Payment Poster

Job Overview

The Payment Poster is a specialized role within the Revenue Cycle Management (RCM) department, responsible for accurately applying all incoming revenue to patient accounts. This position oversees the high-volume processing of insurance payments, patient responsibilities, and complex supplemental payments to ensure the accuracy of the company's financial records. The Payment Poster plays a critical role in maintaining "Cash Velocity" by ensuring that all payments are posted within established time frames and that any variances or over payments are promptly identified and resolved .

Primary Duties and Responsibilities

• Payment Application & Batch Management:
  Execute the daily posting of payment batches, including credit card transactions, electronic remittance advice (ERA), and physical checks.

• Supplemental Payment Processing:
  Manage complex "T19" and other supplemental payment workflows, ensuring accurate allocation across multiple platforms.

• Reconciliation & Reporting:
  Reconcile daily direct deposits from various payers-including Medicare, Medicaid, and commercial carriers-against system-generated batch reports.

• Overpayment Resolution:
  Identify and document over payments from payers such as Optum or Medicare, initiating the necessary recoupment or refund processes in accordance with departmental SOPs.

• System Integrity:
  Maintain a strict documentation policy for all account activities.

Qualifications/Requirements

• Software Platform Expertise:
  Proficiency is required in Trauma Soft, and a plus in Rescue Net for account management and payment posting.

• Clearinghouse Knowledge:
  Experience navigating Waystar for electronic remittance and claim validation.

• Reporting:
  Ability to pull and interpret detailed aged AR and productivity reports to identify trends in revenue.

• Experience:
  
  Minimum of 3-5 years in a medical billing environment, with at least 2 years specifically focused on high-volume cash posting or accounts receivable.

• Knowledge:
  In-depth understanding of patient financial responsibility, insurance EOBs (Explanation of Benefits), and medical collection regulations.

• Analytical
  
  Skills:
  
  Strong attention to detail with the ability to reconcile complex financial data across disparate systems.

• Communication:
  Professional verbal and written communication skills for coordinating with the finance team and external payers.

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