Payment Posting Representative - Intermediate

UT Health San Antonio•San Antonio, TX

About The Position

The Payment Posting Specialist is responsible for timely and accurate posting of payments, denials, and adjustments. This includes posting insurance Explanation of Benefits (EOB) payments and patient check or credit card payments to patient accounts. The representative serves as a focal point for payment posting and problem solving to achieve effective outcomes for the organization and patients. The role requires handling a high volume of work while maintaining attention to detail and accuracy, along with strong oral and written communication skills.

Requirements

  • Working knowledge of EOBs, EFTs, and ERAs.
  • Ten-key proficiency.
  • Ability to read and understand Explanation of Benefits forms, claim forms, and the insurance billing process.
  • Strong attention to detail and accounting skills.
  • Intermediate experience with Microsoft Office products, including Word, Excel, and Outlook.
  • Ability to work overtime if needed.
  • High school diploma or GED.

Responsibilities

  • Post payments daily in the Practice Management System.
  • Retrieve EOBs and other correspondence from insurance websites and other entities.
  • Post denials to patient accounts.
  • Balance posted payments against original deposit amounts.
  • Transfer copayment, coinsurance, and deductible balances to patient responsibility.
  • Post contractual adjustments to patient accounts.
  • Post insurance payments using EOBs against appropriate service line items and enter adjustments as indicated.
  • Assist with researching and resolving posting discrepancies.
  • Perform payment audits as directed by management.
  • Review and verify the internal consistency, completeness, and accuracy of documents and transactions.
  • Interpret, evaluate, and clarify requests to identify potential payment issues.
  • Assist other team members as needed.
  • Perform other duties as assigned.

Benefits

  • UT SELECT medical insurance offered free for employees; family members may be added through payroll deduction.
  • Discounted copays and coinsurance when using UT Health Physicians.
  • $50,000 group term life insurance and $50,000 basic accidental death and dismemberment insurance at no cost, with options to purchase additional coverage.
  • Three dental insurance plan options through Delta Dental.
  • Two vision plan options through Superior Vision Services.
  • Disability insurance enrollment option.
  • Flexible spending accounts for qualifying dependent care or health care expenses.
  • Retirement plan eligibility through TRS or, for eligible faculty staff, ORP; voluntary retirement programs are also available.
  • Front-loaded paid time off of 128 to 208 hours annually, based on years of service.
  • Extended Illness Bank accrual of 8 hours per month.
  • Paid family leave of up to 240 hours after six months of consecutive employment.
  • Twelve paid holidays each year.
  • Discounts on services, tickets, and gym membership.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service