Spec, Payment Posting

Baxter • Houston, TX

6d • Hybrid

About The Position

The Payment Posting Specialist is responsible for accurately posting, validating, and reconciling patient and third-party payer payments to ensure all transactions are properly recorded within the billing system and General Ledger. This role supports the organization's revenue cycle objectives through timely cash application, payment reconciliation, discrepancy resolution, and collaboration with cross-functional teams. The ideal candidate is detail-oriented, analytical, accountable, and highly organized, with the ability to manage high-volume payment processing while maintaining accuracy and productivity standards.

Requirements

• High school diploma or equivalent
• 3+ years of experience in a healthcare revenue cycle, medical billing, payment posting, cash application, or related business environment.
• Experience using billing, practice management, or revenue cycle management software.
• Proficiency in Microsoft Office Suite (especially Excel)
• Ability to efficiently navigate multiple systems and databases

Nice To Haves

• Associates degree preferred.
• Knowledge of healthcare insurance, third-party payer processes, and reimbursement methodologies preferred.
• Experience with EOBs, ERAs, EFTs, remittance advice, payment posting, and reconciliation preferred.
• Strong analytical and data entry skills with the ability to identify and resolve payment variances and discrepancies preferred.

Responsibilities

• Post and validate insurance and patient payments, adjustments, denials, and payer correspondence.
• Process cash and receivable transactions from checks, ACH, lockbox files, ERAs, and other payment sources.
• Reconcile payments to deposits and investigate discrepancies.
• Validate and apply electronic remittance files accurately within the billing system.
• Maintain cash posting metrics, reconcile activity to the General Ledger, and balance payment batches.
• Transfer, reallocate, and research unidentified payments to ensure accurate account application.
• Collaborate with Billing, Accounts Receivable, Customer Service, and other teams to resolve payment issues.
• Stay current on payer regulations and reimbursement practices while supporting process improvements and special projects.

Benefits

• medical and dental coverage that start on day one
• insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
• Employee Stock Purchase Plan (ESPP), with the ability to purchase company stock at a discount
• 401(k) Retirement Savings Plan (RSP), with options for employee contributions and company matching
• Flexible Spending Accounts
• educational assistance programs
• paid holidays
• paid time off ranging from 20 to 35 days based on length of service
• family and medical leaves of absence
• paid parental leave
• commuting benefits
• Employee Discount Program
• Employee Assistance Program (EAP)
• childcare benefits

What This Job Offers

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