Payment Poster II

Description

This Is a Remote Position.

Overview

The Payment Poster is responsible for accurately posting payments and adjustments from various sources, including insurance companies and patients. The Payment Poster reconciles payments with remittances and deposits, investigates discrepancies, and ensures compliance with regulations and payer requirements. This particular position supports an acute care facility currently transitioning to an REH designation status. The primary focus is cash posting efforts, including both ERA and manual postings, to ensure accuracy and timely workflow completion.

Duties And Responsibilities

• Identifies, researches, and ensures timely processing of payments and error corrections, ensuring appropriate documentation of payments, allowances, denial, rejections, are recorded on individual accounts.
• Serve as a subject matter expert responsible for training new and existing team members.
• Provide cross coverage between multiple projects for both hospital and provider-based payment posting.
• Research and resolve payment posting issues, including unidentified payments, missing payments, and payment rejections, communicating with payers, clients, and management, as necessary.
• Ensure compliance with payer regulations and requirements by reconciling payments with remittances, deposits, paper checks, etc.
• Adhere to deadlines for payment posting and reconciliation tasks to ensure timely and accurate financial reporting.
• Maintain thorough and accurate documentation of payment posting activities, including notes on payment discrepancies, adjustments, and resolution efforts.
• Identify opportunities for process improvements and efficiencies within payment posting workflows.
• Provide excellent customer service for clients and management, responding promptly and courteously to inquiries related to payment posting and account balances.

Requirements

• Knowledge of ICD-10 diagnosis and procedure codes and CPT/HCPCS codes.
• Knowledge of EOBs, copay/coinsurance/deductibles, denial codes, insurance allowable, adjustments, and data entry.
• Knowledge of third-party operating procedures, regulations, and billing requirements as well as government reimbursement programs.
• Skilled in organization, multitasking, meeting deadlines, written and verbal communication, and interpersonal communication.
• Skilled in navigating payer portals and electronic medical record systems.
• Knowledge of revenue cycle data analysis and interpretation.
• Ability to problem-solve and organize.
• Ability to understand basic accounting principles.
• Ability to provide attention to detail.

Qualifications

• A high school diploma or equivalent.
• 3+ years of work experience in revenue cycle management, cash posting or a related field.
• Proficiency with computers including Microsoft Office Suite/Teams and GoToMeeting/Zoom, etc.