Payment Posting Specialist

The Payment Posting Specialist supports medical billing and revenue cycle operations by accurately posting payments, adjustments, and denials from Explanation of Benefits and Electronic Remittance Advices into patient accounts. This role requires strong knowledge of payer portals, remittance retrieval, billing systems, and daily balancing processes.

The specialist also researches missing remittances, resolves ERA gaps, corrects posting errors, and supports reconciliation of claims and payments. This position is best suited for experienced medical billing or payment posting professionals who are comfortable working with payer systems, EOBs, ERAs, adjustment codes, denial codes, credit balances, and refund workflows.

### Key Responsibilities

* Post payments, adjustments, and denials to patient accounts
* Review EOBs and ERAs for accurate payment posting
* Retrieve remittance information from payer portals
* Use portals such as Availity, Change Healthcare, government payer sites, and internal queues
* Balance posted transactions daily
* Identify and resolve missing ERA or remittance issues
* Research claims that do not reconcile properly
* Correct posting errors and claim reconciliation issues
* Investigate missing payments or payer documentation
* Support credit balance resolution and refund processing
* Maintain accurate payment and adjustment documentation
* Work high-volume payment posting queues efficiently

### Requirements

* 2–3 years of medical billing, payment posting, or revenue cycle experience
* Experience retrieving remittance data from payer portals
* Experience with credit balance resolution and refund processing
* Proficiency with medical billing software and EHR systems
* Strong understanding of EOBs and ERAs
* Knowledge of CPT, ICD-10, adjustment codes, and denial codes
* Strong data entry speed and accuracy
* Strong analytical and problem-solving skills
* Ability to reconcile complex accounts
* Strong organization and time management skills
* Ability to manage high-volume processing
* Clear written and verbal communication skills

### Preferred Qualifications

* Experience with Availity
* Experience with Change Healthcare
* Government payer portal experience
* ERA reconciliation experience
* Medical billing contract experience
* High-volume RCM experience

### Benefits

Benefits not listed in the posting.

### Good Fit For

This role may be a strong fit for candidates with experience in payment posting, medical billing, revenue cycle, accounts receivable, EOB review, ERA posting, insurance payment reconciliation, credit balance resolution, refund processing, denial posting, payer portals, or healthcare billing operations.