Epic Payment Posting & Reconciliation Specialist

WVU Medicine; New York (NY); On-site; USD 28,000 - 36,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a Medical Billing Clerk to manage insurance and patient payments within the Epic system, balance postings to bank deposits, and investigate unidentified payments. The role supports timely cash posting and requires familiarity with payor systems and basic accounting.

The position emphasizes attention to detail, strong communication, and the ability to work with financial teams to resolve discrepancies.

Qualifications

• High school diploma or equivalent required.
• One year medical billing/medical office experience preferred.
• Bookkeeping and cash balancing experience preferred.
• Knowledge of ICD-10 and CPT coding processes preferred.
• Excellent oral and written communication skills required.

Responsibilities

• Processes electronic remittances initiating transaction posting in Epic.
• Works transactions that do not post correctly to ensure that transactions route to the appropriate accounts.
• Identifies any unidentified payment transactions that route to the clearing account, following facility processes to move non-patient money to correct general ledger account.
• Balances postings to bank deposits utilizing provided technical tools in Epic and via Microsoft Excel.
• Maintains timely and accurate posting according to departmental goals and report to management.
• Documents accounts clearly and accurately.
• Analyzes and reconciles posting amounts from patient payment and other sources of payment to the patient accounting system and accounting department.
• Uses system software, including online credit card systems and the Epic system.
• Creates, enters, and assigns cash management batches.
• Opens and distributes mail received from the post office and financial institutions for the various entities services are billed for
• Contacts the appropriate third party payors, business entities, or financial institutions to resolve unidentified or missing payments.
• Accesses any scanned information via One Content imaging system.
• Completes and reconciles bank deposits daily.
• Utilizes remittance work queues to resolve payment errors.
• Reviews and reconciles all postings monthly with the Departmental Coordinator as needed.
• Participates in educational programs to meet mandatory requirements and identified needs with regard to job and personal growth.
• Researches accounts in work queues with credit or undistributed self-pay balances, and works to resolve these balances by distributing to other outstanding account, refunding another approved facility, or refunding the guarantor.
• Investigates insurance overpayments and takes appropriate action from within the work queue to resolve the variance.
• Processes refund requests received from third party payors, clinical departments, other areas of Revenue Cycle, and leadership.
• Monitors accounts that fall within out special billing guidelines to insure pre- payment application is done within a timely manner.
• Works with the appropriate accountants to maintain a list of all unclaimed property, and maintain a spreadsheet for submission to the state.
• Takes calls from registration and customer service staff experiencing issues with cash drawers, and works to resolve the issues.
• Insures all refund requests are received from accounts payable, and processes the checks for submission to third party or guarantor.
• Maintains current knowledge of payor payment provisions and all local, state, and federal collection laws.
• Contacts insurance company or employer to determine eligibility, benefits, and payment information necessary to refund or distribute payments
• Ability to accurately utilize payor portals to initiate overpayment recoveries
• Identifies missing charges and communicates with appropriate coding manager for re-entry
• Completes reports assigned by Revenue Cycle leadership for bulk refunds to third party payors.
• Monitors work queue for inappropriate hospital payments posted to professional billing, and works with appropriate entity for posting.
• Assists hospital cashier’s office in locating and resolving missing receipts.
• Aids accounting department in reconciling patient payments for the entity in which the receipt was deposited.

Skills

Communication skills

Medical terminology

Third party payers

Business math

ICD-10/CPT coding

Customer service

Diplomacy

Patient accounting

Computers

Online banking systems

Education

High School Graduate or equivalent

Job description

SYSTEM West Virginia University Health System is seeking a Medical Billing Clerk to manage insurance and patient payments within the Epic system, balance postings to bank deposits, and investigate unidentified payments. The role supports timely cash posting and requires familiarity with payor systems and basic accounting.

The position emphasizes attention to detail, strong communication, and the ability to work with financial teams to resolve discrepancies.