Medical Payment Poster Specialist

We are looking for a Medical Payment Poster Specialist to join a social services organization in Raleigh, North Carolina. This contract-to-permanent opportunity is ideal for someone who thrives in a high-volume environment and brings accuracy, persistence, and strong knowledge of payer-specific payment practices. The person in this role will support timely posting and reconciliation of patient and insurance payments while helping maintain the integrity of account records and cash activity.

Responsibilities:

• Process a large volume of manual payment entries for both insurance carriers and patients with a high level of accuracy and speed.
• Record reimbursements, denials, and account adjustments by reviewing documentation such as EOBs and ERAs.
• Balance daily cash activity, checks, and deposited funds against system transactions to confirm posting accuracy.
• Apply contractual write-offs and other approved adjustments in accordance with payer agreements and account findings.
• Investigate unidentified or unapplied receipts and take appropriate action to ensure proper resolution.
• Prepare and maintain cash posting reports that track productivity, trends, and outstanding issues.
• Review payer-specific payment patterns and use that knowledge to reduce posting errors and support efficient workflow.
• Assist with responsibilities tied to payment automation efforts, including work related to 835 processing when needed.
• Previous experience in medical payment posting, medical billing, or a closely related revenue cycle role.
• Strong understanding of insurance payment processing, denials, adjustments, and reconciliation practices.
• Ability to manage high-volume manual posting work while maintaining close attention to detail.
• Working knowledge of medical claims, medical collections, and medical coding concepts.
• Experience using EOBs, ERAs, and payer portals to research and post transactions accurately.
• Familiarity with Epaces or similar healthcare payment and eligibility systems.
• Solid problem-solving skills with the ability to research discrepancies and resolve account issues independently.