Full Time Insurance & Patient Payment Poster

DescriptionPosts all insurance payments received (hardcopy check and/or credit card) as well as denials to appropriate accounts in the patient accounting system. This process would include the addition of notes in the system for denials, deductible, and copay/coins amounts. Processes all electronic remittance downloads from various payers; Medicare, Medicaid, Aetna, BCBSM/BCN, Priority Health, Physicians Health Plan, and other as they become available in electronic format. Work any posting exceptions that occur from the processing of electronic remittances Makes corrections to account demographics and incorrect mnemonics as needed for cash posting accuracy purposes. Enters all payment data (Insurance, Self-Pay and General Ledger) on the finance daily cash sheet balances with totals reported on the Financial Status Desktop (FSD) within the patient accounting system. Calculate, process and verify all contractual adjustments as necessary to ensure appropriate third party reimbursement processing of accounts. Investigates unidentified cash and resolve misdirected payments. Copies vouchers for various financial logs as needed for Finance Dept. Maintain a working knowledge of 835 and 277 rejection and denials reason codes (Remittance Advice Remark Codes (RARC) and Claim Adjustment Reason Codes (CARC)) along with payer specific adjustment and denial codes. Reviews daily cash folders upon completion of posting payments to ensure secondary and patient balances are dropping accordingly. Rotates daily cash folders keeping most recent dates in department for accessibility. Boxes dated cash folders and other paper files for storage according to record retention guidelines. Maintain strictest confidentiality and adheres to all HIPAA guidelines and regulations. Assist with various projects as assigned. Requirements High school diploma or equivalent. Minimum of one year third party cash posting experience in hospital, medical, or insurance setting. Basic math skills are necessary to resolve account issues related to cash posting. Excellent organization skills and the ability to handle multiple priorities/tasks. Must be highly motivated, productive, accurate and analytical. Ability to interpret EOB's/Payer Remittances for hospital and ambulatory services. Work well with others as part of a team. Medical billing knowledge preferred.

Created: 2026-03-04