Position Summary

AdvantixxRCM is seeking an experienced Payment Posting Specialist responsible for accurately posting and reconciling insurance and patient payments for our healthcare clients.

This position manages ERAs, EOBs, EFTs, insurance payments, patient payments, contractual adjustments, unapplied payments, credit balances, and payment discrepancies while ensuring financial activity is accurately reflected in each client's practice management system.

The ideal candidate is highly accurate, organized, comfortable working with high transaction volumes, and able to identify reimbursement discrepancies that require additional investigation.

Essential Duties & Responsibilities

• Post insurance payments from ERAs and EOBs.
• Post EFT, check, and other payer payments.
• Post patient payments when assigned.
• Review electronic remittance files for accuracy.
• Apply contractual adjustments according to payer requirements and established procedures.
• Accurately allocate payments to the appropriate patient, encounter, claim, and service line.
• Identify and research unmatched or unapplied payments.
• Research missing payments and posting discrepancies.
• Review zero-payment remittances.
• Identify denials and route them to the appropriate billing or denial team.
• Identify potential insurance underpayments.
• Identify overpayments and credit balances.
• Assist with refund research and processing according to company procedures.
• Correct payment posting errors.
• Review secondary insurance balances following primary payer processing.
• Ensure patient responsibility is transferred accurately based on payer adjudication.
• Maintain accurate documentation of posting and reconciliation activity.

Payment Reconciliation

The Payment Posting Specialist will also be responsible for helping ensure that money received matches money posted.

Responsibilities include:

• Reconcile EFTs against ERAs.
• Reconcile checks against EOBs.
• Compare bank/payment information with system posting records when authorized.
• Identify missing ERAs or EOBs.
• Research unidentified deposits.
• Research duplicate payments.
• Identify incorrect adjustments.
• Identify payments posted to incorrect accounts.
• Maintain reconciliation reports.
• Escalate unresolved discrepancies to the Operations Manager.

EOB & ERA Review

The successful candidate must understand:

• Allowed amounts
• Paid amounts
• Contractual adjustments
• Deductibles
• Copayments
• Coinsurance
• Non-covered charges
• Patient responsibility
• Denial codes
• CARC/RARC codes
• Primary and secondary payer processing
• Coordination of benefits

A/R & Denial Coordination

Payment posting is an important part of the overall revenue cycle.

The Payment Posting Specialist will communicate identified issues to the appropriate team, including:

A/R Specialist — unpaid or incorrectly processed claims

Denial Management Specialist — denied claims requiring investigation or appeal

Medical Billing Specialist — claims requiring corrections

Credentialing Specialist — enrollment-related payment issues

Operations Manager — significant payment, reconciliation, or payer discrepancies

Required Qualifications

• Minimum 1–2 years of medical payment posting, medical billing, or healthcare revenue cycle experience preferred.
• Experience posting insurance ERAs/EOBs.
• Understanding of healthcare reimbursement.
• Ability to interpret EOBs and ERAs.
• Understanding of deductibles, copayments, coinsurance, contractual adjustments, and patient responsibility.
• Familiarity with Medicare, Medicaid, and commercial insurance.
• Strong numerical and reconciliation skills.
• Excellent attention to detail.
• Strong computer and data-entry skills.
• Ability to maintain accuracy while processing high transaction volumes.

Preferred Qualifications

• Previous experience with an RCM or medical billing company.
• Experience handling multiple practices or clients.
• Medicare and Medicaid payment posting experience.
• Experience with electronic remittance and EFT reconciliation.
• Experience researching credit balances and unapplied payments.
• Familiarity with multiple EHR/Practice Management systems.
• Experience with clearinghouses and payer portals.
• CPB or similar billing certification is a plus.
• Bilingual English/Spanish is a plus.

Performance Expectations

Performance will be evaluated based on:

• Payment posting accuracy
• Payment posting turnaround time
• ERA/EOB processing
• Reconciliation accuracy
• Unapplied payment resolution
• Adjustment accuracy
• Identification of payment discrepancies
• Documentation quality
• Productivity
• Compliance with client and company procedures

Accuracy is critical. AdvantixxRCM does not prioritize posting volume at the expense of financial accuracy.

What We're Looking For

We are looking for someone who understands that payment posting is more than entering numbers.

The successful candidate should recognize when an EOB doesn't look right, identify discrepancies, determine whether the issue involves a denial, underpayment, adjustment, patient responsibility, or posting error, and route or resolve the issue appropriately.

We want someone who takes ownership of ensuring payments are posted accurately, reconciled properly, and accounted for completely.

Why Join AdvantixxRCM?

AdvantixxRCM is building a high-performance revenue cycle organization where accuracy, accountability, productivity, and financial integrity are essential.

This position provides exposure to multiple healthcare organizations, payers, specialties, and revenue cycle processes while providing opportunities for professional growth.

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