Posting Specialist

OMS Medical Billing; Addison (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

OMS Medical Billing is seeking a Payment Posting Specialist to accurately post insurance and patient payments to patient accounts and support the revenue cycle. The role requires posting from ERA, EOB, EFT, checks, and virtual cards, reconciling with deposits, and maintaining detailed audit trails.

The ideal candidate will have a high school diploma and experience in medical billing or payment posting, with strong Excel skills and the ability to work independently to meet daily targets in a

Qualifications

• Proven ability to post payments accurately and reconcile cash receipts.
• Strong analytical and problem-solving skills with attention to discrepancies.
• Excellent time-management and ability to meet daily productivity targets.

Responsibilities

• Post insurance and patient payments from ERA, EOB, EFT, checks, and virtual cards.
• Reconcile payments with reports and update posting notes for audit trails.
• Escalate payment discrepancies to the A/R or denial teams as needed.

Skills

Attention to detail

Analytical thinking

Time management

Communication

Education

High school diploma or equivalent

Tools

Microsoft Excel

Practice management system

Job description

Department: Revenue Cycle Management (RCM)Reports To: Payment Posting Lead / RCM ManagerLocation: Onsite at our Corporate Headquarters in Addison, TXPosition SummaryThe Payment Posting Specialist is responsible for accurately and efficiently posting insurance and patient payments to patient accounts. This position ensures payments, contractual adjustments, denials, and recoupments are recorded correctly in the practice management system while maintaining accurate financial records and supporting the overall revenue cycle.Essential Duties and Responsibilities Post insurance payments from Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), electronic funds transfers (EFT), paper checks, and virtual credit card payments. Review and reconcile payments against EOBs, ERAs, bank deposits, and payment reports to ensure accuracy. Post contractual adjustments, patient responsibility amounts, recoupments, refunds, and other applicable adjustments according to company policies and payer guidelines. Identify and research discrepancies, missing payments, duplicate payments, unidentified deposits, and incorrect payment amounts. Verify that payments are posted to the correct patient account, claim, payer, and date of service. Identify denied, underpaid, zero-paid, and incorrectly processed claims and route them to the appropriate Accounts Receivable (A/R) or denial management team for follow-up. Upload and maintain EOBs and supporting documentation in the appropriate systems. Reconcile daily payment batches and ensure all payments are accounted for before closing batches. Monitor pending payment batches and follow up on missing ERAs, EOBs, checks, or deposits. Maintain accurate payment posting notes and documentation to support account research and audit requirements. Review payment posting reports and assist with month-end reconciliation and reporting. Communicate payment discrepancies and workflow issues to the team lead or management. Meet daily productivity, accuracy, and turnaround-time expectations. Follow HIPAA requirements and company policies regarding patient information and financial data. Perform other duties as assigned.Qualifications High school diploma or equivalent required. Previous experience in medical billing, payment posting, or healthcare revenue cycle operations preferred. Knowledge of insurance EOBs, ERAs, EFTs, contractual adjustments, and payer reimbursement processes. Experience with electronic health records or practice management systems preferred. Proficiency in Microsoft Excel, Outlook, and other standard office applications.Required Skills Strong attention to detail and accuracy. Good analytical, problem-solving, and reconciliation skills. Ability to manage high-volume payment posting workloads. Strong organizational and time-management skills. Ability to identify discrepancies and escalate issues appropriately. Effective written and verbal communication. Ability to work independently and collaboratively within a team. Ability to meet deadlines and maintain productivity standards.Why Join UsWe are a growing anesthesia practice company with 700+ employees and contractors, committed to supporting healthcare professionals while maintaining a vibrant, collaborative workplace culture. We offer competitive compensation, comprehensive benefits, and genuine opportunities for growth and development.Benefits Package Includes: Comprehensive health, dental, and vision insurance $50,000 company-provided life insurance Multiple voluntary insurance options for additional peace of mind 15 days of PTO and paid holidays 401(k) retirement plan with 3% non-discretionary company match Professional development and training opportunities Supportive, inclusive, and collaborative work environment