Staff Accountant
November 19, 2025CONTRACT: Medical Payment Poster (#10432)
Dallas area client is looking for a Medical Payment Poster on a contract-to-hire basis.
Job Title: Medical Payment Poster / Payment Posting Specialist
Department: Billing / Revenue Cycle Management
Reports To: Billing Manager
Employment Type: Full-Time (Hybrid)
Position Summary:
The Medical Payment Poster is responsible for accurately and efficiently posting payments, adjustments, and denials for multiple healthcare clients. While payment data may originate from various payer portals, clearinghouses, and practice management systems, all payments are consolidated and posted into the company’s centralized billing platform — AdvancedMD.
This position requires a strong understanding of ERAs, EOBs, and payer remittance workflows, along with the ability to manage multiple client accounts in a fast-paced billing company environment.
Key Responsibilities:
- Review and post insurance, and third-party payments from ERAs (835 files), paper EOBs, and payer portals.
- Retrieve remittance data from multiple sources (e.g., TriZetto, Availity, Change Healthcare, payer portals) and post all payments into AdvancedMD.
- Accurately record payments, adjustments, and denials in AdvancedMD for the correct patient account, payer, and date of service.
- Reconcile daily payment batches to ensure totals balance with internal payment logs.
- Identify and correct posting discrepancies or missing remittance details.
- Notify the billing and AR teams of denials, underpayments, or take-backs for follow-up.
- Process credit transfers and refunds in compliance with company policy.
- Maintain accurate documentation of all payment posting activity for audit and reporting purposes.
- Collaborate with internal teams to improve payment workflows and reduce posting errors.
- Adhere to HIPAA regulations and maintain patient and client confidentiality at all times.
- Meet daily productivity and accuracy targets set by management.
Qualifications:
- Education: High school diploma or equivalent required; associate degree or coursework in healthcare administration or accounting preferred.
- Experience: Minimum 2-4 years of experience in medical billing, payment posting, or revenue cycle operations (preferably in a multi-specialty or RCM environment).
- Skills:
- Strong attention to detail and accuracy.
- Knowledge of EOBs, ERAs, and healthcare payment processing.
- Familiarity with CPT, ICD-10, and insurance payer processes.
- Proficient in medical billing systems (e.g., AdvancedMD, eClinicalWorks, NextGen, etc.) and Microsoft Excel.
- Excellent organizational and communication skills.
Performance Metrics:
- Accuracy rate of payment postings.
- Timeliness of payment posting.
- Error resolution turnaround time.
- Compliance with internal policies and HIPAA standards.