Payment Poster

Bell AmbulanceMilwaukee, WI

About The Position

The Payment Poster is a specialized role within the Revenue Cycle Management (RCM) department, responsible for accurately applying all incoming revenue to patient accounts. This position oversees the high-volume processing of insurance payments, patient responsibilities, and complex supplemental payments to ensure the accuracy of the company’s financial records. The Payment Poster plays a critical role in maintaining "Cash Velocity" by ensuring that all payments are posted within established timeframes and that any variances or overpayments are promptly identified and resolved.

Requirements

  • Proficiency is required in TraumaSoft, and a plus in RescueNet for account management and payment posting.
  • Experience navigating Waystar for electronic remittance and claim validation.
  • Ability to pull and interpret detailed aged AR and productivity reports to identify trends in revenue.
  • Minimum of 3–5 years in a medical billing environment, with at least 2 years specifically focused on high-volume cash posting or accounts receivable.
  • In-depth understanding of patient financial responsibility, insurance EOBs (Explanation of Benefits), and medical collection regulations.
  • Strong attention to detail with the ability to reconcile complex financial data across disparate systems.
  • Professional verbal and written communication skills for coordinating with the finance team and external payers.

Nice To Haves

  • Proficiency in RescueNet for account management and payment posting.

Responsibilities

  • Execute the daily posting of payment batches, including credit card transactions, electronic remittance advice (ERA), and physical checks.
  • Manage complex "T19" and other supplemental payment workflows, ensuring accurate allocation across multiple platforms.
  • Reconcile daily direct deposits from various payers—including Medicare, Medicaid, and commercial carriers—against system-generated batch reports.
  • Identify and document overpayments from payers such as Optum or Medicare, initiating the necessary recoupment or refund processes in accordance with departmental SOPs.
  • Maintain a strict documentation policy for all account activities.
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