Posting Specialist I

DCH Health System•Clinics in Millport Fayette Tuscaloosa, AL
•Hybrid

About The Position

The Payment Poster ensures accurate and timely posting of payments and adjustments for a range of medical services in a professional billing office. The position supports the Revenue Cycle by documenting and allocating patient and insurance payments accurately, balancing them against patient accounts, optimizing revenue collection, and reducing discrepancies. The role uses hospital billing and EHR systems to post and reconcile payments, manage electronic funds transfers and remittance advice, investigate payment issues, and support the resolution of denials and underpayments. It collaborates with internal teams and external parties to resolve payment issues and generate reports on payment and adjustment activity.

Requirements

  • High school diploma or GED, or three years of experience in a healthcare setting.
  • At least six months of clerical experience.
  • Ability to read and comprehend instructions, short correspondence, and memos.
  • Excellent written and verbal communication skills, including the ability to present information in one-on-one and small-group meetings.
  • Multitasking, prioritization, time-management, and critical-thinking skills.
  • Proficiency with computers and Microsoft Office Suites.
  • Personal transportation for office courier services, plus a valid driver’s license and automobile liability insurance.
  • Strong customer-service skills and ability to answer patient and insurance-company questions.
  • Ability to analyze problems and develop better solutions.
  • Proficiency in healthcare billing systems, EHR, and RCM software.
  • Strong attention to detail and ability to identify and resolve errors in payment postings and account reconciliations.
  • Good understanding of medical terminology, insurance claims processing, and denial management.
  • Ability to work independently and prioritize tasks in a fast-paced environment.
  • Strong communication and interpersonal skills to coordinate effectively with team members, departments, external partners, and payers.
  • Ability to perform duties with or without reasonable accommodation.
  • Normal or corrected hearing and vision within normal range.
  • Good manual and finger dexterity and ability to tolerate prolonged periods of sitting.
  • Ability to perform medium work: exert 20–50 pounds of force occasionally, 10–25 pounds frequently, and up to 10 pounds constantly; some light driving is required.
  • Ability to work with others and external customers, sometimes deal with unpleasant people, occasionally coordinate letters or memos, and work constantly or consistently with work groups or as part of a team.

Nice To Haves

  • Prior experience with physician/provider professional fee billing.

Responsibilities

  • Post insurance payments, patient payments, electronic remittances, and manual check payments and adjustments to the appropriate patient accounts.
  • Reconcile daily, weekly, and monthly postings with patient records and financial reports; investigate and resolve discrepancies.
  • Manage EFT and ERA processes, identify missing or misallocated payments, and work with insurers or patients to resolve issues.
  • Work with billing and claims teams to research and correct denied claims or underpayments, and adjust accounts according to hospital policies and payer guidelines.
  • Collaborate with billing, coding, and patient access teams, as well as payers and financial institutions, to resolve payment issues accurately and promptly.
  • Use hospital billing and EHR systems to track payments and generate reports on payment and adjustment activity, providing insights into revenue-affecting patterns.
  • Provide courier services for the office using personal transportation.
  • Maintain required performance, patient and employee satisfaction, financial, and compliance standards; follow DCH policies and behavioral standards.
  • Perform essential duties in a manner that supports the safety of patients, visitors, and employees; identify and reduce unsafe practices, risks, and hazards.
  • Use electronic mail, time and attendance software, learning management software, and the intranet.
  • Perform other duties as assigned.
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