Payment Poster

Cadia Healthcare; Kennett Square (Chester County); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Addiction Recovery Systems (ARS) in Kennett Square, PA seeks a meticulous Payment Poster / Cash Posting Specialist for its Revenue Cycle Department. You will post insurance and patient payments, reconcile to deposits and ERAs, and flag discrepancies for follow‑up.

Strong detail orientation and healthcare billing experience are essential. The role supports month‑end close across multiple clinics, with a hybrid work arrangement after an initial 90‑day onsite training period.

Qualifications

• High school diploma or equivalent required; associate degree or healthcare/business education preferred.
• Experience in healthcare payment posting, medical billing, accounts receivable, or revenue cycle preferred.
• Experience reviewing ERAs, EOBs, EFTs, and insurance payments preferred.
• Healthcare settings in behavioral health or multi-site environments preferred.
• Experience with Medicaid/Medicare and managed care plans preferred.

Responsibilities

• Post insurance and patient payments, adjustments, and other account activity accurately and timely.
• Process ERAs and paper EOBs; reconcile deposits and payments to accounts.
• Match deposits, EFTs, credit cards, checks, and ERAs to patient accounts and claims.
• Prepare weekly deposits and assist in month‑end reconciliation.
• Identify denials and discrepancies and route to appropriate biller for follow‑up.
• Maintain documentation for audits and internal reviews; ensure HIPAA compliance.

Skills

Attention to detail

Organizational skills

Healthcare billing experience

Microsoft Excel

Communication skills

Education

High school diploma or equivalent

Associate degree or healthcare/business education preferred

Tools

Microsoft Excel

Practice-management systems

Job description

Job Details: Job Location: Kennett Square, PA 19348, Addiction Recovery Systems (ARS) is a multi‑state behavioral health and addiction treatment organization operating 10 clinics across five states. Our Revenue Cycle team supports the financial operations of our clinics by ensuring insurance and patient payments are accurately billed, posted, reconciled, and communicated to the appropriate teams.

ARS is seeking a detail‑oriented and dependable Payment Poster / Cash Posting Specialist to join our Revenue Cycle Department. This position plays a critical role in ensuring payments, adjustments, deposits, and denials are processed accurately and timely across all clinic locations.

Position Summary

The Payment Poster / Cash Posting Specialist is responsible for accurately posting insurance and patient payments to the appropriate patient accounts, reconciling payments to deposits and electronic remittance advices (ERAs), identifying payment discrepancies and denials, and supporting month‑end financial reconciliation.

The ideal candidate will have strong attention to detail, excellent organizational skills, and experience working with healthcare payments, ERAs, EOBs, insurance remittances, and revenue cycle processes.

Essential Duties and Responsibilities

• Post insurance payments, contractual adjustments, patient payments, and other account adjustments accurately and timely within the billing system.
• Process and post payments received through Electronic Remittance Advices (ERAs) and paper Explanation of Benefits (EOBs).
• Process insurance payments received through virtual credit cards and other electronic payment methods.
• Retrieve and reconcile deposits and payment activity from designated company bank accounts and payment portals.
• Match bank deposits, EFT transactions, credit card payments, checks, and ERAs to the appropriate patient accounts and insurance claims.
• Prepare and document weekly deposits for checks and other payments received by the organization.
• Perform daily and monthly payment reconciliation to ensure posted payments balance to bank deposits, ERAs, EFTs, checks, and other payment sources.
• Assist with month‑end reconciliation and closing activities for all ARS clinic locations.
• Identify denied, rejected, underpaid, or incorrectly processed claims during payment posting and promptly notify the appropriate biller or Revenue Cycle team member for follow‑up.
• Route insurance denials and remittance information to billers with sufficient documentation to support timely correction, appeal, or rebilling.
• Identify payment variances, missing payments, duplicate payments, overpayments, and other discrepancies and elevate unresolved issues to the Director of Revenue Cycle.
• Research and resolve unapplied or unidentified payments.
• Maintain and reconcile unapplied cash and payment exception reports.
• Identify potential insurance and patient credit balances and communicate accounts requiring refund review or additional research.
• Ensure contractual adjustments, coinsurance, copayments, deductibles, and other patient responsibility amounts are posted according to payer remittance information.
• Maintain accurate records of payment batches, deposit activity, EFTs, ERAs, checks, credit card transactions, and reconciliation documentation.
• Monitor payer portals and clearinghouse systems as needed to retrieve remittance information and supporting payment documentation.
• Assist with researching payment posting discrepancies identified by billers, management, clinic staff, or accounting.
• Communicate effectively with billers regarding denials, payment discrepancies, recoupments, takebacks, and other payer‑related issues.
• Maintain accurate supporting documentation for audits and internal financial reviews.
• Follow established Revenue Cycle policies and procedures as well as HIPAA and patient confidentiality requirements.
• Assist with special projects, audits, reporting, and other Revenue Cycle duties as assigned by the Director of Revenue Cycle.

Schedule and Hybrid Work Expectations

This is a hybrid position. The selected candidate will be required to work onsite for the first 90 days for comprehensive training, evaluation, and completion of the probationary period.

Following successful completion of the initial 90‑day period, the employee may transition to the approved hybrid work schedule based on demonstrated performance, accuracy, productivity, attendance, and the operational needs of the Revenue Cycle Department.

Because this position handles time‑sensitive financial activity, the Payment Poster must maintain consistent availability and meet established daily, weekly, and month‑end deadlines regardless of work location.

Qualifications

• High school diploma or equivalent required; associate degree or additional healthcare/business education preferred.
• Previous healthcare payment posting, medical billing, accounts receivable, or revenue cycle experience strongly preferred.
• Experience reviewing ERAs, EOBs, EFTs, insurance payments, adjustments, denials, and patient responsibility preferred.
• Behavioral health, substance use disorder treatment, OTP, or multi‑site healthcare experience is preferred.
• Experience working with Medicaid, Medicare, commercial insurance, and managed care plans is preferred.
• Strong mathematical and reconciliation skills.
• High level of accuracy and attention to detail.
• Ability to identify discrepancies and independently research payment issues.
• Strong organizational and time‑management skills with the ability to manage payment activity for multiple clinic locations.
• Ability to communicate clearly and professionally with billing staff, clinic personnel, management, and other departments.
• Proficiency with Microsoft Excel, Outlook, and healthcare billing or practice‑management systems.
• Ability to maintain confidentiality and comply with HIPAA and organizational policies.