Payment Poster

Urology Centers of Alabama•Birmingham, AL

About The Position

The Payment Poster is responsible for accurately and promptly posting insurance payments, patient payments, electronic remittances, adjustments, and denials into the practice management system. The role helps maintain financial data integrity, support revenue cycle efficiency, and contribute to timely and accurate reimbursement for services provided by Urology Centers of Alabama, P.C. The position works with billing, coding, and collections teams to review remittance information, reconcile payment batches, research discrepancies, and support reporting and month-end closing. It also requires compliance with payer contracts, company policies, regulatory requirements, and HIPAA confidentiality rules. The work is primarily office-based or remote, as applicable, and involves prolonged sitting and computer use. Occasional overtime may be required to meet departmental deadlines. The role does not supervise other staff members.

Requirements

  • High school diploma or equivalent required.
  • Minimum of 1–2 years of experience in medical payment posting, medical billing, or revenue cycle operations.
  • Strong understanding of EOBs, ERAs, CPT/ICD coding basics, and payer reimbursement methodologies.
  • Proficiency with practice management systems and electronic health records (EHR).
  • High attention to detail and accuracy.
  • Strong analytical and problem-solving skills.
  • Ability to work in a fast-paced, high-volume environment.
  • Excellent organizational and time management skills.
  • Effective communication and teamwork abilities.
  • Proficient in Microsoft Office, including Excel and Word.

Nice To Haves

  • Associate degree preferred.
  • Experience in a specialty practice; urology preferred.

Responsibilities

  • Post insurance payments, patient payments, and electronic remittances (ERAs) accurately and in a timely manner.
  • Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure proper payment application.
  • Identify and post contractual adjustments, denials, and variances according to payer guidelines.
  • Reconcile daily payment batches and ensure all transactions balance.
  • Research and resolve payment discrepancies, including underpayments and overpayments.
  • Communicate with billing, coding, and collections teams regarding payment issues or trends.
  • Maintain compliance with payer contracts, company policies, and regulatory requirements.
  • Assist with month-end closing processes and reporting as needed.
  • Maintain confidentiality of patient and financial information in accordance with HIPAA regulations.
  • Support continuous process improvement initiatives within the Revenue Cycle Department.
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