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 timeframes and that any variances or overpayments 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 overpayments 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 TraumaSoft, and a plus in RescueNet 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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