Job Overview:

The Payment Poster is responsible for accurately recording and reconciling all insurance and patient payments for a medical clinic. This role requires a strong medical billing background to correctly interpret EOBs/ERAs and ensure all payments are applied accurately to patient accounts in compliance with healthcare reimbursement standards.

Key Responsibilities:

● Post insurance payments (ERAs, EOBs, EFTs, and checks) into the clinic’s Practice Management System (PMS)

● Post patient payments (co-pays, deductibles, coinsurance)

● Accurately match payments to:

○ correct patient accounts

○ correct medical claims

○ correct service lines

● Apply contractual adjustments and write-offs based on payer agreements

● Reconcile posted payments against bank deposits and remittance reports

● Identify and flag:

○ underpayments

○ overpayments

○ missing or unmatched payments

● Maintain clear documentation of payment activity for audit and compliance purposes

● Collaborate with the AR / Billing team on discrepancies requiring insurance follow-up

Required Qualifications:

● 3–4 years of experience in medical payment posting or healthcare revenue cycle roles

● Prior experience working in a medical clinic or healthcare setting

● Strong understanding of EOBs, ERAs, payer remittances, and reimbursement structures

● Familiarity with medical billing software / PMS

● Knowledge of common insurance terms (co-pay, deductible, coinsurance, contractual adjustment)

● High attention to detail and strong reconciliation skills

Preferred Skills:

● Experience working with multiple insurance payers (commercial, Medicare, Medicaid)

● Strong ability to interpret complex EOBs and ERA files

● Familiarity with insurance contractual rates and fee schedules

● Experience identifying system posting errors vs payer issues

● Strong reconciliation skills between PMS, bank deposits, and remittance reports

● Comfortable working with high-volume payment posting

● Excellent attention to detail with the ability to spot inconsistencies quickly

● Ability to work independently while coordinating with AR/Billing teams

● Prior experience in a busy outpatient medical clinic environment

What We Offer:

● Competitive Salary: We offer a market-aligned compensation package based on experience and performance.

● Remote Work Flexibility: Enjoy the flexibility of working from anywhere, with the support of a collaborative and dynamic remote team.

● Professional Growth: We are committed to your professional development and provide opportunities for growth and advancement within the company.

● Inclusive Work Environment: Join a diverse and inclusive team where your contributions are valued, and your voice is heard.

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Full-timePayment Poster (Insurance Payments & Reconciliation)