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Billing Payment Poster

Retina Vitreous Surgeons of CNY PC
Liverpool, NY Full Time
POSTED ON 7/27/2026
AVAILABLE BEFORE 11/24/2026

In-office position - located at 200 Greenfield Parkway, Liverpool, NY 13088

Job Overview

We are seeking a detail-oriented and efficient Payment Poster to join our Billing team. The Payment Poster is responsible for accurately posting insurance payments, adjustments and denials to patient accounts in the practice management system. This role plays a vital part in the revenue cycle by ensuring that all payments are recorded promptly and correctly, contributing to accurate financial reporting and efficient accounts receivable management. Staff members should have strong attention to detail, gain knowledge of Explanation of Benefits (EOB’s), and experience working with multiple insurance payers.

Mission Statement

RVSCNY is dedicated to preserving and restoring vision through compassionate, cutting-edge care. We provide the highest standard of medical and surgical treatment for retinal disease, driven by clinical excellence, innovative research and patient centered care. Our mission is to improve the quality of life for every patient by delivering timely, personalized, and evidence-based retinal care in a respectful and supportive environment.

Essential Job Duties and Responsibilities:

  • Post insurance payments and adjustments: Accurately post payments and contractual adjustment from ERAs and paper EOBs into the practice management system. Ensure payments are applied to the correct patient accounts, dates of service and CPT codes.
  • Post patient payments: Enter patient payments received via mail, in-person or on-line portals. Reconcile patient payments with daily collection logs and deposit slips.
  • Batch and deposit reconciliation: Balance daily batches and confirm all payments match bank deposit records. Troubleshoot any discrepancies and report unresolved issues to supervisor.
  • Handle denials and short pays: identify and flag underpayments, denials, or rejections from insurance payers. Coordinate with the A/R follow-up or billing team to resolve issues and resubmit claims if necessary.
  • Refund processing: Research and prepare patient or insurance refund requests. Ensure proper documentation and approval are obtained before issuing refunds.
  • Unapplied payments – actively reviews reports for insurance and patient unapplied payments.
  • Maintain accurate daily records: Logging and preparing records all posting activity and maintain organized batch records for internal reviews or audits. Compliance with data accuracy and compliance with HIPAA regulations.
  • Answer calls from patients regarding their account.
  • Respond to internal inquiries from the front desk, billing team or providers regarding posted payments.
  • Assist with month-end closing tasks related to payment posting.
  • Monitor payer trends and communicate irregularities (e.g., repeated underpayments).
  • Support the billing team with occasional coverage for A/R or charge entry if needed.
  • Performs other related duties as assigned.

Education and Experience:

  • HS diploma or GED required
  • Three plus (3 ) years of medical billing experience required
  • Payment posting experience
  • Knowledge of ICD-10 and CPT codes at a comprehensive level
  • Equivalent combinations of education and work experience will be considered

Equipment, Machines and Software Used:

Ability to operate a computer, printer, telephone, fax machine, photocopier, and postage meter. Computer Software: Nextech, MDI and Microsoft Office including Outlook, Excel, Word and Genentech MDI software.

Knowledge, Skills, and Abilities:

  • Computer proficiency including word processing, data entry, spreadsheets, and generating reports using standard software applications.
  • Adherence to HIPAA requirements and compliance standards.
  • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
  • Ability to maintain patient confidentiality.
  • Effective communication skills including verbal and written communications.
  • Ability to multi-task.
  • Problem solving skills.
  • Ability to work in a fast-paced environment.
  • Strong interpersonal and communication skills and the ability to work effectively with individuals at all levels of the organization structure.
  • Some analytical ability to gather and summarize data, find solutions to various administrative problems, and prioritize work.
  • Skill in organizing and establishing priorities.
  • Ability to create, compose, and edit written materials.
  • Must be detail-oriented and well organized.
  • Ability to maintain accurate records and data files.
  • Ability to gather data, compile information, and prepare reports.
  • Demonstrates professional appearance, manners, and decorum.
  • Maintain a positive relationship with patients, physicians, and other staff.

Pay: From $23.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Profit sharing
  • Vision insurance

Experience:

  • Medical billing: 3 years (Required)
  • Payment posting: 3 years (Required)

Ability to Commute:

  • Liverpool, NY 13088 (Required)

Work Location: In person

Salary : $23

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