Job Description
Job DescriptionDescription:
POSITION SUMMARY:
The Payment Poster is responsible for accurately posting insurance and patient payments into the practice management system, reconciling daily deposits, and flagging any discrepancies in payments. This position plays a vital role in supporting the revenue cycle by ensuring timely and accurate recording of revenue and maintaining compliance with payer guidelines and pediatric billing standards. The ideal candidate has excellent attention to detail, understands healthcare reimbursement workflows, and is committed to the integrity of patient account data.
ESSENTIAL FUNCTIONS:
Payment Processing & Posting
- Post daily insurance and patient payments, including ERA, paper checks, and credit card transactions.
- Apply manual EOBs and electronic ERAs to the correct patient accounts.
- Accurately reconcile all payments to deposit batches.
Account Reconciliation & Auditing
- Identify underpayments, denials, or discrepancies and escalate for resolution.
- Monitor unapplied balances and ensure proper allocation in collaboration with the billing team to ensure accurate accounting.
- Assist in processing patient refunds and payment adjustments as appropriate.
Reporting & Documentation
- Maintain payment by posting logs and reconciling accounts on a daily, weekly, and monthly basis.
- Generate reconciliation and financial reports as needed by leadership.
- Ensure accurate documentation and audit trail of all transactions in accordance with internal protocols.
Compliance & Confidentiality
- Maintain compliance with HIPAA and all applicable state and federal billing regulations.
- Protect the confidentiality and integrity of all patients’ financial data.
- Adhere to Pediatrica Health Group’s policies and procedures for ethical billing practices.
Collaboration & Communication
- Work closely with billing and collections staff to ensure the timely resolution of accounts.
- Provide updates or feedback on trends related to payment denials, payer policy changes, or technical issues.
- Attend regular team meetings and trainings to stay informed on policy updates.
Requirements:
KNOWLEDGE, SKILLS & ABILITIES
- Exceptional attention to detail, accuracy, and timeliness.
- Proficient in navigating practice management systems and EHRs.
- Strong understanding of payer types (Medicaid, Managed Care, Commercial).
- Familiarity with pediatric-specific billing practices and coding structures.
- Excellent communication and problem-solving skills.
- Ability to prioritize and work independently in a high-volume environment.
- Comfortable interpreting EOBs and payer remittance reports.
EDUCATION & EXPERIENCE
- High School Diploma or equivalent required; Associate degree or billing certification preferred.
- 1–2 years of payment posting or medical billing experience; pediatric or multi-specialty preferred.
- Previous experience with payer portals and ERA reconciliation preferred.
SUPERVISORY RESPONSIBILITIES
- None
WORKING CONDITIONS
- General office working conditions in a clinic or community center environment.
- Some standing, sitting, and light lifting may be required.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. While performing the duties of this job, the associate will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch, or crawl, and talk or hear. The associate must occasionally lift and or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust.to focus. Manual dexterity is required to use desktop computers and peripherals. Exposure to variable weather conditions is likely.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those that an associate must meet to perform the essential functions of their job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. The noise level in the work environment is usually moderate.
TRAVEL
Minimal travel may be required for training or cross-location support.
SAFETY HAZARDS OF THE JOB
Minimal Hazards