Payment Poster

Description

The insurance payment poster accurately and promptly posts insurance payments, adjustments, and denials to patient accounts for the hospital and associated clinics. This position supports accurate account balances, timely follow-ups, and efficient revenue cycle operations.

• Post insurance payments from electronic remittance advice (ERA), explanation of benefits (EOBs), checks, and electronic funds transfers (EFTs).
• Apply contractual adjustments, deductibles, copayments, and coinsurance according to payer remittance information and facility policies.
• Reconcile payment batches to remittance totals and funds received, researching and resolving discrepancies.
• Review remittance information for underpayments, over payments, denials, and incorrect adjustments; route issues to the appropriate staff for follow‑up.
• Transfer patient responsibility and remaining insurance balances to the appropriate account or payer.
• Identify credit balances and potential refunds for review and approval.
• Record payment reversals, recoupments, and corrected payments accurately.
• Maintain clear account notes and support payment documentation.
• Communicate with billing, collections, and patient access staff to resolve account issues.
• Protect patient confidentiality and follow HIPAA requirements and facility policies.
• Meet established productivity, accuracy, and posting turnaround expectations.
• Perform other related duties as assigned.

• High School diploma or equivalent required.
• Previous medical payment posting, billing, bookkeeping, or related experience preferred.
• Knowledge of insurance terminology, EOBs, ERAs, contractual adjustments, and patient responsibility.
• Familiarity with Medicare, Medicaid, and commercial insurance payments preferred.
• Strong attention to detail basic math skills, and problem‑solving abilities.
• Ability to manage multiple tasks and work independently.
• Experience using electronic health record or patient accounting systems preferred.
• Payment integrity and reconciliation
• Strong ability to interpret explanation of benefits (EOBs) and remittance advices (Ras)
• Familiarity with the HIPAA standard electronic (835) healthcare transaction is a plus

None

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

1. moderate periods of sitting/standing/walking

2. pushing pulling

3. lifting/carrying = 50 lbs.

4. crawling

5. climbing

6. kneeling/bending

7. visual acuity

8. hearing acuity