to manage payment intake and reconciliation processes. This position is responsible for accurately processing and posting a high volume of payments, both manually and electronically, while ensuring all account adjustments are applied and records remain up to date. The Payment Poster will play a key role in maintaining accurate account standings and supporting the overall efficiency of the billing cycle.
The ideal candidate will hold a post-secondary degree and possess a minimum of one year of experience in accounts receivable, remittance processing, or a related role within medical billing or customer service. Strong attention to detail, organizational skills, and the ability to manage a fast-paced workload are essential for success in this position.
KEY FUNCTIONS AND RESPONSIBILITIES:
Accurately accept payments and process billing statements in a timely manner.
Record and reconcile patient and insurance payment deposits.
Prepare and balance daily payment batches.
Conduct regular audits to ensure accuracy of billing cycles.
Review and interpret Explanation of Benefits (EOBs) from insurance carriers, including co-pays, deductibles, co-insurance, contractual adjustments, and denials, to verify patient account balances.
Scan and upload all EOBs into the system while maintaining organized hard-copy files by date.
Apply appropriate ANSI denial codes and document comments to support appeals and payment follow-up processes.
Post all personal, insurance, and liability payments from remittances and EOBs to the correct accounts with minimal errors.
Accurately apply both manual and automated payments across Medicare, Medicaid, and commercial insurance payors.
Investigate unidentified payments to ensure accurate posting, contact senders for clarification when necessary.
Reconcile variances on paper and electronic EOBs to determine proper allowances and ensure correct write-offs.
Compare downloaded files to direct deposits and resolve discrepancies.
Assist with daily check deposits and maintain detailed deposit logs.
Communicate with patients, insurance companies, or third-party administrators to clarify payment details when required.
+ Support the setup of Electronic Remittance Advices (ERAs) for payors.
+ Maintain accurate billing records and promptly report discrepancies to the accounting team.
+ Research and address inquiries in a professional and courteous manner, collaborating with Revenue Cycle team members to identify and resolve escalated customer concerns.
MINIMUM QUALIFICATIONS:
High school diploma or GED required; associate or bachelor's degree preferred.
Minimum of one (1) year of experience in billing, clerical, or a related role, preferably in a medical setting.
Demonstrated ability to process a high volume of work accurately and efficiently.
Working knowledge of Explanation of Benefits (EOBs).
Proficiency in data entry and typing.
Strong attention to detail and organizational skills.
Ability to multitask and manage time effectively in a deadline-driven environment.
Ability to handle payments in accordance with established procedures and detailed instructions.
WORKING CONDITIONS
Maintain proper and professional grooming at all times.
Perform tasks that may involve prolonged periods of standing, bending, or working at a computer.
Lift items weighing up to 15 lbs. as needed.
Thrive in a fast-paced, controlled, and complex work environment.
* Follow safety protocols when exposed to materials or situations that require protective equipment.
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