Biller/Cash Posting Representative - 1.0FTE

Job Description

Job Description

OMC Core Behavior Standards:

Create Teamwork● Lead with Honesty & Integrity● Convey Compassion● Show Respect● Pursue Quality

Osceola Medical Center is committed to implementing these behavior standards as a foundation for how we hire, develop, and retain our team members. By intentionally selecting candidates whose values and behaviors align with these standards, we ensure that our mission is lived out every day, creating an environment where patients feel valued, respected, and confident that OMC is the place for all their healthcare needs.

OMC Leadership Competencies:

Leads by Example● Models Accountability ● Self-Aware● Listen with Curiosity ● Impactful Communicator ● Relationship Building/Collaboration Focused ● Effectively Resolve Conflict ● Team Builder/Makes Others Better ● Managerial Courage ● Process Driven Problem Solver ● Financial & Business Acumen ● Regulatory Understanding ● Strategic Agility

Leadership at OMC directly influences patient safety, quality of care, employee engagement, and organizational trust. Because healthcare is complex, highly regulated, and deeply personal, we intentionally hire leaders whose competencies align with our mission, values, and behavior standards.

Schedule: 8-4:30/Mon-Fri

Job Summary:

The Biller/Cash Posting Representative is responsible for supporting accurate, timely, and compliant revenue cycle operations for hospital and clinic services. This role manages insurance claims, payment posting, account reconciliation, denial resolution, payer follow-up, and appeals while ensuring accurate application of payments, adjustments, and remittances within the Epic EMR system.

The Biller/Cash Posting Representative investigates claim and payment discrepancies, identifies trends impacting reimbursement, supports payer compliance requirements, and collaborates with billing, finance, patient access, and clinical teams to optimize revenue cycle performance. This position plays a key role in maintaining accurate financial records, improving reimbursement outcomes, and supporting efficient healthcare operations.

Responsibilities include:

Claims Management and Insurance Follow-Up

• Submit accurate and timely insurance claims using Epic EMR.
• Review and correct billing-related errors preventing claim submission.
• Investigate and resolve claim denials, payer rejections, and billing discrepancies.
• Perform payer follow-up activities to ensure timely reimbursement.
• Process appeals in accordance with federal, state, and payer guidelines.
• Document all claim actions, follow-up activities, and resolutions within appropriate systems.
• Identify recurring denial trends, payer issues, and reimbursement concerns and communicate findings to leadership.
• Prepare daily bank deposits and reconcile with cash batches and system totals. Balance and reconcile daily cash batches and coordinate with other departments on deposits and accounting accuracy
• Research and resolve payment discrepancies, unidentified payments, credit balances, and zero-pay remittances
• Collaborate with finance, billing, and patient access teams to ensure all deposits are accurately reconciled. Assist with month-end close processes and reporting as needed
• Enroll providers in EFT and ERA programs and maintain enrollment records to ensure electronic payment and remittance efficiency
• Identify denial or underpayment trends and communicate findings to appropriate team members
• Process refund requests according to policy and compliance standards
• Maintain confidentiality in accordance with HIPAA regulations
• Meet departmental productivity and accuracy benchmarks

Payment Posting and Account Reconciliation

• Post insurance payments, electronic remittance advice (ERA), explanation of benefits (EOB), electronic funds transfers (EFT), checks, and patient payments accurately and timely.
• Apply contractual adjustments, denials, write-offs, and other account adjustments according to payer and organizational guidelines.
• Balance and reconcile daily cash batches, system totals, and deposits.
• Prepare and reconcile bank deposits and collaborate with finance teams to ensure accounting accuracy.
• Research and resolve unidentified payments, credit balances, zero-pay remittances, and payment discrepancies.
• Process refund requests according to organizational policies and compliance standards.
• Assist with month-end close activities and revenue cycle reporting as needed.

Revenue Cycle Support and Collaboration

• Enroll providers in EFT and ERA programs and maintain enrollment documentation to support electronic payment and remittance processing.
• Collaborate with billing, finance, patient access, clinical departments, and other internal teams to improve revenue cycle workflows.
• Maintain productivity and accuracy standards established by the department.
• Identify opportunities for process improvement and participate in department initiatives.
• Maintain confidentiality and protect patient information in accordance with HIPAA regulations.

Knowledge, Skills, and Abilities:

• Knowledge of hospital and clinic revenue cycle processes, including claims submission, payment posting, adjustments, denials, and appeals.
• Understanding of Medicare, Medicaid, commercial payer requirements, and reimbursement guidelines.
• Knowledge of CPT, HCPCS, ICD-10-CM, and revenue codes as applicable.
• Ability to analyze and resolve billing discrepancies, payer rejections, and payment issues.
• Strong attention to detail with the ability to maintain accuracy while meeting deadlines.
• Effective written and verbal communication skills.
• Ability to work independently while collaborating effectively with revenue cycle and clinical teams.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Commitment to continuous improvement and adapting to changing processes.
• Ability to maintain HIPAA compliance and appropriately handle confidential information.

Physical Requirements:

• Prolonged sitting and computer use.
• Manual dexterity required for keyboard, mouse, and office equipment use.
• Ability to perform repetitive computer-related tasks.
• Occasional lifting up to 20 pounds.
• Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions of the position.

Qualifications:

• High school diploma or GED required; associate degree or additional medical billing education preferred.
• 1–3 years of medical billing, payment posting, claims processing, or revenue cycle experience preferred.
• Experience with hospital, clinic, CAH, or RHC billing preferred.
• Knowledge of Medicare, Medicaid, commercial payer requirements, and healthcare reimbursement processes.
• Knowledge of CPT, HCPCS, ICD-10-CM, and revenue codes as applicable.
• Experience with electronic remittance advice (ERA) and electronic funds transfer (EFT) processing preferred.
• Proficiency with Epic EMR or comparable electronic medical record and billing systems preferred.
• Strong organizational, analytical, problem-solving, and communication skills.
• Proficiency with basic computer applications, including Microsoft Office.

Work Environment:

Hybrid office-based environment with the hospital setting and remote at home

Work involves frequent computer use and regular interaction with billing, finance, patient access, clinical staff, and other internal departments.

The noise level is typically moderate. Standard work hours are Monday through Friday, with occasional overtime as needed. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Behavior-Based Leadership Expectations:

Successful candidates will:

• Treat every patient, visitor, and team member with dignity and respect.
• Take ownership of their actions and follow through on commitments.
• Adapt positively to change and support new initiatives.
• Contribute to a culture of trust, collaboration, and accountability.
• Consistently act in ways that support OMC’s mission and values.

Why Join OMC?

At OMC, we don’t just hire for skills—we hire for behaviors that align with our mission. We invest in team members who are committed to making a meaningful difference in the lives of our patients and in the communities we serve.

Osceola Medical Center is an equal opportunity employer and is committed to creating an inclusive environment for all employees.