Payment Posting Specialist

AccordCare & Family of Companies • Marietta, GA

3d • Hybrid

About The Position

The Payment Posting Specialist is responsible for accurately and promptly posting insurance and patient payments each business day and reconciling those payments to bank records. The role ensures payments are applied to the correct client accounts, deposits are supported by documentation, and variances are identified and resolved. It supports cash flow, data integrity, and patient confidentiality while working with billing, finance, and management staff to resolve payment and account issues and maintain accurate financial records.

This is a hybrid position, working Monday through Wednesday in the office and Thursday through Friday remotely.

Requirements

• High school diploma required.
• At least two years of healthcare payment posting, cash application, or billing experience.
• Knowledge of insurance remittances, explanations of benefits, payment adjustments, and medical terminology.
• Experience reconciling payments to bank records and deposits.
• Proficiency with billing systems and spreadsheet software.
• Strong verbal and written communication skills, including professional telephone etiquette.
• Ability to analyze data, resolve discrepancies, and meet daily deadlines with minimal supervision.

Nice To Haves

• Healthcare payment posting, cash application, or billing experience in home care or home health is preferred.

Responsibilities

• Post insurance payments, including EFT/ERA remittances and explanations of benefits, to the correct client accounts each business day.
• Post patient payments received by check, card, or other approved methods to the correct accounts each business day.
• Verify payment amounts against remittance detail and expected reimbursement.
• Apply contractual adjustments, write-offs, and denial codes in accordance with payer contracts and agency policy.
• Research and resolve unapplied, misapplied, and unidentified payments within established time frames.
• Identify overpayments, credit balances, and refund requests and route them for review and approval.
• Forward denials, underpayments, and rejected claims to billing staff for follow-up.
• Balance each posting batch and complete daily posting before closing the day.
• Reconcile daily payment postings to bank deposits, lockbox, and EFT records.
• Prepare, verify, and document deposits in accordance with agency cash handling procedures.
• Identify, research, and resolve variances between posted payments and bank records, and escalate unresolved discrepancies to management.
• Track electronic payment receipts and match them to remittance detail.
• Complete reconciliations and provide supporting documentation for month-end close by established deadlines.
• Follow internal controls, including segregation of duties, for handling and recording cash, checks, and electronic payments.
• Perform other duties as assigned.

What This Job Offers

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