Medical Payment Poster Specialist

We are looking for a Medical Payment Poster Specialist to join a healthcare revenue cycle team in Sacramento, California. This contract position offers the potential for a permanent role and is fully in-office during the initial assignment. It is ideal for someone who can accurately apply payments, identify discrepancies, and support timely follow-up on account issues. The role requires strong knowledge of medical billing workflows, payer activity, and cash posting practices to help maintain accurate patient account records.

Responsibilities:

• Accurately enter insurance reimbursement details at the line-item level within the patient accounting platform.
• Record patient payments promptly and ensure each transaction is applied to the appropriate account.
• Review posted amounts against payer agreements and internal guidelines to confirm payment accuracy.
• Document denials, zero-payment explanations, and related account activity, then alert collection staff when additional action is needed.
• Process recoupments and takebacks in accordance with established procedures and reimbursement rules.
• Reconcile daily posted payments to settlement documentation to maintain balanced cash activity.
• Identify recurring issues such as underpayments or denial patterns and communicate findings to leadership.
• Direct payer letters and related correspondence to the appropriate team members for investigation or resolution.
• Prior experience in medical payment posting, cash applications, or a closely related healthcare revenue cycle role.
• Working knowledge of medical billing processes, claims activity, and payment reconciliation.
• Ability to interpret payer contracts, reimbursement terms, and posting policies with accuracy.
• Experience handling insurance payments, patient payments, denials, and zero-pay transactions.
• Familiarity with medical collections workflows and coordination with follow-up teams.
• Strong attention to detail with the ability to maintain accurate financial records in a high-volume environment.
• Comfortable working on-site in Sacramento, California for the duration of the contract assignment.