Medical Billing Payment Poster

Job Summary:
TheMedical Billing Payment Posteroversees and processes all payments processed through the medical transport department, including zero payments, denials, recoupments, offsets and refunds. They will be responsible for validating and balance payments, identifying payment inconsistencies, and working with the Medical Transport Revenue Cycle Supervisor and Revenue Cycle Manager to resolve any payment, posting or reimbursement related issues.

Job Responsibilities:
Post all payments, zero payments, denials, and correspondence received from insurance payers and patients to patient accounts ensuring all transactions are recorded correctly and payments are balanced to deposits.
Review payment inconsistencies from insurance payers, posting configurations, and clearinghouse data to ensure payment posting optimization.
Research, validate, and make adjustments to payment postings. Follow up in accordance with procedures and policies with an overall goal of account resolution.
Identify underpayments and overpayments and appropriately and timely distribute claims to the IDR team.
Complete all offsets, post insurance recoupments, research, process, post, and send all insurance and patient refund checks.

Required Skills & Experience:
One to two (1-2) years of back-end revenue cycle experience in a facility and hospital setting.
One (1) year of previous revenue cycle cash handling experience, preferably including vocational training/education in medical billing or medical records.
Demonstrated skill to be self-directed, coupled with exemplary time management skills and the ability to simultaneously manage multiple tasks
Ability to execute processes efficiently and maintain the highest level of quality.
Demonstrates ability to identify and communicate issues.
Computer literacy skills, including Google and Excel spreadsheets and Microsoft Office products.
Understanding of the entire revenue cycle process.
Knowledge of Revenue and ICD, CPT, and HCPC coding language.
Knowledge of Medicaid and Medicare billing regulations.
Payment and Cash Handling.
High Attention to Detail.
Payment Posting.
Patient Account System.
EOB Translation.
Medical Billing and Coding.
Reimbursement.
Billing Operations.
Medical Billing Software.
Insurance claims processing.

Preferred Skills & Experience:
-Six (6) months of previous experience working with the IDR process.
-Billing/Coding Certification such as CPB, CPC, CRCR, CRCS, CRCP or higher.
-Strong interpersonal, verbal and written communication skills including proficiency in spelling, punctuation and grammar.

They must have
2+ years Epic payment posting experience
3+ years of payment posting experience

Required Knowledge / Experience
Experience working in Epic Resolute Professional Billing HB & PB payment workflows

Understanding of Epic account structure:
HAR (Hospital Account Record)
Guarantor accounts
Patient accounts
Encounter-level transactions
Ability to navigate Epic WQs
Understanding of Epic payment posting screens and transaction history

Ability to manually post in Epic:
Insurance payments
Patient payments
Electronic remittance advice (Product/835)
Paper EOB payments
EFT payments
Credit card/check payments
Knowledge of payment adjustments in Epic:
Contractual adjustments
Denials
Takebacks/reversals
Refunds
Recoupments
PLBs (Provider Level Balance adjustments)

Payer Understanding of:
Medicare
Medicaid
Commercial payers
Managed care plans
Self-pay payments

Familiarity with payer remittance codes:
CARC (Claim Adjustment Reason Codes)
RARC (Remittance Advice Remark Codes)
Group codes (CO, PR, OA, PI)

Experience reviewing and troubleshooting:
835 files
Product exceptions
Unmatched payments
Suspended transactions
Failed auto-posting
Understanding of why payments fail automation and require manual review
Reconciliation Skills

Quality & Compliance
Strong attention to detail and accuracy
Understanding of HIPAA requirements
Ability to handle PHI securely
Follow established posting policies and procedures
Meet productivity and quality standards

Preferred Experience
Experience supporting a large health system environment
Epic Resolute HB/PB WQ
Epic Cash Management workflows
EDI/Product troubleshooting
Lockbox operations

Previous hospital or physician payment posting experience
Experience with high-volume posting environments

Candidates must have experience with Epic payment posting workflows, such as Product/EFT processing, 835 transactions, CARC/RARC codes, PLBs, payer mapping, and other key Healthcare patient payment functions. The role also requires skills in resolving unposted and unmatched cash, verifying payment accuracy, and troubleshooting complex payment discrepancies.