Payment Poster II

Job Overview

This remote role is open to candidates located in the following states: AR, AZ, CA, CO, FL, GA, IA, IL, LA, MO, MT, NC, NE, NJ, NV, OK, PA, SD, TN, TX, VA, WA, and WI. The Payment Poster will be responsible for accurately entering payments and adjustments received from multiple sources such as insurance companies and individual patients. This role supports an acute care facility moving towards an REH designation, focusing primarily on precise cash posting activities, including electronic remittance advice (ERA) and manual processes, to ensure timely and accurate workflows.

Working during Central Standard Time hours is preferred to align with business operations but is not mandatory. Familiarity with MEDHOST and Assurance systems, along with Medicare knowledge, hospital billing experience, and handling high-volume cash posting in an acute care hospital setting, are highly desirable.

Primary Duties and Responsibilities

• Investigate and process payments and error corrections promptly, maintaining accurate records of payments, allowances, denials, and rejections on individual accounts.
• Act as a subject matter expert by training both new hires and existing team members.
• Provide coverage across various projects involving hospital and provider-based payment postings.
• Research and resolve challenges such as unidentified, missing, or rejected payments by coordinating with payers, clients, and management when necessary.
• Ensure strict compliance with payer regulations through reconciliation of payments against remittances, deposits, and paper checks.
• Complete payment posting and reconciliation tasks within deadlines to support accurate financial reporting.
• Maintain detailed documentation of all payment posting steps, including notes on discrepancies, adjustments, and resolution processes.
• Identify and recommend improvements for more efficient payment posting workflows.
• Deliver exceptional customer service by promptly and courteously addressing client and management inquiries regarding payment postings and account statuses.
• Perform additional duties as assigned.

Qualifications & Skills Required

• Understanding of ICD-10 diagnosis and procedure codes and CPT/HCPCS coding systems.
• Knowledge of Explanation of Benefits (EOBs), copay, coinsurance, deductibles, denial codes, allowable insurance amounts, adjustments, and proficient data entry skills.
• Awareness of third-party billing procedures, relevant regulations, government reimbursement protocols, and payer requirements.
• Strong organizational abilities, multitasking skills, and capacity to meet deadlines.
• Effective oral and written communication and interpersonal skills.
• Experienced with payer portals and electronic medical record (EMR) systems.
• Competence in analyzing and interpreting revenue cycle data.
• Problem-solving aptitude and keen attention to detail.
• Basic accounting knowledge.

Educational and Experience Requirements

• Minimum of a high school diploma or equivalent qualification.
• At least three years of professional experience in revenue cycle management, cash posting, or related financial fields.
• Proficiency with common computer applications including Microsoft Office Suite, Teams, and web conferencing tools such as GoToMeeting or Zoom.

Additional Information and Compliance

Candidates will undergo mandatory criminal background and government exclusion checks as part of the hiring process. These screenings verify that applicants are not listed on federal or state exclusion lists, such as the Office of Inspector General’s LEIE and SAM.gov, to ensure adherence to federal and state regulations and protect federally funded programs from fraud or abuse. Consent to these checks is a requirement for employment.