Biller/Cash Posting Representative - 1.0FTE

LADD MEMORIAL HOSPITAL•Osceola, WI

10d•Hybrid

About The Position

The Biller/Cash Posting Representative is responsible for supporting accurate, timely, and compliant revenue cycle operations for hospital and clinic services. This role manages insurance claims, payment posting, account reconciliation, denial resolution, payer follow-up, and appeals while ensuring accurate application of payments, adjustments, and remittances within the Epic EMR system. The Biller/Cash Posting Representative investigates claim and payment discrepancies, identifies trends impacting reimbursement, supports payer compliance requirements, and collaborates with billing, finance, patient access, and clinical teams to optimize revenue cycle performance. This position plays a key role in maintaining accurate financial records, improving reimbursement outcomes, and supporting efficient healthcare operations.

Requirements

Knowledge of hospital and clinic revenue cycle processes, including claims submission, payment posting, adjustments, denials, and appeals.
Understanding of Medicare, Medicaid, commercial payer requirements, and reimbursement guidelines.
Knowledge of CPT, HCPCS, ICD-10-CM, and revenue codes as applicable.
Ability to analyze and resolve billing discrepancies, payer rejections, and payment issues.
Strong attention to detail with the ability to maintain accuracy while meeting deadlines.
Effective written and verbal communication skills.
Ability to work independently while collaborating effectively with revenue cycle and clinical teams.
Ability to manage multiple priorities in a fast-paced healthcare environment.
Commitment to continuous improvement and adapting to changing processes.
Ability to maintain HIPAA compliance and appropriately handle confidential information.
Prolonged sitting and computer use.
Manual dexterity required for keyboard, mouse, and office equipment use.
Ability to perform repetitive computer-related tasks.
Occasional lifting up to 20 pounds.
High school diploma or GED required.
1–3 years of medical billing, payment posting, claims processing, or revenue cycle experience.
Knowledge of Medicare, Medicaid, commercial payer requirements, and healthcare reimbursement processes.
Knowledge of CPT, HCPCS, ICD-10-CM, and revenue codes as applicable.
Proficiency with basic computer applications, including Microsoft Office.

Nice To Haves

Associate degree or additional medical billing education preferred.
Experience with hospital, clinic, CAH, or RHC billing preferred.
Experience with electronic remittance advice (ERA) and electronic funds transfer (EFT) processing preferred.
Proficiency with Epic EMR or comparable electronic medical record and billing systems preferred.

Responsibilities

Submit accurate and timely insurance claims using Epic EMR.
Review and correct billing-related errors preventing claim submission.
Investigate and resolve claim denials, payer rejections, and billing discrepancies.
Perform payer follow-up activities to ensure timely reimbursement.
Process appeals in accordance with federal, state, and payer guidelines.
Document all claim actions, follow-up activities, and resolutions within appropriate systems.
Identify recurring denial trends, payer issues, and reimbursement concerns and communicate findings to leadership.
Prepare daily bank deposits and reconcile with cash batches and system totals.
Balance and reconcile daily cash batches and coordinate with other departments on deposits and accounting accuracy.
Research and resolve payment discrepancies, unidentified payments, credit balances, and zero-pay remittances.
Collaborate with finance, billing, and patient access teams to ensure all deposits are accurately reconciled.
Assist with month-end close processes and reporting as needed.
Enroll providers in EFT and ERA programs and maintain enrollment records to ensure electronic payment and remittance efficiency.
Identify denial or underpayment trends and communicate findings to appropriate team members.
Process refund requests according to policy and compliance standards.
Maintain confidentiality in accordance with HIPAA regulations.
Meet departmental productivity and accuracy benchmarks.
Post insurance payments, electronic remittance advice (ERA), explanation of benefits (EOB), electronic funds transfers (EFT), checks, and patient payments accurately and timely.
Apply contractual adjustments, denials, write-offs, and other account adjustments according to payer and organizational guidelines.
Balance and reconcile daily cash batches, system totals, and deposits.
Prepare and reconcile bank deposits and collaborate with finance teams to ensure accounting accuracy.
Research and resolve unidentified payments, credit balances, zero-pay remittances, and payment discrepancies.
Process refund requests according to organizational policies and compliance standards.
Assist with month-end close activities and revenue cycle reporting as needed.
Enroll providers in EFT and ERA programs and maintain enrollment documentation to support electronic payment and remittance processing.
Collaborate with billing, finance, patient access, clinical departments, and other internal teams to improve revenue cycle workflows.
Maintain productivity and accuracy standards established by the department.
Identify opportunities for process improvement and participate in department initiatives.
Maintain confidentiality and protect patient information in accordance with HIPAA regulations.