Payment Poster

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Texas
Overview
Position Type
Full Time 
Education Level
High School
Category
Reading Physician
Description

Position Title: Payment Poster
Department: Revenue Cycle Management
Reports To: Cash Application Team Lead
FLSA: Non-Exempt


Position Summary
The Payment Poster is responsible for ensuring payment and remittance activity is posted accurately within the revenue cycle management platform. This role requires sound judgment in resolving posting exceptions, identifying reimbursement issues, and supporting accurate account resolution. The position serves as an important connection point between payment posting, cash application, and accounts receivable workflows.

Essential Duties & Responsibilities

  • Payment Posting & Account Management
    • Accurately post insurance, facility, and patient payment activity within the revenue cycle management platform, ensuring payments, adjustments, and account balances are applied in accordance with payer requirements, remittance documentation, and internal cash application standards.
    • Manage payment posting exceptions that require independent research, judgment, and follow-through, including payments that do not align cleanly with remittance data, expected reimbursement, account balances, or system posting logic.
    • Maintain complete and reliable account documentation to support posting decisions, corrections, refund activity, payer correspondence, and downstream Revenue Cycle follow-up.
  • Denial Identification & Reimbursement Analysis
    • Interpret EOBs, remittance advice, payer correspondence, and payment outcomes to identify denied, reduced, misapplied, or otherwise unresolved reimbursement activity requiring additional review.
    • Research complex claim and payment issues to determine whether the account requires correction, escalation, denial follow-up, adjustment review, refund processing, or additional Revenue Cycle action.
    • Identify recurring payer, reimbursement, or posting patterns that may affect cash application accuracy, account resolution, or operational performance, and communicate meaningful findings to the appropriate team or leader.
  • Reconciliation, Reporting & Revenue Cycle Support
    • Reconcile payment, deposit, and batch activity to support accurate cash balancing, reliable financial records, and timely identification of unresolved payment issues.
    • Support daily and periodic close activities by researching payment variances, documenting corrections, and helping ensure posting activity is complete, balanced, and appropriately supported.
    • Partner with billing, accounts receivable, denial management, and leadership teams to resolve payment-related barriers, improve workflow consistency, and support stronger Revenue Cycle outcomes.
Qualifications

Qualifications & Requirements
Education Licenses/Certifications

  • High school diploma or equivalent required.
  • Associate degree in healthcare administration, business, accounting, or related field preferred.

Experience

  • Minimum of two (2) years of experience in healthcare accounts receivable, payment posting, denial management, medical billing, or related revenue cycle functions.
  • Experience reviewing and interpreting EOBs and payer remittance information required.
  • Experience working with multiple commercial and government payers preferred.
  • Knowledge of healthcare reimbursement methodologies, claim adjudication, and denial management processes preferred.
  • Experience using healthcare billing, practice management, or revenue cycle management systems preferred.

Skills & Competencies

  • Strong knowledge of healthcare revenue cycle processes, including payment posting, accounts receivable, claim adjudication, denial management, and reimbursement methodologies.
  • Advanced analytical and critical-thinking skills with the ability to interpret EOBs, identify discrepancies, analyze denials, and determine appropriate follow-up actions.
  • Exceptional attention to detail, organization, and time-management skills with the ability to maintain accuracy while meeting productivity goals and deadlines.
  • Strong communication, collaboration, and problem-solving abilities, along with proficiency in revenue cycle systems and Microsoft Office applications, particularly Excel and Outlook.

Working Conditions

  • Primarily remote office environment with frequent and prolonged computer and office equipment use.
  • Standard business hours with occasional overtime to meet project deadlines.
  • Ability to manage stress and maintain productivity under tight deadlines and changing priorities.
  • Regular interaction with team members, clients, and other stakeholders through various communication channels.
  • Occasional travel required for company meetings.


Physical Demands

  • Ability to maintain a stationary position for extended periods.
  • Occasionally required to move short to moderate distances.
  • Must be able to lift and/or move up to 50 pounds occasionally.


Disclaimer: The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Employees must be able to perform the essential functions of the position satisfactorily. Furthermore, the statements do not establish a contract for employment and are subject to change at the discretion of the Company with or without advance notice.