Payment Posting Specialist

Infinx; Oregon; Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

401(k) Retirement Savings Plan

Comprehensive Medical, Dental, and Vis

Paid Time Off

Paid Holidays

Pet Care Coverage

Employee Assistance Program (EAP)

Discounted services

Job summary

Ni2 Health, an Infinx Company, is seeking a Cash Posting Specialist to join our Revenue Cycle Team. The role focuses on posting payments from ERA/835, EOBs, and mailed checks, balancing cash and ensuring accuracy.

This remote position offers learning opportunities and growth within the organization, with a patient-centered approach and a fast-paced environment. Ideal candidate has 3+ years of experience, strong Excel skills, and familiarity with MEDITECH systems to support hospital and physician

Qualifications

• 3+ years of healthcare cash posting experience in a hospital, physician practice, revenue cycle management, or healthcare billing environment.
• Demonstrated experience posting payments accurately from Electronic Remittance Advice (ERA/835) files.
• Experience performing manual payment posting from insurance Explanation of Benefits (EOBs), Remittance Advice (RAs), and correspondence from payors
• Experience posting payments and adjustments from paper checks received by mail, including balancing deposit totals and batch reconciliation
• Strong understanding of healthcare reimbursement methodologies, contractual adjustments, denials, recoupments, and refund processes
• Experience reconciling daily cash posting batches to deposits, lockbox reports, bank reports, and remittance documentation
• Experience utilizing MEDITECH Expanse or MEDITECH Revenue Cycle Management systems preferred
• Experience with hospital-based billing and reimbursement, including inpatient, outpatient, emergency department, and professional services preferred
• Experience working with electronic lockbox files, EFT payments, and bank reconciliation processes preferred
• Knowledge of commercial insurance, Medicare, Medicaid, Medicare Advantage, and managed care payment processing
• Knowledge of revenue cycle KPIs, payment posting controls, and audit requirements preferred
• Ability to identify and resolve payment variances, unapplied cash, credit balances, and posting discrepancies
• Proficiency using Microsoft Excel for reconciliation and reporting activities
• Strong attention to detail with the ability to maintain high levels of productivity and accuracy in a fast-paced revenue cycle environment

Responsibilities

• Post payments, adjustments, denials, and refunds from ERA/835 files
• Manually post payments from insurance remittance advices, EOBs, and correspondence
• Post payments received through mailed checks and reconcile check batches to deposits
• Balance daily cash posting activity and resolve variances prior to close
• Research and correct posting errors, unidentified payments, and unapplied cash
• Maintain payment posting productivity and accuracy standards while meeting departmental deadlines

Skills

Healthcare cash posting

ERA/835 posting

EOBs/Remittance posting

Bank reconciliation

Excel proficiency

Attention to detail

Remote work readiness

Tools

MEDITECH Expanse

MEDITECH Revenue Cycle Management

Job description

Ni2 Health is actively recruiting for a Cash Posting Specialist to join our Revenue Cycle Team to handle tasks such as billing, collections, or denial management. The ideal candidate is action oriented and looking to learn and grow with Ni2 to advance within the organization.

Payment Posting Specialist will:

• Post payments, adjustments, denials, and reffunds from ERA/835 files


• Manually post payments from insurance remittance advices, EOBs, and correspondence


• Post payments received through mailed checks and reconcile check batches to deposits


• Balance daily cash posting activity and resolve variances prior to close


• Research and correct posting errors, unidentified payments, and unapplied cash


• Maintain payment posting productivity and accuracy standards while meeting departmental deadlines

ABOUT NI2 HEALTH, an Infinx Company

At Ni2 Health, you will discover challenges that excite you as you develop professionally and explore different career paths based on your interests and abilities. We reward ambitious, talented individuals with a work environment that fosters creativity, teamwork and collaboration while encouraging fresh thinking away from the way things have always been done.

Breaking the mold is a vital component to what we do at Ni2, and driving sustained value to our clients is paramount. Our team members and clients are completely satisfied with our service-based approach.

If you are looking to be mentored as a new graduate, come explore Ni2 Health ( and join a team of stars.

2025 Great Place to Work ®

In 2025, Infinx was certified as a Great Place to Work ® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx India has achieved certification and the first time the company has earned recognition in the U.S.

APPLICANT REQUIREMENTS AND SKILLS

Position is remote.

• 3+ years of healthcare cash posting experience in a hospital, physician practice, revenue cycle management, or healthcare billing environment


• Demonstrated experience posting payments accurately from Electronic Remittance Advice (ERA/835) files


• Experience performing manual payment posting from insurance Explanation of Benefits (EOBs), Remittance Advice (RAs), and correspondence received from commercial, government, and managed care payors


• Experience posting payments and adjustments from paper checks received by mail, including balancing deposit totals and batch reconciliation


• Strong understanding of healthcare reimbursement methodologies, contractual adjustments, denials, recoupments, and refund processes


• Experience reconciling daily cash posting batches to deposits, lockbox reports, bank reports, and remittance documentation


• Experience utilizing MEDITECH Expanse or MEDITECH Revenue Cycle Management systems preferred


• Experience with hospital-based billing and reimbursement, including inpatient, outpatient, emergency department, and professional services preferred


• Experience working with electronic lockbox files, EFT payments, and bank reconciliation processes preferred


• Knowledge of commercial insurance, Medicare, Medicaid, Medicare Advantage, and managed care payment processing


• Knowledge of revenue cycle key performance indicators (KPIs), payment posting controls, and audit requirements preferred


• Ability to identify and resolve payment variances, unapplied cash, credit balances, and posting discrepancies


• Proficiency using Microsoft Excel for reconciliation and reporting activities


• Strong attention to detail with the ability to maintain high levels of productivity and accuracy in a fast-paced revenue cycle environment

Company Benefits and Perks

Joining Infinx comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.

• Access to a 401(k) Retirement Savings Plan


• Comprehensive Medical, Dental, and Vision Coverage


• Paid Time Off


• Paid Holidays


• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services