Payment Posting Specialist (100% Work from Home)

Position Summary

The Payment Posting Specialist posts insurance and patient payments accurately and on time using EOB/ERA information, documented workflows, and established posting standards.

This individual contributor role supports clean account activity by applying payments accurately, documenting work clearly, and escalating posting issues within assigned scope.

Qualifications

Required

• Accurate payment posting and strong 10-key proficiency
• Ability to read and apply EOB/ERA information
• Working knowledge of Medicare, Medicaid, MCO, and commercial insurance concepts
• Strong attention to detail, organization, and time management
• Clear verbal and written communication skills
• Problem-solving judgment and ability to escalate appropriately
• ICD-10/CPT knowledge relevant to posting

Preferred

• 2+ years of medical billing, payment posting, or accounts receivable experience
• FQHC or Community Health Center experience
• CPS, AthenaOne, Epic, or similar system experience
• Claims follow-up or payer communication experience

Key Responsibilities and Expected Performance Outcomes

Key Responsibilities

• Post electronic and manual insurance and patient payments accurately and within expected timelines
• Apply EOB/ERA payments, adjustments, denials, deductibles, and copays according to standards
• Identify, resolve, or escalate posting discrepancies within role authority
• Maintain accurate records, notes, and supporting documentation
• Support aging A/R and claims follow-up through clean posting and timely issue identification
• Troubleshoot execution-level EDI issues and escalate systemic concerns
• Communicate status, risks, and questions clearly to Team Leads or Supervisors
• Apply training, feedback, and workflow updates consistently

Expected Performance Outcomes

• Payments are posted accurately, on time, and with minimal rework
• Documentation is complete, accurate, and usable for downstream follow-up
• Discrepancies and risks are escalated early with clear context
• Assigned work is completed with consistent accuracy, efficiency, and compliance awareness

Core Competencies

• Critical Thinking: Interprets posting information, identifies discrepancies, and escalates when guidance is unclear.
• Dependability: Completes assigned posting work accurately, consistently, and within expected timelines.
• Interpersonal Skills: Communicates questions, status, and escalations clearly with relevant context.
• Organizing & Planning: Prioritizes assigned work and maintains organized documentation under volume pressure.
• Production: Sustains accurate output while balancing efficiency, quality, and compliance awareness.