Payment Poster

Payment Poster

Rewarding career. Competitive salary. Outstanding benefits.

The Payment Poster is responsible for accurate and timely posting, reconciliation, and research of payments and adjustments within Patient Financial Services. This position processes electronic and manual remittances, identifies and resolves payment discrepancies, and ensures payments are applied to the correct patient accounts in accordance with payer documentation and established workflows.

This role supports hospital and clinic services in a Critical Access Hospital (CAH) environment and requires an understanding of payer benefits, revenue cycle workflows, and customer service excellence. Patient Financial Services representative serves as a key point of contact for both patients and providers, ensuring accounts are handled accurately, efficiently, and compassionately.

STANDARD EXPECTATIONS

• Promotes a Positive Working Environment
  • Conducts oneself in line with organization's mission, values and standards of behavior.
  • Accepts change and challenges with a positive attitude.
  • Consistently adheres to organizational policy.
• Communicates Effectively
  • Builds relationships and works collaboratively with other staff.
  • Provides timely operational updates to supervisor.
  • Responds to communications in a timely manner.
• Performs Duties Efficiently and Effectively
  • Follows procedures.
  • Acts in compliance with applicable federal, state, and local regulations.
  • Performs other duties as assigned.

DUTIES & RESPONSIBILITIES

Payment Posting & Cash Application

• Post insurance and patient payments accurately and timely from electronic remittance advice (ERA), explanation of benefits (EOB), checks, cash, credit card transactions, and other approved payment sources.
• Post and apply cash and credit card payments to the appropriate patient or guarantor account in accordance with established procedures.
• Apply contractual adjustments, patient responsibility, and other remittance adjustments according to payer documentation and established procedures.
• Ensure payments and adjustments are posted to the correct patient account, encounter, payer, and service line.
• Review posting batches for completeness and accuracy prior to finalization.

Reconciliation & Deposit Support

• Reconcile daily posted payments to remittance totals, payment batches, cash receipts, credit card activity, checks, and electronic funds transfers (EFT).
• Balance posted payment activity to bank deposits and EFT transactions, ensuring amounts received agree to amounts posted in Epic.
• Identify and research variances between bank/EFT activity, payment documentation, and amounts posted in Epic.
• Maintain accurate daily reconciliation records and supporting documentation.
• Escalate unresolved reconciliation discrepancies to the Sr. Manager of Billing & Reimbursement as appropriate.

Payment Research & Exception Handling

• Research unidentified, unapplied, misapplied, or missing payments and take appropriate action to ensure accurate account application.
• Review payer remittances for payment reversals, recoupments, takebacks, offsets, and other payment activity requiring follow-up.
• Identify payment posting issues that may affect patient balances or accounts receivable and communicate findings to appropriate team members.
• Route denials, underpayments, coding issues, and other non-posting account concerns to the appropriate Patient Financial Services team member.

Correspondence & Remittance Processing

• Receive, review, and process payer and patient financial correspondence related to payments, remittances, refunds, recoupments, and account activity.
• Ensure correspondence is accurately scanned, indexed, documented, or routed to the appropriate patient account or Patient Financial Services team member.
• Review paper and electronic remittance correspondence for information affecting payment posting or account balances.
• Route denials, requests for information, appeals, and other non-payment correspondence to the appropriate team member for timely follow-up.
• Maintain organized and accurate correspondence records in accordance with department procedures.

Epic HB System Responsibilities

• Utilize Epic HB payment posting workflows, work queues, reports, and account activity to complete assigned duties.
• Maintain clear and compliant account documentation within Epic.
• Validate payer, guarantor, and account information when researching payment activity.
• Report Epic workflow issues or system errors impacting payment posting or reconciliation.

Compliance, Accuracy & Internal Controls

• Follow…