Precision Payment Posting Specialist

Seminole Hospital District; Seminole (TX); On-site; USD 32,000 - 52,000; Full time

Job summary

Seminole Hospital District is seeking an Insurance Payment Poster to accurately post insurance payments, adjustments, and denials for the hospital and clinics. The role ensures balanced accounts, timely follow-up and efficient revenue cycle operations.

The ideal candidate will post payments from ERA/EOBs, apply contractual adjustments, and reconcile batches, while maintaining documentation and confidentiality in accordance with HIPAA.

Qualifications

• High School diploma or equivalent required.
• Experience in medical payment posting, billing or bookkeeping preferred.
• Knowledge of EOBs, ERAs and contractual adjustments.
• Familiarity with Medicare/Medicaid and commercial payments preferred.
• Strong attention to detail, math skills and problem solving.
• Ability to manage multiple tasks and work independently.
• Experience with EHR or patient accounting systems preferred.
• Payment integrity and reconciliation experience beneficial.
• Familiarity with HIPAA electronic 835 transactions is a plus.

Responsibilities

• Post insurance payments from ERA, EOBs, checks and EFTs.
• Apply contractual adjustments, deductibles, copayments and coinsurance as per remittance.
• Reconcile payment batches to remittance totals and funds received.
• Review remittance for underpayments, overpayments, denials and incorrect adjustments.
• Transfer patient responsibility and remaining balances to the correct account.
• Identify credit balances and potential refunds for review.
• Record payment reversals, recoupments, and corrected payments.
• Maintain clear account notes and payment documentation.
• Communicate with billing, collections and patient access staff to resolve issues.
• Protect patient confidentiality per HIPAA and policies.
• Meet productivity, accuracy and posting turnaround targets.

Skills

Attention to detail

Multitasking

Independent worker

Problem solving

Communication

Education

High School diploma or equivalent

Tools

EHR systems

Patient accounting software

Remittance processing tools

Job description

Seminole Hospital District is seeking an Insurance Payment Poster to accurately post insurance payments, adjustments, and denials for the hospital and clinics. The role ensures balanced accounts, timely follow-up and efficient revenue cycle operations.

The ideal candidate will post payments from ERA/EOBs, apply contractual adjustments, and reconcile batches, while maintaining documentation and confidentiality in accordance with HIPAA.