Payment Posting & Reconciliation Specialist chez Hillsboro Area Hospital Inc

Description

The Payment Posting and Reconciliation Specialist is responsible for accurately posting patient and insurance payments to patient accounts and performing timely account reconciliations. This role plays a critical part in ensuring the financial integrity of the revenue cycle by verifying payment accuracy, resolving discrepancies, and maintaining up-to-date patient account records. 

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Payment Posting:
• Post payments from insurance companies, patients, and third-party payers to patient accounts with a high degree of accuracy and attention to detail.
• Process electronic remittance advice (ERA) and explanation of benefits (EOB) documents.
• Apply adjustments, denials, and write-offs according to organizational policies and payer contracts.
• Reconciliation:
• Reconcile daily bank deposits and electronic payment batches to ensure all funds are accounted for and properly applied.
• Balance payment postings against bank deposits and financial system reports.
• Identify and resolve any variances or payment discrepancies in a timely manner.
• Follow-up and Problem Resolution:
• Research and resolve misapplied or unidentified payments.
• Work with insurance carriers, patients, and internal departments to clarify and correct posting errors.
• Escalate complex discrepancies or unresolved items to management or appropriate teams.
• Reporting and Documentation:
• Maintain detailed records of payment activities and reconciliation processes.
• Assist in generating reports related to payment posting, reconciliation, and outstanding items.
• Ensure compliance with internal policies, payer rules, and regulatory requirements (e.g., HIPAA).

(The above statements describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all duties, and indeed additional responsibilities may be assigned, as required, by Hillsboro Health.)

SUPERVISORY RESPONSIBILITIES

None

Requirements

EDUCATION AND/OR EXPERIENCE

• High school diploma or equivalent required; associate’s degree or coursework in accounting, healthcare administration, or a related field preferred.
• 3+ years of experience in medical payment posting or healthcare billing, preferably in a multi-payer environment.
• Strong understanding of insurance EOBs, ERAs, and medical billing terminology.
• Experience with practice management systems (e.g., Epic, Athena, Cerner, eClinicalWorks, Oracle Health, etc.) and electronic payment systems.
• Strong attention to detail and excellent organizational skills.
• Proficiency in Microsoft Excel and other Office applications.
• Ability to maintain confidentiality and adhere to HIPAA regulations.

CERTIFICATES, LICENSES, REGISTRATIONS

None

PHYSICAL DEMANDS & WORK ENVIRONMENT 

• Office-based role within a healthcare organization.
• May involve extended periods of data entry and computer use.
• Occasional overtime may be required to meet month-end or project deadlines.

CORPORATE COMPLIANCE

Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health’s Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.

BENEFITS

Please use the link below to visit our website for a list of benefits offered. 

https://www.hillsborohealth.org/careers