Medical Billing - Payment Poster

The Medical Office Payment Poster is responsible for accurately posting and reconciling all incoming payments from insurance companies, patients, and other payers. This role ensures that payments are properly allocated, denials are addressed, and financial records remain accurate to maintain a smooth revenue cycle.

Key Responsibilities:

1. Payment Posting & Reconciliation

• Accurately post insurance payments, patient payments, and adjustments into the practice management system.
• Reconcile daily deposits with posted transactions to ensure accuracy.
• Identify and correct posting errors to maintain clean financial records.
• Match explanation of benefits (EOBs) and electronic remittance advice (ERAs) with claims for proper posting.
  

2. Denials & Adjustments Management

• Identify denied claims and adjust transactions according to payer rules.
• Work closely with the billing team to resolve underpayments, denials, and discrepancies.
• Ensure that contractual adjustments, write-offs, and refunds are properly applied.
  

3. Patient Account Management

• Process patient payments received via mail, online, and in person.
• Update patient accounts with payment details and adjustments.
• Investigate and resolve credit balances and overpayments.
  

4. Reporting & Documentation

• Generate and review payment reports for accuracy and completeness.
• Maintain detailed records of payments, denials, and adjustments for audit purposes.
• Assist with monthly and end-of-year reconciliation processes.
  

5. Compliance & Confidentiality

• Adhere to HIPAA regulations to ensure patient financial data security.
• Stay updated with insurance policies, payment posting guidelines, and regulatory requirements.
• Follow office policies and procedures related to payment processing and record-keeping.

Qualifications & Skills:

Education: High school diploma or equivalent required; associate’s degree in healthcare administration or related field preferred.
Experience: 1–3 years of medical billing, payment posting, or revenue cycle experience preferred.

Technical Skills:

• Proficiency in electronic health record (EHR) and practice management systems (e.g., Epic, eClinicalWorks, NextGen).
• Familiarity with insurance claims, EOBs, and ERAs.
• Strong data entry skills and attention to detail.
• Soft Skills:
• Strong analytical and problem-solving abilities.
• Excellent communication and teamwork skills.
• Ability to work in a fast-paced environment while maintaining accuracy.