Job Description
Job DescriptionWe are looking for a Medical Payment Poster Specialist to join a healthcare revenue cycle team in Sacramento, California. This in-office opportunity is a contract position with the potential to become permanent, supporting payment posting and cash application activities with a strong focus on accuracy, reconciliation, and follow-up coordination. The ideal candidate brings hands-on experience in medical billing environments and can ensure payments, denials, and adjustments are recorded correctly while helping maintain efficient account resolution.
Responsibilities:
• Record insurance reimbursements at the line-item level within the patient account platform, ensuring each transaction is applied accurately.
• Enter patient payments promptly and maintain complete, up-to-date account activity in the billing system.
• Review posted amounts against payer agreements and internal guidelines to confirm reimbursement accuracy.
• Document denied claims, zero-pay remittances, and related exceptions, then direct follow-up items to the appropriate collections partner.
• Process recoupments, reversals, and take-backs in accordance with established payment posting procedures.
• Reconcile daily payment activity to settlement documentation and resolve balancing discrepancies in a timely manner.
• Identify recurring issues such as underpayments, denial patterns, or other reimbursement variances and communicate findings to leadership.
• Distribute payer correspondence and remittance-related documents to the correct team members for further action.• Prior experience in medical payment posting, cash applications, or a closely related revenue cycle function.
• Working knowledge of medical billing, claims processing, and payment reconciliation practices.
• Ability to interpret payer contracts, reimbursement terms, and posting policies with a high degree of accuracy.
• Familiarity with handling denials, zero payments, recoupments, and other remittance exceptions.
• Strong attention to detail with the ability to balance payment activity against daily reports.
• Effective communication skills for escalating trends, discrepancies, and follow-up needs to internal teams.
• Comfortable working in an on-site office environment in Sacramento, California.
• Background in medical collections or medical coding is a plus.