Posting Specialist II

The Payment Poster is responsible for ensuring accurate, timely posting of payments and adjustments for a range of medical services in our professional billing office. The role supports the Revenue Cycle by ensuring all patient and insurance payments are properly documented, accurately allocated, and balanced against patient accounts, optimizing revenue collection and reducing discrepancies.

• Payment Posting: Accurately post payments and adjustments from various sources (insurance payments, patient payments, electronic remittances, manual check postings) to appropriate patient accounts.
• Account Reconciliation: Reconcile daily, weekly, and monthly postings to ensure all payments align with patient records and financial reports. Investigate and resolve discrepancies promptly.
• Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA): Efficiently manage EFT and ERA processes, identifying missing or misallocated payments and working with insurers or patients to resolve issues.
• Denial and Adjustment Management: Work closely with the billing and claims teams to identify, research, and correct denied claims or underpayments. Adjust accounts as necessary following hospital policies and payer guidelines.
• Communication with Stakeholders: Collaborate with internal teams (billing, coding, patient access) and external parties (payers, financial institutions) to ensure accurate and timely resolution of payment issues.
• System Efficiency and Reporting: Utilize the hospital’s billing and EHR systems to track payments, generate reports on payment and adjustment activity, and provide insights on patterns affecting revenue.

• Education: High School Diploma or General Education Degree (GED) or 5 years’ experience in billing required.
• Experience:
  • Minimum three (3) years’ experience as a Posting Specialist or Medical Billing.
  • Prior experience in physician/provider professional fee billing is preferred.
  • Ability to read and comprehend instructions, short correspondence and memos.
  • Excellent written and verbal communication skills required.
  • Ability to effectively present information in one‑on‑one and small group meetings to clients and staff.
  • Must be able to multitask, prioritize, manage time, and think critically.
  • Proficient computer skills, Microsoft Office Suite.
  • Must have own transportation to provide courier services for the office.
  • Strong customer service skills and ability to answer both patient and insurance company questions.
  • Ability to analyze problems and devise better solutions.
• Skills and Abilities:
  • Proficiency in healthcare billing systems, EHR, and RCM software.
  • Strong attention to detail, with ability to identify and resolve errors in payment postings and account reconciliations.
  • Good understanding of medical terminology, insurance claims processing, and denial management.
  • Ability to work independently and prioritize tasks in a fast‑paced environment.
  • Strong communication and interpersonal skills to coordinate effectively with team members and external partners.

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook.
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with yourself.
• Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
• Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
• Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Physical presence onsite is essential with possibility of hybrid work schedule. Hearing and vision must be normal or corrected to within normal range. Able to perform the duties with or without reasonable accommodation. Valid driver’s license and automobile liability insurance. Very good interpersonal communication and customer service skills required.

Medium work – Exerting 20–50 pounds of force occasionally, and/or 10–25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to many objects. Physical Demand requires performance in excess of Light Work. Good manual and finger dexterity. Ability to tolerate prolonged periods of sitting. Some light driving required.

Contact with others, deal with external customers/clients, sometimes dealing with unpleasant people, occasionally coordinating letters/memos, working with work groups or as a team consistently.