Payment Poster

United WestLabs • Santa Ana, CA

12h • $22 - $25 • Hybrid

About The Position

The Payment Poster is responsible for the accurate and timely posting of insurance payments, patient payments, contractual adjustments, denials, recoupments, refunds, and other account transactions. This position plays a critical role in maintaining the integrity of accounts receivable, ensuring accurate financial reporting, and supporting revenue cycle operations. In addition to payment posting duties, the Payment Poster is expected to identify payment variances, payer trends, posting exceptions, and reconciliation issues that may impact cash flow or reimbursement. The ideal candidate is detail-oriented, analytical, and capable of researching discrepancies to ensure accurate account resolution.

Requirements

• High school diploma required
• 1–3 years of healthcare payment posting, medical billing, accounting, or revenue cycle experience preferred.
• Knowledge of ERA and EOB interpretation
• Knowledge of insurance reimbursement methodologies
• Knowledge of Medicare, Medicaid, and commercial payer processing
• Knowledge of contractual adjustments
• Knowledge of patient responsibility calculations
• Knowledge of refund and recoupment processes
• Experience with healthcare billing systems and payment posting software.
• Strong data entry skills
• Strong analytical skills
• Strong reconciliation skills
• Proficient in Microsoft Excel and reporting tools.
• Excellent attention to detail
• Excellent organizational skills

Nice To Haves

• Associate's degree preferred

Responsibilities

• Post electronic remittance advice (ERA), electronic funds transfers (EFT), paper EOBs, patient payments, lockbox payments, and credit card transactions accurately and timely.
• Apply contractual adjustments, denials, coinsurance, copays, deductibles, and patient responsibility amounts according to payer guidelines.
• Post recoupments, reversals, take-backs, and corrected payment transactions.
• Ensure payments are applied to the appropriate patient accounts and service lines.
• Reconcile daily deposits, EFTs, lockbox payments, and posted transactions.
• Verify payment amounts match remittance documentation.
• Balance payment batches and identify variances.
• Research unapplied cash, unidentified payments, and reconciliation discrepancies.
• Assist with month-end cash reconciliation activities.
• Review payment variances and underpayment situations.
• Identify missing payments, duplicate payments, and posting anomalies.
• Escalate payer reimbursement concerns to Account Analysts or management.
• Assist with identifying trends related to payer processing errors.
• Research rejected ERA files and posting exceptions.
• Work closely with Account Analysts, Billing Problem Resolution Specialists, and Supervisors to resolve payment-related issues.
• Assist with refund identification and credit balance review.
• Support audit requests and documentation reviews.
• Maintain accurate records of payment activity and corrections.
• Ensure compliance with HIPAA, payer contracts, and company policies.
• Maintain high levels of posting accuracy and productivity.
• Follow established payment posting procedures and internal controls.
• Participate in quality assurance reviews and training activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED