Job Description

Payment Posting & Collections Specialist (In Person Position)

Pivotal Health | Sleep Medicine & Diagnostic Testing

Baltimore, MD | Full-Time | In Person

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

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.

If you're experienced in medical billing, payment posting, collections, and insurance follow-up—and enjoy solving complex reimbursement challenges—we want to hear from you.

What You'll Do

As a Payment Posting & Collections Specialist, you will be a key member of our Revenue Cycle team, helping ensure accurate payment processing and maximizing reimbursement for sleep testing and sleep apnea services.

Key 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

Required

• 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 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.

Why Join Pivotal Health?

✅ Make a meaningful impact on patient outcomes in sleep health

✅ Join a growing healthcare organization with opportunities for advancement

✅ Collaborative, supportive, and mission-driven culture

✅ Work with experienced healthcare and revenue cycle professionals

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

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.

Affirmative Action Plan (AAP)

The Affirmative Action Plans for Minorities and Women, Individuals with Disabilities, and Protected Veterans are available for inspection by appointment with Human Resources during regular business hours.

Reasonable Accommodation

Applicants with disabilities who require a reasonable accommodation during the application or hiring process may contact:

Brenda Underwood, HR Director

(864) 272-1843

TTY 711 (Relay)

Employment Eligibility & E-Verify

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.

Apply Today

Ready to bring your medical billing and collections expertise to a growing leader in sleep health? Apply today and join the team helping patients sleep better, live healthier, and receive the care they deserve.

REQUIREMENTS

Required

• 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.

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