Payment Poster
HCA Healthcare
Job Summary
HCA Healthcare is hiring a Payment Poster to process payments, adjustments, refunds, deposits, and account reconciliations while supporting revenue cycle operations for ambulatory surgery centers. This role offers hybrid/remote potential after 90 days.
Job Description
The Payment Poster is responsible for posting and reconciling payments, processing refunds, maintaining accurate account balances, researching reimbursement discrepancies, and supporting revenue cycle functions across multiple ambulatory surgery centers.
This role focuses heavily on payment posting, insurance remittance review, refund processing, and account reconciliation. Most work is performed independently within billing systems and spreadsheets, making it a strong fit for candidates seeking back-office healthcare revenue cycle work with minimal phone responsibilities.
### Key Responsibilities
* Post insurance and patient payments daily
* Post account adjustments
* Reconcile daily payment activity
* Process account refunds
* Balance cash and payment records
* Research reimbursement discrepancies
* Review payer remittances
* Contact payers regarding payment issues
* Request refunds for overpayments
* Enter refunds into AdvantaX
* Prepare refund check registries
* Submit refund documentation to Accounts Payable
* Allocate deposits for accurate reporting
* Maintain credit balance standards
* Support revenue cycle reporting accuracy
### Requirements
* Minimum 2 years payment posting experience
* Strong analytical skills
* Ability to investigate reimbursement discrepancies
* Knowledge of healthcare reimbursement processes
* Strong attention to detail
* Ability to work independently
* Accurate data entry skills
* Experience handling financial transactions
### Preferred Qualifications
* Medical billing experience
* Revenue cycle experience
* Insurance payment posting experience
* Accounts receivable experience
* Cash application experience
* Refund processing experience
* Credit balance management experience
* Healthcare finance experience
### Benefits
* Medical insurance
* Prescription coverage
* Dental insurance
* Vision insurance
* Behavioral health coverage
* Telemedicine services
* Paid time off
* Paid family leave
* Short-term disability
* Long-term disability
* 401(k) with company match
* Employee stock purchase plan
* Tuition assistance
* Student loan assistance
* Certification support
* Life insurance
* Identity theft protection
* Employee discounts
### Phone Level Breakdown
* Payment posting: High
* Data entry: High
* Reconciliation work: High
* Refund processing: High
* Payer phone calls: Low
* Patient calls: Very Low
* Customer service calls: Very Low
### Best Fit For
Candidates with experience in payment posting, transaction processing, refunds, reconciliations, accounts receivable, insurance remittances, cash applications, healthcare billing support, and revenue cycle operations seeking a largely back-office role.