Payment Posting Specialist

Infinit-O; Gurugram District; On-site; INR 350,000 - 520,000; Full time

Job summary

Infinit-O is seeking a Payment Posting Specialist to accurately post, balance, and reconcile electronic and manual payments across multiple practice accounts. You will ensure all financial transactions are recorded in our practice management systems with keen attention to detail and ownership of payment workflows.

The ideal candidate has 1–2+ years in medical payment posting, experience with EOBs/ERAs and relevant PM/EHR platforms, and strong Excel skills.

Qualifications

• 1–2+ years in medical payment posting or healthcare financial operations.
• Experience handling payment posting for outpatient specialties.
• Hands-on experience with EHR/PM platforms like Tebra, SimplePractice, Practice Fusion, Athena, eClinicalWorks.
• Ability to take ownership of work and operate independently while collaborating with a team.
• Solid understanding of EOBs, ERAs, ANSI 835 files, fee schedules, and contractual adjustments.
• Proficiency in Microsoft Excel and Word.

Responsibilities

• Post ERA (835) payments, adjustments, and denial codes into PM systems.
• Post manual payments from EOBs, paper checks, credit cards, and patient payments.
• Reconcile posted batches daily against bank deposits and statements.
• Identify discrepancies, underpayments, and unauthorized write‑offs.
• Process unapplied cash, prepayments, and research credit balances for refund or reapplication.
• Document transaction details and denial codes clearly in patient accounts.
• Identify payer denial code trends and escalate to management/billing team.
• Collaborate with AR and billing staff to resolve posting exceptions.
• Maintain HIPAA compliance and financial policies.

Skills

Attention to detail

Numerical accuracy

Ownership & self-direction

Collaboration

Tools

Tebra

SimplePractice

Practice Fusion

Athena

eClinicalWorks

Excel

Word

Job description

Infinit-O is the trusted, customer-centric, and sustainable leader in Business Process Optimization. We empower finance and healthcare organizations to thrive in a digital-first world by combining specialized industry expertise and innovative technology for 20 years.

We navigate complex industry landscapes to drive transformative outcomes, helping businesses streamline operations, enhance customer experience, and achieve sustainable growth backed by a world-class Net Promoter Score of 75. Our approach combines operational efficiency with a human-centered ethos, ensuring sustainable value creation for our clients and team members.

As a Certified B Corporation, Infinit-O is committed to the highest standards of social and environmental performance, accountability, and transparency. We embed these values into every aspect of our operations—aligning business success with a positive impact on our clients, people, and communities.

Our commitment to Diversity, Equity, and Inclusion (DEI) is integral to our mission. We believe that building inclusive, equitable teams is not only the right thing to do—it is also essential for driving innovation and better business outcomes. We actively promote equal opportunity through inclusive hiring practices, continuous learning programs, and regular equity assessments to ensure a fair and empowering workplace for all.

Position Summary

The Payment Posting Specialist is responsible for accurately posting, balancing, and reconciling electronic and manual payments, adjustments, and patient responsibilities across multiple practice accounts. This position ensures that all financial transactions are accurately recorded in practice management systems in a timely manner. The ideal candidate possesses high attention to detail, strong numerical aptitude, and a self-driven work ethic, capable of taking complete ownership of payment workflows with minimal supervision.

Essential Duties and Responsibilities

• Post electronic remittance advice (ERA / 835) payments, contractual adjustments, and denial reason codes into Practice Management (PM) systems.
• Post manual payments from Explanation of Benefits (EOB), paper checks, credit card payments, and patient payments accurately and efficiently.
• Reconcile posted payment batches daily against bank deposits, merchant processing statements, and deposit logs.
• Identify, research, and log payment discrepancies, contractual underpayments, short payments, and unauthorized write-offs.
• Process unapplied cash, patient prepayments, and research credit balances for potential refund or reapplication.
• Document transaction details, denial codes, and payment notes clearly in patient billing accounts.
• Identify trends in payer denial codes, payment rules, or clearinghouse posting errors and elevate to management/billing team.
• Collaborate with AR specialists and billing staff to resolve payment posting exceptions or batch discrepancies.
• Maintain strict adherence to HIPAA guidelines, patient privacy laws, and corporate financial compliance policies.

Required Qualifications

• Experience: Minimum of 1 to 2+ years of medical payment posting or healthcare financial operations experience.
• Specialty Background: Experience handling payment posting for general outpatient specialties, such as Primary Care, Psychiatry, Gastroenterology, Dermatology, etc.
• EHR & PM Software Expertise: Hands‑on experience with Electronic Health Record and Practice Management platforms like Tebra, SimplePractice, Practice Fusion, Athena, eClinicalWorks, etc.
• Ownership & Self‑Direction: Ability to take true ownership of work, jump in independently, operate effectively without constant task assignments or monitoring, and thrive in a team environment.
• Core Skills:
  • Solid understanding of EOBs, ERAs, ANSI 835 payment files, fee schedules, and contractual adjustments.
  • Strong numerical accuracy, data entry speed, and analytical reconciliation skills.
  • Proficiency in Microsoft Office, particularly Excel and Word.
• Probationary Requirement: Must successfully demonstrate accuracy, productivity, and ownership through an initial 90-day probation period.

Preferred Qualifications

• Experience working in a multi-specialty or outsourced revenue cycle management (RCM) firm.
• Experience with automated ERA batch processing and clearinghouse remittance portals.

Performance Expectations & Core Competencies

• Ensure 100% daily balancing between posted batches and bank deposits.
• Maintain high volume and accuracy standards for payment and adjustment posting.
• Demonstrate critical thinking, accountability, detail orientation, and seamless collaboration.