Back to jobs
Job Description
The Payment Posting Specialist is responsible for accurately recording and reconciling all patient and insurance payments, managing patient balances, and ensuring compliance with cash-handling and financial control procedures. This role supports the revenue cycle by timely posting payments, resolving posting exceptions, monitoring delinquent accounts, and preparing accounts for bad debt or refunds, while delivering professional, patient-centered customer service.
KEY RESPONSIBILITIES
Posting Responsibilities
- Process remote deposits and post patient and insurance payments (cash, checks, credit cards, EOBs/ERAs) to the correct accounts.
- Read and interpret EOBs/ERAs and enter appropriate adjustments per policy.
- Scan and record payment-related documents and maintain monthly financial reports, notifying management of unfavorable trends.
- Post payments within defined timeframes, reconcile daily deposits, and resolve payment posting exceptions (e.g., auto-posting failures, zero-dollar remits).
- Identify and flag denials, partial payments, and underpayments for follow-up or appeal.
Patient Balance Management
- Respond promptly to patient inquiries while maintaining a positive, empathetic, professional attitude.
- Monitor and collect delinquent accounts, engaging patients to negotiate appropriate payment arrangements.
- Support the monthly statement process for patients/guarantors and prepare accounts for bad debt placement or refund review.
- Review patient accounts to identify and document balances for bad debt placement or refund, ensuring appropriate supporting notes and approvals are completed before submission.
Cash Handling & Payment Deposits
- Follow organizational policies and internal controls for handling cash, checks, and credit card information.
- Balance and reconcile daily cash deposits and card batches to the EMR system.
- Prepare accurate, timely bank deposits and promptly report any discrepancies between deposits, system postings, and bank activity.
In addition to role responsibilities, each staff member of Ashley, Inc. has the following responsibilities as a part of their employment:
- Models and reinforces Ashley’s mission and core values
- Performs other duties on an as-needed basis
- Reinforces Ashley’s commitment to diversity, equity and inclusion
- Protects the privacy of our patient’s protected health information by maintaining compliance with HIPAA and other relevant Ashley related IT security regulations
DESIRED KNOWLEDGE/SKILLS/ABILITIES:
- Minimum High school and at least 2 years working in an office setting required.
- Minimum 1-2 years of health insurance experience, including fundamental understanding of patient revenue cycle required.
- Typing and computer skills with knowledge of Microsoft Office to include Outlook, Word and Excel required.
- Excellent telephone and communication skills with the ability to de-escalate crisis situations.
- Good arithmetic skills with basic understanding of standard financial reporting.