Payment Posting Specialist

The Payment Posting Specialist is responsible for the accurate and timely posting of all insurance and patient payments each business day and for reconciling posted payments to bank records. This role ensures that payments are applied correctly to client accounts, deposits are supported by documentation, and variances are identified and resolved. The position supports cash flow, data integrity, and patient confidentiality, and works closely with billing, finance, and management staff to resolve payment and account issues and maintain accurate financial records.

This is a hybrid position that works M-W in the office and TH-F remotely. 

Responsibilities: 

• Post all insurance payments, including EFT/ERA remittances and explanations of benefits, to the correct client accounts each business day. 


• Post all 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 to support the month-end close by established deadlines. 


• Follow internal controls, including segregation of duties, for the handling and recording of cash, checks, and electronic payments. 


• Other duties as assigned.  

 Qualifications | Experience | Education 

• Education: High School Diploma required. 


• Minimum of two years of healthcare payment posting, cash application, or billing experience, preferably in home care or home health. 


• Demonstrated 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.