Senior Medical Payment Posting Specialist

WOUND CENTRICS LLC • Lubbock, TX

6d • Onsite

About The Position

MD Billing is seeking an experienced, detail-oriented Senior Medical Payment Posting Specialist to strengthen and grow its payment posting department. The role requires understanding the full revenue cycle and how payment posting affects accounts receivable and financial reporting, as well as initiative in improving processes, resolving discrepancies, and taking ownership of departmental performance.

The position offers the opportunity to grow into a leadership role overseeing the payment posting function, developing team accountability, and helping establish a more efficient and independent department. This is a full-time, in-office position in Lubbock, Texas. Compensation is competitive and based on experience and qualifications.

Requirements

• At least 2 years of medical billing experience, including significant hands-on experience in insurance payment posting.
• Advanced understanding of ERA/EOB processing, insurance adjustments, denials, and payment reconciliation.
• Strong knowledge of the medical billing revenue cycle and the relationship between payment posting, accounts receivable, and collections.
• Experience identifying and resolving complex posting errors and reconciliation discrepancies.
• Strong organizational, analytical, and problem-solving abilities.
• Excellent communication skills and confidence taking initiative and leading others.
• Demonstrated accountability, attention to detail, and commitment to accuracy.

Nice To Haves

• Previous supervisory, team lead, or departmental management experience.
• Experience developing workflows, training staff, or managing productivity and quality standards.
• Familiarity with eClinicalWorks or comparable practice management systems.
• Experience with high-volume, multi-provider medical billing operations.
• Understanding of financial controls, cash reconciliation, and reporting.

Responsibilities

• Accurately post insurance payments, patient payments, adjustments, denials, and contractual allowances in the billing system.
• Review and reconcile Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), and electronic funds transfer (EFT) transactions.
• Research and resolve unapplied payments, posting discrepancies, credit balances, and payment variances.
• Maintain an understanding of payer reimbursement methodologies, contractual adjustments, and payment allocation.
• Post payments promptly and accurately while meeting established productivity and quality standards.
• Work with Revenue Cycle and Accounting teams to support accurate payment reconciliation and financial reporting.
• Identify workflow inefficiencies and recommend improvements to accuracy, productivity, and internal controls.
• Assist in developing standardized procedures, performance metrics, and accountability measures for the payment posting department.
• Train and mentor payment posting personnel and potentially supervise them.
• Take ownership of departmental deadlines, problem resolution, and continuous process improvement.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree