Payment Poster

Community Health System Services LLC • Buckland, MA

5d • $18 - $26 • Remote

About The Position

The Payment Poster ensures accurate and timely posting, reconciliation, and balancing of insurance and patient payments to support revenue cycle performance and financial integrity. The role processes electronic and manual remittances, identifies and resolves payment discrepancies, and maintains audit-ready documentation. It requires knowledge of explanation of benefits (EOBs), patient accounting, payment posting workflows, and practice management systems, as well as attention to detail, analytical skills, and a commitment to accuracy and customer service.

This is a remote position with core operational and collaboration hours aligned to the Eastern Time Zone. Travel is minimal, at less than 10%.

Requirements

• High School Diploma or GED is required.
• Either an Associate’s degree plus 2 years of billing experience in a hospital billing environment, or a High School Diploma plus 3 years of experience in a hospital billing environment.
• Strong attention to detail and organizational skills, with a commitment to data accuracy and financial integrity.
• Accountability for meeting performance, productivity, and quality standards.
• Effective written and verbal communication skills and the ability to interact professionally across diverse populations and departments.
• Ability to prioritize and manage multiple responsibilities in a fast-paced environment.
• Proficiency in practice management systems, billing applications, Microsoft Excel, and other healthcare revenue cycle technologies.
• Working knowledge of medical billing, insurance reimbursement, payment posting, and patient accounting processes.
• Strong analytical and problem-solving skills, including the ability to identify and resolve payment discrepancies.
• Ability to remain professional and effective under pressure while managing competing priorities.
• Understanding of HIPAA requirements and patient confidentiality standards.
• Sound judgment and the ability to collaborate effectively and support positive team outcomes.
• Ability to perform the essential functions of the position with or without reasonable accommodation.

Nice To Haves

• Associate’s degree in a related field.
• Epic experience.

Responsibilities

• Accurately post insurance and patient payments and adjustments using electronic remittance advice (ERA), EOBs, and manual remittance documentation.
• Apply payments and adjustments in accordance with remittance details, payer requirements, and system posting guidelines.
• Validate ERA files before posting for completeness and potential issues.
• Resolve routine remittance file issues and escalate complex discrepancies.
• Apply appropriate CARC and RARC codes and standardized account comments.
• Retrieve and process payments from lockbox and other payment sources.
• Reconcile daily deposits against ERA files, lockbox reports, and other payment sources.
• Identify, investigate, and escalate payment variances, missing remittances, unapplied cash, posting errors, and unbalanced batches.
• Research payer portals, clearinghouses, and other resources to locate missing payment information and supporting documentation.
• Maintain assigned work queues and exception reports, resolving payments and discrepancies within established timeframes.
• Document account activity accurately to support compliance, transparency, and follow-up.
• Follow organizational policies, audit standards, and payer requirements for payment posting.
• Meet established productivity, quality, and accuracy benchmarks.
• Support revenue cycle operations and adapt to changing workflows and business needs.
• Partner with operational teams to resolve payment-related inquiries and posting issues.
• Coordinate with appropriate departments and senior team members on complex payment scenarios, recoupments, refunds, and correction requests.
• Facilitate timely communication and issue resolution across teams to support cash flow management.
• Maintain knowledge of healthcare billing regulations, payer requirements, reimbursement methodologies, and organizational policies.
• Participate in ongoing education and training on industry best practices and payment posting standards.
• Protect patient confidentiality and comply with HIPAA and applicable regulatory requirements.
• Perform additional duties and responsibilities as assigned.

What This Job Offers

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