Posting Specialist

Department: Revenue Cycle Management (RCM)
Reports To: Payment Posting Lead / RCM Manager
Location: Onsite at our Corporate Headquarters in Addison, TX

Position Summary
The Payment Posting Specialist is responsible for accurately and efficiently posting insurance and patient payments to patient accounts. This position ensures payments, contractual adjustments, denials, and recoupments are recorded correctly in the practice management system while maintaining accurate financial records and supporting the overall revenue cycle.

Essential Duties and Responsibilities
● Post insurance payments from Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), electronic funds transfers (EFT), paper checks, and virtual credit card payments.
● Review and reconcile payments against EOBs, ERAs, bank deposits, and payment reports to ensure accuracy.
● Post contractual adjustments, patient responsibility amounts, recoupments, refunds, and other applicable adjustments according to company policies and payer guidelines.
● Identify and research discrepancies, missing payments, duplicate payments, unidentified deposits, and incorrect payment amounts.
● Verify that payments are posted to the correct patient account, claim, payer, and date of service.
● Identify denied, underpaid, zero-paid, and incorrectly processed claims and route them to the appropriate Accounts Receivable (A/R) or denial management team for follow-up.
● Upload and maintain EOBs and supporting documentation in the appropriate systems.
● Reconcile daily payment batches and ensure all payments are accounted for before closing batches.
● Monitor pending payment batches and follow up on missing ERAs, EOBs, checks, or deposits.
● Maintain accurate payment posting notes and documentation to support account research and audit requirements.
● Review payment posting reports and assist with month-end reconciliation and reporting.
● Communicate payment discrepancies and workflow issues to the team lead or management.
● Meet daily productivity, accuracy, and turnaround-time expectations.
● Follow HIPAA requirements and company policies regarding patient information and financial data.
● Perform other duties as assigned.

Qualifications
● High school diploma or equivalent required.
● Previous experience in medical billing, payment posting, or healthcare revenue cycle operations preferred.
● Knowledge of insurance EOBs, ERAs, EFTs, contractual adjustments, and payer reimbursement processes.
● Experience with electronic health records or practice management systems preferred.
● Proficiency in Microsoft Excel, Outlook, and other standard office applications.

Required Skills
● Strong attention to detail and accuracy.
● Good analytical, problem-solving, and reconciliation skills.
● Ability to manage high-volume payment posting workloads.
● Strong organizational and time-management skills.
● Ability to identify discrepancies and escalate issues appropriately.
● Effective written and verbal communication.
● Ability to work independently and collaboratively within a team.
● Ability to meet deadlines and maintain productivity standards.

Why Join Us
We are a growing anesthesia practice company with 700+ employees and contractors, committed to supporting healthcare professionals while maintaining a vibrant, collaborative workplace culture. We offer competitive compensation, comprehensive benefits, and genuine opportunities for growth and development.

Benefits Package Includes:
● Comprehensive health, dental, and vision insurance
● $50,000 company-provided life insurance
● Multiple voluntary insurance options for additional peace of mind
● 15 days of PTO and paid holidays
● 401(k) retirement plan with 3% non-discretionary company match
● Professional development and training opportunities
● Supportive, inclusive, and collaborative work environment