Payment Posting Specialist - US Healthcare

Position

Payment Posting Specialist

Department

US Healthcare / Revenue Cycle Management (RCM)

Experience

1–2 years

Employment Type

Full-time

Shift

US Shift / Night Shift

Job Summary

We are looking for a detail-oriented Payment Posting Specialist with experience in US healthcare revenue cycle management. The candidate will be responsible for accurately posting insurance and patient payments, adjustments, denials, and contractual write-offs into the billing system while maintaining high accuracy and productivity.

Key Responsibilities

Post EOBs (Explanation of Benefits), ERAs (Electronic Remittance Advice), and insurance payments accurately.

Post patient payments received through checks, credit cards, EFTs, and other payment methods.

Apply payments and adjustments to the appropriate patient accounts and claims.

Review EOBs/ERAs for payment details, contractual adjustments, denials, deductibles, co-insurance, and co-payments.

Identify and resolve unapplied, unidentified, and misapplied payments.

Handle payment posting for Medicare, Medicaid, commercial insurance, and other US healthcare payers.

Reconcile posted payments with bank deposits and payment reports.

Identify payment discrepancies and escalate issues when required.

Process refunds, recoupments, and takebacks according to client/payer guidelines.

Maintain accurate records and ensure compliance with client SOPs.

Coordinate with AR, denial management, and billing teams to resolve account discrepancies.

Meet defined quality, productivity, and turnaround-time (TAT) targets.

Maintain confidentiality of patient information in accordance with HIPAA requirements.

Required Skills

1–2 years of experience in US Healthcare Payment Posting / Medical Billing / RCM.

Good understanding of the US healthcare revenue cycle.

Understanding of insurance payment and adjustment processes.

Basic knowledge of Medicare, Medicaid, and commercial payers.

Good analytical and numerical skills.

Strong attention to detail and accuracy.

Good written and verbal communication skills.

Ability to work independently and meet productivity targets.

Working knowledge of MS Excel and healthcare billing software.

Preferred Qualifications

Experience with EPIC, NextGen, eClinicalWorks, Athenahealth, Kareo, or other medical billing/RCM systems.

Experience working with multiple US insurance payers.

Knowledge of denial management and accounts receivable processes.

Previous experience in a US healthcare BPO/KPO or RCM organization.

Education

Bachelor's degree preferred, although relevant US healthcare/RCM experience may be considered in place of a degree.

Pay

₹18,000.00 - ₹25,000.00 per month

Benefits

Health insurance

Work Location

In person