Payment Posting Specialist - Revenue Cycle

About the role

The Payment Posting Specialist within the UNLV Health revenue cycle operation is responsible for the maintenance, control, payment posting, and final disposition of incoming payments. This includes analyzing Explanation of Benefits (EOBs) to ensure accurate posting of payments, handling rejection codes, adjustments, and posting requirements in Epic. The role also involves coordinating workflows with the Credit Analyst at month-end and supporting ERA and EFT processes.

Responsibilities

• Post all incoming payments received through lockbox, electronically, and bank deposits to appropriate invoices via Epic
• Identify and correct accuracy of payments per payer contracts/fee schedules
• Post patient payments based on submitted information or allocate to oldest open invoices if instructions are absent
• Process and post cash receipt deposits and credit card payments from patients and other departments
• Post Medicare, Medicaid, and other third-party payer payments, ensuring accuracy and reviewing invoice details
• Research missing and misapplied payments and perform payment reversals and adjustments
• Utilize various systems for payment posting, reconciliation, and control (Epic, Google Workplace, Excel, etc.)
• Ensure accurate and timely posting of Medicare, Medicaid, and other third-party payer payments
• Reconcile payment batches and identify system errors, undistributed payments, and resolve issues
• Reconcile electronic payment posting of Medicaid and Medicare against checks and ACH transactions
• Maintain communication with internal and external stakeholders
• Review and reconcile credit/undistributed balances, transferring payments or issuing refunds as necessary
• Aid with month-end close as needed
• Process approved write-off accounts and perform payment adjustments as requested
• Congratulate and adjust with management, PFS Unit, and departments for adjustments
• Process adjustment requests and verify validity in coordination with the Cash Manager
• Post unidentified payments to clearing accounts and conduct research for appropriate allocation
• Transfer pre-payment postings from other departments and reconcile patient accounts for the Department of Psychiatry
• Communicate with insurance companies, client departments, and government agencies regarding refund requests and inquiries

Qualifications

• High School Diploma or equivalent
• Two years of related administrative experience or an equivalent combination of education and experience
• General knowledge of accounting controls and standard cashier policies
• Demonstrated ability to use a computer with Microsoft Office and Excel knowledge
• Excellent oral and verbal communication skills
• Experience with interpreting Insurance Explanation of Benefits
• Experience with Epic medical payment posting system preferred

Physical Requirements

• Standing, sitting, and/or walking for extended periods
• Performing repetitive tasks
• Working on a special schedule (i.e., evenings and weekends)
• Working with challenging patients
• Lifting up to 25 pounds