Job Description

Job Location: Washington Regional Med. Ctr. - Fayetteville, AR 72703

Position Type: Full TimeEducation Level: High School Diploma or GED

Job Category: Business Services/Revenue Cycle ManagementOrganization Overview, Mission, Vision, and Values

Our mission is to improve the health of people in the communities we serve through compassionate, high-quality care, prevention, and wellness education. Washington Regional Medical System is a community-owned, locally governed, non-profit health care system located in Northwest Arkansas in the heart of Fayetteville, which is consistently ranked among the Best Places to live in the country. Our 425-bed medical center has been named the #1 hospital in Arkansas for five consecutive years by U.S. News & World Report. We employ 3,200+ team members and serve the region with over 40 clinic locations, the region’s only Level II trauma center, and five Centers of Excellence - the Washington Regional J.B. Hunt Transport Services Neuroscience Institute; Washington Regional Walker Heart Institute; Washington Regional Women and Infants Center; Washington Regional Total Joint Center; and Washington Regional Pat Walker Center for Seniors.

Position Summary

The Payment Poster reports to the Manager of Cash Posting Services and is responsible for accurately posting payments, adjustments, denials, rejections, and non-payments to hospital and/or provider-based patient accounts. This position obtains and reviews payment data from electronic and paper sources, including 835 remittance files, explanation of benefits, lockbox deposits, correspondence, and other payor or bank documentation. The Payment Poster supports timely and accurate revenue cycle processing by balancing daily batches, reconciling posted activity to deposits, researching posting variances, and ensuring payments are applied in accordance with established department procedures, payor guidelines, and organizational policies.

Essential Position Responsibilities

• Accurately post electronic and manual payments, adjustments, denials, rejections, refunds, recoupments, and non-payments to hospital and/or provider-based patient accounts in the appropriate billing system.
• Review 835 remittance files, explanation of benefits, lockbox deposits, paper remits, correspondence, and other payment documentation to ensure transactions are posted completely and correctly.
• Balance daily posting batches and reconcile posted activity to deposits, remittance totals, bank reports, and other source documentation.
• Identify and research variances, unapplied payments, misapplied payments, duplicate payments, payment reversals, and other posting discrepancies; make corrections or escalate issues according to department procedure.
• Maintain organized records of batch activity, remittance documentation, deposit files, and supporting correspondence to support audit, reconciliation, and follow-up processes.
• Access designated bank and payor systems to retrieve, verify, and process payment information and confirm receipt and accuracy of deposits.
• Communicate posting issues, payment trends, remittance concerns, and documentation needs to appropriate revenue cycle, billing, follow-up, or clinic personnel.
• Maintain current knowledge of assigned payor requirements, payment posting guidelines, adjustment codes, denial codes, and department procedures applicable to hospital and provider-based accounts.
• Support timely cash application, accurate account resolution, and appropriate revenue cycle workflow by ensuring payment-related information is posted and routed in a timely manner.
• Perform other related duties assigned to support Cash Posting Services and overall revenue cycle operations.

Qualifications

• Education: High school diploma or GED required.
• Licensure and Certifications: None required.
• Experience: Previous experience in payment posting, cash application, medical billing, patient accounting, revenue cycle, banking, accounting, or other detail-oriented financial or analytical role preferred. Experience with hospital and/or provider-based billing systems, electronic remittance advice, explanation of benefits, denial and adjustment codes, or Epic preferred.
• Skills and Abilities: Strong attention to detail, accuracy, organizational skills, basic mathematical ability, computer proficiency, and the ability to work independently while meeting productivity and quality expectations. Must be able to maintain confidentiality and communicate professionally with internal departments, payors, and other stakeholders.

Work Environment: This position will spend up to 80% of the time sitting while performing work in standard office environment. This position will spend 20% of the time standing and/or walking short distances with occasional lifting, carrying, pushing, and/or pulling up to 50 lbs.

Notice: This job description is designed to provide an overview of the essential and principal duties and responsibilities of the position. The job description is not designed or intended to cover or set forth a comprehensive listing of all activities, duties or responsibilities that are required of the employee. Washington Regional reserves the right in its absolute discretion to change duties, responsibilities or activities or assign new duties, responsibilities, or activities at any time with or without notice. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Qualifications