[Hiring] Medical Billing Payment Poster @Integrated Resources

Role Description

The Medical Billing Payment Poster oversees 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 balancing 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.

• 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.

Qualifications

• 2+ years Epic payment posting experience
• 3+ years of payment posting 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.
• 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.

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)

Must Have

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.