Accurately post payments, adjustments, recoupments, and offsets received from health plans and managed care organizations Review and reconcile Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), EFT payments, and check payments Identify and resolve payment discrepancies, underpayments, overpayments, and unapplied payments Research reimbursement issues and coordinate with payers to obtain additional information when needed Monitor payer payment trends and escalate recurring reimbursement issues Review denied claims and determine appropriate action for resolution Submit corrected claims, disputes, reconsiderations, and appeals as appropriate Work collaboratively with billing, authorization, and operations teams to resolve claim issues impacting reimbursement Track and follow up on outstanding denials and high-dollar balances Maintain accurate documentation of payment posting activities, denial resolutions, and account follow-up efforts Assist with month-end payment reconciliation and reporting Ensure compliance with payer guidelines, company policies, and regulatory requirements Support special revenue cycle projects and departmental initiatives as assigned. Associate or bachelors degree in healthcare administration, business administration, accounting, or another related field preferred Experience working with Medi-Cal managed care plans and government-funded healthcare programs Experience using eClinicalWorks (eCW) Experience billing, posting payments, and resolving denials for ECM, CS, Outreach, or other Medi-Cal funded programs Experience with claim appeals, disputes, and denial prevention strategies.