What are the responsibilities and job description for the Medical Payment Posting Specialist position at Arizona Association of Community Health Centers?
The Medical Payment Poster accurately posts and reconciles insurance and patient payments to maintain accurate patient accounts, support timely revenue recognition, and contribute to the overall effectiveness of the revenue cycle.
1) Posts and reconciles insurance and patient payments.
a) Posts electronic remittance advice (ERA), EFT, lockbox, check, credit card, and patient payments to patient accounts.
b) Performs detailed Explanation of Benefits (EOB) and ERA analysis to ensure payments, adjustments, deductibles, co-insurance, copays, and denial codes are applied correctly at the line-item level.
c) Reviews and posts contractual adjustments, write-offs, denials, recoupments, refunds, and underpayments according to payer guidelines and organizational policies.
d) Reconciles posted payments against payer remittances, bank deposits, and batch totals to ensure financial accuracy.
e) Investigates and processes overpayments, credit balances, and refund requests in accordance with established procedures.
2) Researches and resolves payment discrepancies while supporting revenue cycle operations.
a) Researches and resolves unapplied cash, unidentified payments, posting discrepancies, and payment variances.
b) Escalates unidentified payments, incomplete claims, payer issues, and reimbursement discrepancies, as appropriate.
c) Verifies payer reimbursement amounts against contracted rates, fee schedules, and reimbursement methodologies, when applicable.
d) Researches and corrects missing or erroneous account information to ensure accurate claim and payment processing.
e) Collaborates with billing, coding, collections, and accounts receivable teams to resolve claim and payment-related issues.
3) Monitors payment posting operations and maintains compliance.
a) Monitors daily payment posting queues and productivity standards to ensure timely processing of all transactions.
b) Identifies payer trends, denial patterns, reimbursement variances, and recurring posting issues, communicating findings to management.
c) Maintains compliance with HIPAA, payer regulations, and company policies.
d) Performs other duties as assigned.