Payment Poster

Payment Poster

The Payment Poster is a specialized role within the Revenue Cycle Management (RCM) department, responsible for accurately applying all incoming revenue to patient accounts. This position oversees the high-volume processing of insurance payments, patient responsibilities, and complex supplemental payments to ensure the accuracy of the company's financial records. The Payment Poster plays a critical role in maintaining "Cash Velocity" by ensuring that all payments are posted within established timeframes and that any variances or overpayments are promptly identified and resolved.

Primary Duties and Responsibilities

• Payment Application & Batch Management: Execute the daily posting of payment batches, including credit card transactions, electronic remittance advice (ERA), and physical checks.
• Supplemental Payment Processing: Manage complex "T19" and other supplemental payment workflows, ensuring accurate allocation across multiple platforms.
• Reconciliation & Reporting: Reconcile daily direct deposits from various payers—including Medicare, Medicaid, and commercial carriers—against system-generated batch reports.
• Overpayment Resolution: Identify and document overpayments from payers such as Optum or Medicare, initiating the necessary recoupment or refund processes in accordance with departmental SOPs.
• System Integrity: Maintain a strict documentation policy for all account activities.

Qualifications/Requirements

• Software Platform Expertise: Proficiency is required in TraumaSoft, and a plus in RescueNet for account management and payment posting.
• Clearinghouse Knowledge: Experience navigating Waystar for electronic remittance and claim validation.
• Reporting: Ability to pull and interpret detailed aged AR and productivity reports to identify trends in revenue.
• Experience: Minimum of 3–5 years in a medical billing environment, with at least 2 years specifically focused on high-volume cash posting or accounts receivable.
• Knowledge: In-depth understanding of patient financial responsibility, insurance EOBs (Explanation of Benefits), and medical collection regulations.
• Analytical Skills: Strong attention to detail with the ability to reconcile complex financial data across disparate systems.
• Communication: Professional verbal and written communication skills for coordinating with the finance team and external payers.