Posting Specialist I

About the role

The Payment Poster ensures accurate, timely posting of payments and adjustments for a range of medical services in our professional billing office. The role supports the Revenue Cycle by ensuring all patient and insurance payments are properly documented, accurately allocated, and balanced against patient accounts, optimizing revenue collection and reducing discrepancies.

Responsibilities

• Accurately post payments and adjustments from various sources (insurance payments, patient payments, electronic remittances, manual check postings) to appropriate patient accounts.
• Reconcile daily, weekly, and monthly postings to ensure all payments align with patient records and financial reports. Investigate and resolve discrepancies promptly.
• Efficiently manage Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) processes, identifying missing or misallocated payments and working with insurers or patients to resolve issues.
• Work closely with the billing and claims teams to identify, research, and correct denied claims or underpayments. Adjust accounts as necessary following hospital policies and payer guidelines.
• Collaborate with internal teams (billing, coding, patient access) and external parties (payers, financial institutions) to ensure accurate and timely resolution of payment issues.
• Utilize the hospital’s billing and EHR systems to track payments, generate reports on payment and adjustment activity, and provide insights on patterns affecting revenue.
• Maintains performance, patient and employee satisfaction, and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook and adheres to DCH Behavioral Standards, including creating positive relationships with patients, families, coworkers, and colleagues.
• Performs essential job functions in a manner that ensures the safety of patients, visitors, and employees. Identifies and reduces unsafe practices to promote safety.
• Requires use of electronic mail, time and attendance software, learning management software, and intranet.
• All other duties as assigned.

Requirements

• High School Diploma or General Education Degree (GED) or 3 years’ experience in a healthcare setting required.
• Minimum six (6) months clerical experience required. Prior experience in physician/provider professional fee billing is preferred.
• Ability to read and comprehend instructions, short correspondence, and memos.
• Excellent written and verbal communication skills, with the ability to present information in one-on-one and small group meetings.
• Strong multitasking, prioritization, time management, and critical thinking skills.
• Proficient computer skills, including Microsoft Office Suites.
• Must be able to use personal transportation to provide courier services for the office.
• Strong customer service skills and ability to answer both patient and insurance company questions.
• Able to analyze problems and strategize for better solutions.
• Valid driver’s license and automobile liability insurance.
• Physical presence onsite is essential with the possibility of a hybrid work schedule.
• Hearing and vision must be normal or corrected to within normal range. Able to perform the duties with or without reasonable accommodation.

Skills and Abilities

• Proficiency in healthcare billing systems, EHR, and RCM software.
• Strong attention to detail, with the ability to identify and resolve errors in payment postings and account reconciliations.
• Good understanding of medical terminology, insurance claims processing, and denial management.
• Ability to work independently and prioritize tasks in a fast-paced environment.
• Excellent communication and interpersonal skills to coordinate effectively with team members and external partners.

Working Conditions

• Medium work: Exerting 20–50 pounds of force occasionally, and/or 10–25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
• Good manual and finger dexterity. Ability to tolerate prolonged periods of sitting.
• Some light driving required.
• Psychological: Frequent contact with external customers/clients, sometimes dealing with unpleasant people. Occasionally coordinating letters/memos. Constantly working with work groups or as a team.