Payment Poster

The Payment Posting Specialist is responsible for accurate and timely posting of insurance and patient payments, reconciliation of bank deposits, and appropriate use of applicable adjustment codes. This includes the posting of both electronic and manual payments into the practice management system while resolving any electronic rejections

Payments will be entered into the practice management system in an efficient and timely manner determined by Revenue Cycle Management (RCM). They work with the Business Office Supervisor to escalate payment posting issues to prevent incorrectly posted payments

Responsibilities include but are not limited to: Posts payments both electronically and manually into the practice management system according to set standards and productivity measures (payments processed include live checks, electronic transfers, and credit cards)

Posts approved contractual adjustments, denials, write offs, and post reason codes for non-payment transactions

Moves applicable amounts to identified insurance carriers or patient liability per department financial policies and procedures

Verifies all monies have balanced to batch total upon batch completion

Identifies and corrects misapplied payments/adjustments

Reconciles EOBs and cash deposits to maintain appropriate allocation of cash receipts

Posts unapplied cash and investigate to determine appropriate account allocation

Assists the Supervisor in the creation and maintenance of daily/weekly/monthly cash deposit log

Identifies and communicates cash deposit trends to leadership

Reviews and audits refund requests as needed in accordance with management policies and procedures

Strives to maintain posting of cash within 24 hours of receipt to practice management system

Ensures payments are deposited and posted to patient accounts and reconciled before each month-end period ends

Communicates with Coders, Claim Readiness Specialist, and Business Office staff when necessary to resolve errors and clarify issues

Identifies process opportunity trends and recommend ways to improve efficiencies

Ensures adherence to third party and governmental regulations relating to coding, billing, documentation, compliance, and reimbursement

Participates in special projects, personal development training, and cross training as instructed

Informs Supervisor of trends, inconsistencies, discrepancies for immediate resolution

Works in conjunction with peers and functional areas of the Business Office department for the betterment of completing tasks and the company overall

Performs other position related duties as assigned

High School Diploma or equivalent required.

Minimum 2 years cash posting, billing or follow-up experience within a physician’s office or medical environment

Experience in Urology physician practice environment preferred

Knowledge of medical terminology, healthcare coding systems, and clinics functions

Maintain a complete understanding of payment posting protocols and required software system

Develop and maintain a working knowledge of payer rules and guidelines

Track trends, inconsistencies, or discrepancies and resolve and/or escalate to a supervisor as appropriate

Ability to follow policies and procedures for compliance, medical billing, and coding

Ability to type and enter data with proficiency and accuracy

Proven ability to manage multiple projects at a time while paying strict attention to detail

Ability to successfully meet departmental deadlines

Knowledge of governmental regulations and compliance requirements

Knowledge of Medicare, Medicaid, managed care, and other third-party payer’s guidelines

Excellent verbal and written communication skills

Excellent organizational skills and attention to detail

Strong analytical and problem-solving skills

Skill in using computer programs and applications including Microsoft Office

Complies with HIPAA regulations for patient confidentiality

Complies with all health and safety policies of the organization