Medical Billing Payment Poster

Integrated Resources, Inc

  • Broomfield, CO
  • 4 days ago
  • Remote

    Highlights

    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. 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.

    Numbers & Facts

    LocationBroomfield, CO (
    Remote
    )

    Description

    Title: Medical Billing Payment Poster
    100% Remote
    Contract: 3 Months and Temp to Hire


    Job Summary:
    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 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.

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

    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.

    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.

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