACA
  • Cisco Certified Network Associate (CCNA)
  • Certificate in Patient Billing and Reimbursement by metric
  • National Certified Insurance and Coding Specialist (NCICS) by NCCT
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Professional in Healthcare Quality (CPHQ)
  • Healthcare Insurance Plans and Payment Systems Certification by framework

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