Payment Poster

Payment Poster (Administrative)

The Payment Poster will be responsible for timely and accurate posting of patient, insurance and third‑party administrator payments to patients' accounts. The Payment Poster will report directly to the Billing Manager and will collaborate closely with Accounting and Revenue Cycle team members.

• Maintain Deposit Log on a daily and monthly basis
• Apply all insurance payments both electronically and manually with 98% accuracy in multiple billing systems
• Identify payment inaccuracies and track down missing payment info from insurance carriers and ESH Billing clients
• Critically examine a patient's entire payment history to detect inconsistencies or inaccuracies
• Use insurance payer portals to locate payments and EOBs
• Verify all payment activity to ensure 100% accuracy
• Report problems immediately, including unreadable or unacceptable data, to the appropriate individual
• Communicate and document payment denials in the practice management system and to the Billing Manager
• Verify all EFT deposits and scanned checks have been posted daily
• Reconcile posted payment batches daily and submit them to the Billing Manager once completed
• Communicate professionally with clients, patients and other departments to resolve payment issues
• Create and transmit monthly invoices for clients
• Maintain insurance credit balances at or below 5%
• Maintain self‑pay credit balances
• Transfer credits between encounters and billing systems as needed to resolve patient accounts
• Multi‑task, prioritize appropriately, and work well individually and as part of a team
• Perform various clerical and typing duties
• Perform other related duties as assigned

• 2-3 years of hospital‑based insurance payment posting experience, including a strong understanding of healthcare payer systems such as Medicare, Medicaid, and commercial insurers
• Familiarity with HIPAA, coding guidelines, and other healthcare regulatory requirements
• Detail‑oriented with a strong focus on accuracy and compliance
• 3+ years experience with medical billing software (ESH currently uses Cerner/Oracle); preferred 1+ year experience working in a critical access hospital or rural healthcare setting
• 2+ years experience with both inpatient and outpatient claims processes (preferred)