Payment Poster

NORTHWEST SURGICAL • Vancouver, WA

1d • $22 - $31 • Onsite

About The Position

Rebound is looking for a full-time Payment Poster to join our Business Office. The Payment Poster is responsible for accurately posting and reconciling all insurance, patient, and third-party payments for both professional and ASC facility services. This role uses Epic posting workflows and remittance tools to ensure timely application of payments, appropriate adjustments, and accurate account balances. The Payment Poster plays a key role in maintaining financial integrity, supporting downstream accounts receivable follow-up, and ensuring accurate reimbursement in alignment with payer contracts and organizational standards. This position is on-site and requires regular attendance at our Stonemill location. Remote work is not available for this role.

Requirements

• 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

• Supports an environment that reinforces Rebound’s mission and Core Values of Superior Service, Teamwork, Integrity, Innovation, Quality and Recognition.
• 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.

Benefits

• Medical/Vision/Rx
• Dental
• 401(K) Retirement Plan, including discretionary profit sharing and Cash Balance Plan
• Company paid Life Insurance/AD&D
• Voluntary Life insurance/AD&D
• Company paid short and long-term disability
• Flexible Spending and Health Saving Accounts
• Employee Assistance Program
• Free Parking
• Paid Time Off accrued at up to 24 days in your first year based on FTE

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED