On-Site Payment Poster: Precise Billing & Reconciliations

Rebound Orthopedics & Neurosurgery; Vancouver (WA); On-site; USD 31,000 - 44,000; Full time

Benefits offered by this job

Medical/Vision/Rx

401(K) Retirement Plan

Voluntary Life insurance/AD&D

Company paid short and long-term disab

Flexible Spending and Health Saving

Employee Assistance Program

Free Parking

Paid Time Off accrual

Job summary

Rebound Orthopedics & Neurosurgery seeks a full-time Payment Poster to join our on-site Business Office in Vancouver, WA. You will post insurance and patient payments in Epic, reconcile remittances, and support daily cash postings to ensure accurate patient accounts and appeal workflows.

Candidate should have 2+ years in healthcare revenue cycle or medical billing, EPIC proficiency, and strong attention to detail to meet productivity targets in a fast-paced environment.

Qualifications

• High school diploma.
• Minimum of two (2) years of healthcare revenue cycle, payment posting, or medical billing experience preferred.
• Proficiency in Epic or similar practice management/EHR systems preferred.
• Working knowledge of EOB interpretation, denial codes, and payer reimbursement methodologies.
• Understanding of CPT, HCPCS, ICD-10 coding, and insurance payment structures preferred.
• Experience with electronic remittance processing (ERAs) and lockbox reconciliation.
• Strong attention to detail and accuracy in data entry.
• Ability to manage high-volume workloads and meet productivity expectations.
• Strong analytical and problem-solving skills.
• Effective communication and collaboration skills.
• Familiarity with payer portals and revenue cycle workflows.
• Team-oriented with the ability to support multiple areas of the revenue cycle.

Responsibilities

• Post insurance payments, patient payments, and electronic funds transfers (EFTs) into Epic with a high degree of accuracy.
• Import and reconcile Electronic Remittance Advice (ERA) files, resolving exceptions and failed auto-post transactions.
• Perform manual posting of payments and adjustments when required, ensuring correct allocation across charges and accounts.
• Balance daily posting batches and reconcile totals to EOBs, lockbox reports, and deposit records.
• Review and validate payer adjustments to ensure alignment with contractual agreements and reimbursement methodologies.
• Identify underpayments, overpayments, or incorrect adjustments and route accounts for follow-up.
• Analyze denial and remark codes to ensure proper posting and workflow routing.
• Verify coordination of benefits (COB) accuracy when posting secondary and tertiary payments.
• Maintain posting work queues and resolve items in a timely manner to prevent downstream delays.
• Utilize Epic, clearinghouse tools, and payer portals to obtain remittance information and supporting documentation.
• Generate and review reconciliation and posting reports to ensure accuracy and completeness.
• Communicate discrepancies or trends impacting payment accuracy to leadership.
• Document posting activity and corrections clearly within the patient account for audit trail purposes.
• Follow all HIPAA and confidentiality guidelines when handling patient and financial information.
• Stay current on payer policies, reimbursement changes, and system updates affecting payment posting.
• Support team workflows and assist with cross-functional responsibilities as needed.

Skills

Healthcare revenue cycle

Payment posting

Attention to detail

High-volume workloads

Communication

Education

High school diploma

Tools

Epic

ERAs

Job description

Rebound Orthopedics & Neurosurgery seeks a full-time Payment Poster to join our on-site Business Office in Vancouver, WA. You will post insurance and patient payments in Epic, reconcile remittances, and support daily cash postings to ensure accurate patient accounts and appeal workflows.

Candidate should have 2+ years in healthcare revenue cycle or medical billing, EPIC proficiency, and strong attention to detail to meet productivity targets in a fast-paced environment.