Payment Poster

Urology Centers of Alabama; Homewood (IL); Hybrid; USD 42,000 - 62,000; Full time

Job summary

Urology Centers of Alabama is seeking a Payment Poster to accurately post payments, adjustments, and denials from insurance companies and patients into the practice management system. The role supports revenue cycle efficiency and timely reimbursement for urology services.

The ideal candidate has 1–2 years of experience in medical payment posting or billing, with familiarity in EOBs, ERAs, and payer guidelines.

Qualifications

• High school diploma or equivalent required; an associate degree is preferred.
• 1–2 years of experience in medical payment posting, medical billing, or revenue cycle.
• Experience in a specialty practice (urology) is a plus.

Responsibilities

• Post insurance and patient payments and ERAs accurately and timely.
• Review EOBs and ERAs to ensure proper payment application.
• Identify and post adjustments, denials, and variances per payer guidelines.
• Reconcile daily payment batches and ensure balances.
• Research and resolve payment discrepancies, including under/overpayments.
• Communicate with billing, coding, and collections on payment issues.
• Maintain HIPAA-compliant confidentiality of patient and financial data.
• Assist month-end closing and reporting as needed.

Skills

Attention to detail

Analytical thinking

Communication

Time management

Teamwork

HIPAA compliance

Education

High school diploma or equivalent

Associate degree preferred

Tools

Practice management system

Electronic Health Records (EHR)

Microsoft Office

Job description

Job Details: Position Type: Full Time, General Summary

The 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 Functions

• Post insurance payments, patient payments, and electronic remittances (ERAs) accurately and in a timely manner
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure proper payment application
• Identify and post contractual adjustments, denials, and variances according to payer guidelines
• Reconcile daily payment batches and ensure all transactions balance
• Research and resolve payment discrepancies, including underpayments and overpayments
• Communicate with billing, coding, and collections teams regarding payment issues or trends
• Maintain compliance with payer contracts, company policies, and regulatory requirements
• Assist with month-end closing processes and reporting as needed
• Maintain confidentiality of patient and financial information in accordance with HIPAA regulations
• Support continuous process improvement initiatives within the Revenue Cycle Department

Knowledge, Skills, and Abilities

• Strong understanding of EOBs, ERAs, CPT/ICD coding basics, and payer reimbursement methodologies
• Proficiency with practice management systems and electronic health records (EHR)
• High attention to detail and accuracy
• Strong analytical and problem-solving skills
• Ability to work in a fast-paced, high-volume environment
• Excellent organizational and time management skills
• Effective communication and teamwork abilities
• Proficient in Microsoft Office (Excel, Word)

Key Competencies

• Accuracy & Attention to Detail
• Accountability
• Time Management
• Problem Solving
• Team Collaboration
• Compliance Awareness

Supervisory Requirements

This position will not supervise any other staff members.

Working Conditions

• Primarily office-based or remote work environment (as applicable).
• Prolonged periods of sitting and computer use.
• May require occasional overtime to meet departmental deadlines.

Qualifications: Minimum Qualifications

• High 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 Qualifications

• Experience in a specialty practice (urology preferred).