Payment/Refunds Coordinator

Employment Status: Full-time FLSA: Non-Exempt Location: Fully Remote or Hybrid Reports to: RCM Manager Date: 1/1/2026 Job Summary: The Payment/Refunds Coordinator is responsible for accurately posting all payer, patient, client, and agency payments into the billing system in a timely manner. This role ensures that all electronic and manual remittance advice (ERA/EOB), zero‐pay remits, payer takebacks, and lockbox payments are processed correctly. This position ensures proper adjustments are applied, resolves credit balances, researches unapplied payments, and assists with month‐end closing activities to support accurate financial reporting. The Payment/Refunds Coordinator plays a key role in assuring all remittances are posted accurately and correctly to properly bill patients and clients for their outstanding balances. Key Responsibilities: Accurately post all incoming payments from payers, patients, clients, and agencies into the billing system. Process electronic and manual remits, including zero‐pay remits and payer takeback transactions. Post lockbox payments, credit card payments, ACH deposits, and any other payment types as required. Ensure correct contractual and non-contractual adjustments are applied to accounts. Research and resolve unapplied or misapplied payments. Identify and resolve credit balances; create and process refunds to payers or patients as appropriate. Investigate and correct payment posting discrepancies and remittance errors. Monitor and work payer remittance issues, including missing ERA files, incomplete remits, or posting rejections. Balance daily postings to bank deposits and remittance files. Collaborate with billing, collections, and finance teams to resolve payment or adjustment issues. Assist with month-end close tasks, including balancing reports and identifying outstanding posting items. Support audits and financial reviews with accurate posting data and documentation. Participate in process improvement efforts related to payment posting workflows. Maintain confidentiality and compliance with HIPAA and all payer-specific billing requirements. Ensure adherence to organizational revenue cycle policies and procedures. Perform other duties as assigned by Manager. Qualifications: Education: High school diploma or equivalent required, some college preferred. Experience: Minimum of 1-2 years of experience in medical billing, payment posting or revenue cycle operations Experience with billing software (Telcor preferred), clearinghouses and payer portals. Strong understanding of EOB/ERA formats, payment types, payer adjustments, and medical billing terminology Skills: Exceptional attention to detail, accuracy, and problem-solving skills. Ability to analyze and resolve complex remittance issues. Familiarity with Microsoft products and virtual meeting software (e.g., Microsoft Teams). Ability to work independently while collaborating effectively with cross-functional teams. Performance Indicators: Maintain high accuracy and productivity in payment posting. Reduce unapplied/misapplied payments and minimize posting errors. Compliance with HIPAA and all confidentiality standards. Compliance with internal billing and documentation policies and SOPs. Effective communication with team members and laboratory departments. Job Type: Full-time Pay: $20.00 - $25.00 per hour Expected hours: 40 per week Benefits: 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid sick time Paid time off Vision insurance Work Location: In person