Hospital Insurance Payment Poster - HRS

Hospital Insurance Payment Poster

The Hospital Insurance Payment Poster is responsible for accurately posting insurance and patient payments into the hospital's billing system. This includes processing Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and reconciling posted payments with bank deposits. The role is crucial for maintaining accurate accounts receivable and ensuring timely reimbursement from insurance payers. Travelling to the customer sites is required up to 50%, (2 weeks per month). Applicants must be willing to travel to the New England area Monday Friday. All reasonable travel expenses will be paid by the customer, including airfare, hotel, car rental and daily per-diem.

Essential Functions:

• Review and accurately post payments from insurance companies and patients using EOBs, ERAs, and lockbox reports.
• Balance and reconcile daily payment postings with bank statements and deposit records.
• Identify and resolve discrepancies such as underpayments, overpayments, and denials.
• Post patient co-pays, deductibles, and cash payments received from front desk or mailed payments.
• Work closely with billers, collectors, and insurance companies to ensure accounting accuracy.
• Apply adjustments and write-offs according to policy and contractual agreements.
• Maintain a high level of accuracy and attention to detail in data entry.
• Respond to internal inquiries regarding payment status or posting issues.
• Ensure all payment posting activities are completed within required timelines.
• Maintain HIPAA compliance and patient confidentiality in all activities.

Required Skills:

• 13 years of experience in healthcare payment posting or medical billing.
• Strong knowledge of medical billing and insurance reimbursement processes.
• Familiarity with EOBs, ERAs, and various payer rules.
• Proficient in billing systems (e.g., Epic, Cerner, Meditech, or similar).
• Strong Excel and data entry skills.
• Detail-oriented with excellent organizational skills.
• Ability to work independently and in a team setting.
• Knowledge of CPT, ICD-10, and HCPCS codes is a plus.

Topics related to the role of Payment Poster include knowledge in the following areas:

Governmental Billing - Commercial Billing - Eligibility verification

Aging AR follow-up - Denial remediation - 837 claim resubmittals

EOB/ERA cash posting Necessity - 835 remit interpretation Claim Clearinghouse - Reason Codes, Remark Codes

Prior Authorization requirements Patient data validation - CPT Codes and Modifiers Epic, MEDITECH, Cerner experience - Diagnosis Code(s), ICD-10 Insurance websites

Preferred Skills:

• Strong organizational and communication skills and works well under pressure
• Team player, works with integrity, respects themselves, their peers, and conducts themselves professionally.
• Honest and transparent, does the right thing for their peers and our customers
• Recognizes his/her value to the company and the important role they have in customers satisfaction.
• Strong analytical skills, technical skills working with the nation's most popular EMR's Epic, MEDITECH, and Cerner
• Intermediate to advanced Microsoft Excel skills

Language Skills: Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to write reports, business correspondence and procedure manuals. Ability to effectively present information and respond to questions from a variety of both internal and external sources.

Physical Capabilities: Standard categories The physical capabilities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

RevSpring is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.