Payment Processing and Posting
Payment Processing and Posting solutions support the financial backbone of healthcare organizations by ensuring payments from patients and payers are accurately recorded, reconciled, and applied to the correct accounts. These tools reduce manual workloads, minimize posting errors, and improve cash flow visibility. While often used by revenue cycle and billing teams, some solutions extend functionality to front-desk or clinical staff for point-of-service collections and payment updates.
When They Are Used:• Remittance Processing: Automatically ingesting and reconciling payer remittances (ERA/EOB) with claims data.• Patient Payments: Posting in-person, online, or mailed patient payments to the appropriate accounts.• Denial Posting: Logging denied or underpaid claims to trigger downstream workflows.• Reconciliation and Reporting: Ensuring financial records match actual deposits and enabling revenue reporting.
Key Features:• Automated Payment Matching: Intelligent tools to match remittances and payments to the correct encounters and line items.• Denial Identification: Systems that flag and categorize denials during posting for faster resolution.• Batch Posting and Lockbox Integration: Bulk processing tools for high-volume environments and lockbox file ingestion.• Patient Payment Tools: Portals or POS solutions to process and post patient payments in real time.• EHR/PM Integration: Syncing with practice management or EHR systems to maintain accurate ledgers.
These systems are critical for maintaining revenue integrity and streamlining back-office operations, accelerating cash collection and reducing administrative burden across the revenue cycle.