Payment Poster

Job Responsibilities 

• Posts and allocates payments from third-party payers and patients through electronic remittances, online payment portal and patient payments accurately and timely 

• Interpret EOBs and identify and reconcile unapplied account balances 

• Post insurance adjustments to accounts received as documented from payers 

• Post administrative adjustments as approved 

• Reconcile accounts 

• Analyze third-party payments, adjustments and denials for appropriateness raising concerns and/or questions in a timely manner so that further reimbursement analysis may be initiated. 

• Participate in month end processes 

• Review all payments in accordance with fee schedules where available 

• Ensure that all payments receive on CPT codes which have modifiers, multiple frequencies appended are paid correctly 

• Supports and assists employees in assigned area(s) in identifying and troubleshooting Revenue Cycle related problems and provides recommendations for resolution. 
  Perform other office duties as assigned. 

Job Requirements 

• High School Diploma or equivalent 

• CPC, COSC, COC, CCS, or CCS-P  through AAPC of AHIMA preferred 

• Must have 3-5 years of active billing and collections experience 

• Preferred experience in orthopedics, pain management or surgical billing 

• Advance knowledge of medical terminology, anatomy and physiology, disease process, pharmacology, and complex surgical procedures.  

• Advance knowledge of ICD-10-CM, CPT, HCPCS, CCI, MUE, NCD, and payment modifiers. 

• Advance knowledge of information systems, encoders, and other technology to facilitate a successful virtual work environment  

• Abides by the Standards of Ethical Coding according to AHIMA and AAPC and adheres to all official coding guidelines.  

• Experience with Microsoft Office Suite 

• Experience with Epic preferred 

• Must be well organized, detail-oriented, and able to multi-task. 

• Must be able to work independently. 

• Excellent verbal and written communication skill 

• Maintain patient confidentiality and HIPAA security standards.