Payment Posting Specialist

Hillsboro Health; Hillsboro (IL); Hybrid; USD 45,000 - 70,000; Full time

Job summary

Hillsboro Health in Hillsboro, IL, is seeking a Payment Posting Specialist to accurately post patient and insurance payments and perform timely account reconciliations. The role supports financial integrity of the revenue cycle by verifying payment accuracy and maintaining up-to-date patient records.

You will process ERA/EOBs, apply adjustments, and investigate misapplied payments, collaborating with insurers, patients, and internal teams.

Qualifications

• High school diploma or equivalent; associate degree preferred in accounting or healthcare billing.
• 3+ years in medical payment posting or healthcare billing, multi-payer experience preferred.
• Strong knowledge of EOBs, ERAs, and medical billing terminology.
• Experience with practice management systems (CPSI, Cerner, Oracle Health).
• Proficiency in Microsoft Excel and other Office applications.

Responsibilities

• Post payments from insurers and patients to accounts with high accuracy.
• Process ERA and EOB documents efficiently.
• Apply adjustments and denials per policies and payer contracts.
• Research and resolve misapplied or unidentified payments.
• Collaborate with insurers, patients, and internal teams to correct postings.
• Escalate complex discrepancies to management as needed.

Skills

Payment posting

EOB/ERA processing

Reconciliation

Attention to detail

Microsoft Excel

Education

High school diploma

Associate's degree in accounting or healthcare billing

Tools

CPSI

Cerner

Oracle Health

Electronic payment systems

Job description

Description

REMOTE OPTION IS AVAILABLE FOR THIS POSITON.

Job Summary:

The Payment Posting Specialist is responsible for accurately posting patient and insurance payments to patient accounts and performing timely account reconciliations. This role plays a critical part in ensuring the financial integrity of the revenue cycle by verifying payment accuracy, resolving discrepancies, and maintaining up-to-date patient account records.

Essential Duties and Responsibilities:

• Post payments from insurance companies, patients, and third- party payers to patient accounts with a high degree of accuracy and attention to detail.
• Process paper and electronic remittance advice (ERA) and explanation of benefits (EOB) documents.
• Apply adjustments, and denials according to organizational policies and payer contracts.
• Research and resolve misapplied or unidentified payments.
• Work with insurance carriers, patients, and internal departments to clarify and correct posting errors.
• Escalate complex discrepancies or unresolved items to management or appropriate teams.
• Other duties may be assigned and are subject to change with or without notice.

Professional Requirements:

• Maintain detailed records of payment activities and reconciliation processes.
• Assist in generating reports related to payment posting, reconciliation, and outstanding items.
• Ensure compliance with internal policies, payer rules, and regulatory requirements.
• Completes and maintains all required education and/or training requirements.
• Complies with HIPAA regulations and always maintains patient confidentiality.
• Follows and maintains all lawful safety, health requirements, and regulations, and follow protocols for required protective equipment (PPE).
• Promptly reports safety issues, job-related injury, or illness, near misses, etc. in SafetyZone.
• Follows Hillsboro Health Standards of Behavior.

Requirements

Education and/or Experience:

• High school diploma or equivalent required; associate’s degree or coursework in accounting, healthcare billing, preferably in a multi-payer environment.
• 3+ years of experience in medical payment posting or healthcare billing, preferably in a multi-payer environment.
• Strong understanding of insurance EOBs, ERAs, and medical billing terminology.
• Experience with practice management systems (e.g., CPSI, Cerner, Oracle Health, etc.) and electronic payment systems preferred.
• Strong attention to detail and excellent organizational skills.
• Proficiency in Microsoft Excel and other Office applications a plus.

Certificates and Licenses:

None

Physical Demands:

Physical demands of the position, including vision, hearing, repetitive motion, and environment are required. A separate document will be provided upon hire, during annual evaluation process, and upon request. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

CORPORATE COMPLIANCE

Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health’s Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows whether to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.