POSITION SUMMARY:
The Payment Poster is responsible for accurately posting insurance and patient payments into the practice management system, reconciling daily deposits, and flagging any payment discrepancies. This position plays a vital role in supporting the revenue cycle by ensuring timely and accurate recording of revenue and maintaining compliance with payer guidelines and pediatric billing standards. The ideal candidate has excellent attention to detail, understands healthcare reimbursement workflows, and is committed to the integrity of patient account data.
ESSENTIAL FUNCTIONS:
Payment Processing & Posting
- Post daily insurance and patient payments, including ERA, paper checks, and credit card transactions.
- Apply manual EOBs and electronic ERAs to the correct patient accounts.
- Accurately reconcile all payments to deposit batches.
Account Reconciliation & Auditing
- Identify underpayments, denials, or discrepancies and escalate for resolution.
- Monitor unapplied balances and ensure proper allocation in collaboration with the billing team.
- Assist in processing patient refunds and payment adjustments as appropriate.
Reporting & Documentation
- Maintain payment by posting logs and reconcile accounts on a daily, weekly, and monthly basis.
- Generate reconciliation and financial reports as needed by leadership.
- Ensure accurate documentation and audit trail of all transactions in accordance with internal protocols.
Compliance & Confidentiality
- Maintain compliance with HIPAA and all state/federal billing regulations.
- Protect the confidentiality and integrity of all patients’ financial data.
- Adhere to the company’s policies and procedures for ethical billing practices.
Collaboration & Communication
- Work closely with billing and collections staff to ensure timely account resolution.
- Provide updates or feedback on trends related to payment denials, payer policy changes, or technical issues.
- Attend regular team meetings and trainings to stay informed on policy updates.
KNOWLEDGE, SKILLS & ABILITIES
- Exceptional attention to detail, accuracy, and timeliness.
- Proficient in navigating practice management systems and EHRs.
- Strong understanding of payer types (Medicaid, Managed Care, Commercial).
- Familiarity with pediatric-specific billing practices and coding structures.
- Excellent communication and problem-solving skills.
- Ability to prioritize and work independently in a high-volume environment.
- Comfortable interpreting EOBs and payer remittance reports.
EDUCATION & EXPERIENCE
- High School Diploma or equivalent required; Associate degree or billing certification preferred.
- 1–2 years of payment posting or medical billing experience; pediatric or multi-specialty preferred.
- Previous experience with payer portals and ERA reconciliation preferred.
SUPERVISORY RESPONSIBILITIES
WORKING CONDITIONS
- General office working conditions in a clinic or community center environment
- Some standing, sitting, and light lifting may be required.
Work Location: In person
