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Payment Poster II

urmc.rochester.edu Logo

University of Rochester

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Location:
United States of America , Rochester

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Category:
Finance

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Contract Type:
Not provided

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Salary:

18.34 - 24.77 USD / Hour
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Job Description:

Responsible for the accurate and timely posting of third party and patient payments, insurance denials and patient responsibilities to individual patient accounts. Researches unidentified payments, evaluates offsets for accuracy, balances holding accounts and creates general ledger deposits. Generates and posts refunds.

Job Responsibility:

  • Accurate and timely posting of third party and patient payments, insurance denials and patient responsibilities to individual patient accounts
  • Researches unidentified payments
  • Evaluates offsets for accuracy
  • Balances holding accounts
  • Creates general ledger deposits
  • Generates and posts refunds
  • Balances and posts electronic file payments from Medicare, Medicaid, Blue Cross, and MVP
  • Balances check payments, identifies discrepancies, and creates general ledger deposit receipts
  • Follows up on missed payment deadlines
  • Communicates with University Finance and Information Systems Division regarding process and problems
  • Balances and posts commercial, workers compensation, no fault, and miscellaneous insurance payments
  • Reviews and interprets various remittances to identify and calculate the correct payment amount, patient co-pay, co-insurance, deductible, and interest total
  • Determines patient responsibility and applies denial codes
  • Analyzes and codes explanation of benefits and assigns correct rejection total and denial code
  • Balances and posts patient payments received via live check, online banking, credit card or through the lockbox
  • Researches and solves unidentified payments received with inadequate documentation for posting
  • Contacts hospital departments and insurance companies to inquire where payment should be applied
  • Communicates with Patient Accounts Office (PAO) staff regarding duplicate or erroneous payments and adjustment or indexing issues
  • Reconciles, validates, and balances individual holding and offset accounts
  • Verifies and generates refunds to insurance companies if payment received in error
  • Acts as liaison between PAO and Medicare/Medicaid/Blue Cross/MVP agencies concerning duplicate, insufficient, missing or erroneous payments
  • Creates and sends notices of adjustments on incorrect payments
  • Answers inquiries from PAO personnel concerning payments and rejections
  • Transfers insurance and patient monies between proper accounts and insurance levels
  • Transfers payments to/from appropriate University/Hospital general ledger accounts
  • Sorts lockbox batches and correspondence only items
  • Accounts for all lockbox batches and notifies Supervisor of any problems
  • Breaks down large remittances into smaller batches and balances to payment total
  • Reviews and processes correspondence according to department procedures
  • Scans, pre-works, and indexes batches
  • Posts self pay refunds, insurance refunds, and accounting office adjustments

Requirements:

  • Associate's degree in Accounting
  • 2 years related cashiering or banking experience
  • Or equivalent combination of education and experience

Additional Information:

Job Posted:
February 21, 2026

Employment Type:
Fulltime
Work Type:
On-site work
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