Insurance Payment Poster

Seminole Hospital District; Seminole (TX); On-site; USD 40,000 - 55,000; Full time

Job summary

Seminole Hospital District is seeking an Insurance Payment Poster to accurately post insurance payments, adjustments, and denials to patient accounts across the hospital and clinics. You will support accurate balances, timely follow-ups, and efficient revenue cycle operations.

Responsibilities include posting payments from ERA, EOBs, checks, and EFTs; applying adjustments; reconciling batches; reviewing remittances for issues; communicating with billing and clinical staff; and maintaining

Qualifications

• High School diploma or equivalent required.
• Experience in medical payment posting, billing, or related field preferred.
• Knowledge of insurance terminology, EOBs, ERAs, and patient responsibility preferred.

Responsibilities

• Post insurance payments from ERA, EOBs, checks, and EFTs.
• Apply contractual adjustments, deductibles, copayments, and coinsurance.
• Reconcile payment batches to remittance totals and funds received.
• Review remittance information for underpayments, overpayments, denials, and incorrect adjustments; route issues for follow-up.
• Transfer patient responsibility and remaining balances to appropriate accounts.
• Identify credit balances and potential refunds for review and approval.
• Record payment reversals, recoupments, and corrected payments accurately.
• Maintain clear account notes and support payment documentation.
• Communicate with billing, collections, and patient access staff to resolve issues.
• Protect patient confidentiality and follow HIPAA requirements.

Skills

Attention to detail

Math skills

EOB/ERA knowledge

Education

High School diploma or equivalent

Tools

EHR systems

Patient accounting

Job description

The insurance payment poster accurately and promptly posts insurance payments, adjustments, and denials to patient accounts for the hospital and associated clinics. This position supports accurate account balances, timely follow-ups, and efficient revenue cycle operations.

Pay Scale: Full-Time, Non Exempt

Reports To: Revenue Cycle Manager

Location: Seminole Hospital District

Responsibilities

• Post insurance payments from electronic remittance advice (ERA), explanation of benefits (EOBs), checks, and electronic funds transfers (EFTs).
• Apply contractual adjustments, deductibles, copayments, and coinsurance according to payer remittance information and facility policies.
• Reconcile payment batches to remittance totals and funds received, researching and resolving discrepancies.
• Review remittance information for underpayments, overpayments, denials, and incorrect adjustments; route issues to the appropriate staff for follow-up.
• Transfer patient responsibility and remaining insurance balances to the appropriate account or payer.
• Identify credit balances and potential refunds for review and approval.
• Record payment reversals, recoupments, and corrected payments accurately.
• Maintain clear account notes and support payment documentation.
• Communicate with billing, collections, and patient access staff to resolve account issues.
• Protect patient confidentiality and follow HIPAA requirements and facility policies.
• Meet established productivity, accuracy, and posting turnaround expectations.
• Perform other related duties as assigned.

Education and Experience Requirements

• High School diploma or equivalent required.
• Previous medical payment posting, billing, bookkeeping, or related experience preferred.
• Knowledge of insurance terminology, EOBs, ERAs, contractual adjustments, and patient responsibility.
• Familiarity with Medicare, Medicaid, and commercial insurance payments preferred.
• Strong attention to detail basic math skills, and problem-solving abilities.
• Ability to manage multiple tasks and work independently.
• Experience using electronic health record or patient accounting systems preferred.
• Payment integrity and reconciliation.
• Strong ability to interpret explanation of benefits (EOBs) and remittance advices (Ras).
• Familiarity with the HIPAA standard electronic (835) healthcare transaction is a plus.

Supervisory Responsibility:

None

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• moderate periods of sitting/standing/walking