Payment Poster

Urology Centers of Alabama, PC; Birmingham (AL); On-site; USD 42,000 - 52,000; Full time

Job summary

Urology Centers of Alabama, P.C. in Birmingham, AL seeks a Payment Poster to accurately post insurance payments, patient payments, and ERAs into the practice management system. The role supports a reliable revenue cycle and timely reimbursement for services.

You will review EOBs/ERAs, post adjustments per payer guidelines, reconcile daily batches, and work with billing, coding, and collections teams. HIPAA compliance and meticulous attention to detail are essential in a fast-paced setting.

Qualifications

• Knowledge of EOBs and ERAs and payer reimbursement methodologies.
• Attention to detail and accuracy in a high-volume environment.
• Experience with medical payment posting or revenue cycle operations is preferred.

Responsibilities

• Post insurance and patient payments and ERAs accurately and timely.
• Review EOBs/ERAs to ensure correct payment application.
• Identify and post contractual adjustments, denials, and variances per payer guidelines.
• Reconcile daily payment batches and ensure transactions balance.
• Research and resolve payment discrepancies including underpayments/overpayments.
• Collaborate with billing, coding, and collections teams on payment issues or trends.
• Maintain HIPAA compliance and confidentiality of information.
• Assist with month-end close and reporting as needed.

Skills

EOB/ERA knowledge

Payer reimbursement

Practice management systems

Microsoft Office

EHR proficiency

Education

High school diploma or equivalent

Tools

Practice management system

Electronic Health Records

Microsoft Office

Job description

General SummaryThe Payment Poster is responsible for accurately posting payments, adjustments, and denials received from insurance companies and patients into the practice management system. This role ensures the integrity of financial data, supports revenue cycle efficiency, and contributes to timely and accurate reimbursement for services provided by Urology Centers of Alabama, P.C.Essential FunctionsPost insurance payments, patient payments, and electronic remittances (ERAs) accurately and in a timely mannerReview Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure proper payment applicationIdentify and post contractual adjustments, denials, and variances according to payer guidelinesReconcile daily payment batches and ensure all transactions balanceResearch and resolve payment discrepancies, including underpayments and overpaymentsCommunicate with billing, coding, and collections teams regarding payment issues or trendsMaintain compliance with payer contracts, company policies, and regulatory requirementsAssist with month-end closing processes and reporting as neededMaintain confidentiality of patient and financial information in accordance with HIPAA regulationsSupport continuous process improvement initiatives within the Revenue Cycle DepartmentKnowledge, Skills, and AbilitiesStrong understanding of EOBs, ERAs, CPT/ICD coding basics, and payer reimbursement methodologiesProficiency with practice management systems and electronic health records (EHR)High attention to detail and accuracyStrong analytical and problem-solving skillsAbility to work in a fast-paced, high-volume environmentExcellent organizational and time management skillsEffective communication and teamwork abilitiesProficient in Microsoft Office (Excel, Word)Key CompetenciesAccuracy & Attention to DetailAccountabilityTime ManagementProblem SolvingTeam CollaborationCompliance AwarenessSupervisory RequirementsThis position will not supervise any other staff members.Working ConditionsPrimarily office-based or remote work environment (as applicable).Prolonged periods of sitting and computer use.May require occasional overtime to meet departmental deadlines.Minimum QualificationsHigh school diploma or equivalent required; Associate degree preferred.Minimum of 1–2 years of experience in medical payment posting, medical billing, or revenue cycle operations.Experience in a specialty practice (urology preferred) is a plus.Preferred QualificationsExperience in a specialty practice (urology preferred).