AR Payment Poster

Radiology Billing Specialist

When it comes to providing quality, patient-centered care local matters. Our doctors and staff are invested in the community. We're your local team of radiology experts. With cutting-edge medical imaging technology, highly trained clinical staff, and board-certified radiologists, we bring patient care and imaging excellence into focus.

Casper Medical Imaging has proudly been serving our community since 1971. We have long standing roots in the great state of Wyoming and are proud to be able to provide expanded services not just to our state, but our region.

The AR Payment Poster will be flexible and adaptive, anticipating growth within our expanding outpatient practice to include adding multiple sites as well as providers to our billing matrix. The ability to adapt to a growth mindset and be willing to learn and take accountability is a must for any individual within the walls of CMI and OPR. Empathic and positive attitude is a required mindset for all employees as it is our duty to connect on a stelar level with one another as co-workers, but even more important is our patience and referring providers.

We practice PATIENT with our peers and all individuals we come in contact with within our scope.

Professional | Accountable | Timely | Intentional | Navigate | Thank You

The AR Payment Poster is responsible for accurately posting insurance and patient payments, adjustments, and denials in the practice management system. This role ensures timely reconciliation of accounts, supports Accounts Receivable (AR) follow-up, and maintains accuracy to optimize revenue cycle performance for radiology services.

Key Responsibilities

• Post insurance payments (EOBs/ERAs) and patient payments accurately and timely
• Apply contractual adjustments according to payer agreements
• Identify and correctly code denials and rejections
• Balance daily payment batches and reconcile deposits
• Research and resolve payment discrepancies
• Work closely with AR follow-up team to ensure proper claim resolution
• Process credit balances and refund requests as needed
• Maintain productivity and accuracy benchmarks
• Ensure compliance with HIPAA and payer regulations
• Assist with month-end closing and reporting as required

Required Qualifications

• High school diploma or equivalent required
• Minimum 12 years of medical payment posting experience (Radiology preferred)
• Strong understanding of EOBs, ERAs, CPT/ICD-10 coding basics
• Knowledge of commercial, Medicare, and Medicaid payer guidelines
• Experience with practice management systems and clearinghouses
• Strong attention to detail and data entry accuracy
• Ability to meet daily productivity goals
• Basic knowledge of medical billing and revenue cycle processes

Preferred Qualifications

• Experience in radiology billing and coding
• Familiarity with payment reconciliation and denial trends
• Knowledge of contractual adjustments and payer reimbursement methodologies

Primary Interactions

• Internal Supervisor, co-workers, physicians & patients.
• External Insurance companies, referring physician offices, patients, and the public.

Competencies

• Accuracy is critical.
• Attention to detail is vital.
• The ability to multitask is important.
• Professionalism
• Positive attitude
• Team player

Minimum Requirements

• Knowledge of billing software associated with healthcare offices.
• Knowledge and understanding of the workings of medical offices and hospitals.
• Knowledge of human anatomy and physiology
• Exceptional organizational skills
• Excellent customer service skills, internal and external
• Must be fluent in English (read, write, comprehend, and speak)
• Must comply with all HIPAA and OIG requirements.
• Must be able to pass background check as well as drug and alcohol testing

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit, stand, walk, speak, hear, use hands, handle documents, bend and stoop as needed, and reach with hands and arms. The position requires use of keyboard and computer regularly. Strong vision abilities to perform extensive computer-related work.

Work Experience

Preferably 1 year of experience in medical office setting or other structured business office and handle processing of payments.

Location: 1 Location

FLSA Status: FT Non-Exempt

Schedule: Monday Friday 8:00 AM 5:00 PM (This will require flexibility due to patient load)

Basic Benefits (Health & Fringe)

• Health
• Dental
• Vision
• Basic (paid by company) and Voluntary Life and AD&D
• Short- and Long-Term Disability
• Supplemental Insurance
• Paid Time Off (PTO)
• Major Holidays Paid (5-6)
• Retirement
• Safe Harbor Contribution
• Profit Sharing Contribution