Payment Posting Specialist

About the Company

Sunshine Pediatric and Family Clinic Private Limited is committed to delivering high-quality

healthcare services through operational excellence and patient-centered care.

We are looking for detail-oriented and motivated professionals to join our Revenue Cycle Management (RCM) team and contribute to ensuring timely and accurate payment processing within the US healthcare system.

Job Summary

The Payment Posting Executive is responsible for accurately posting insurance and patient

payments into the medical billing system while ensuring compliance with payer guidelines

and organizational policies. The role involves reviewing Electronic Remittance Advice

(ERA), Explanation of Benefits (EOB), identifying payment discrepancies, processing

adjustments, reconciling transactions, and collaborating with the Accounts Receivable (AR)

team to resolve payment-related issues.

The ideal candidate should possess strong analytical skills, attention to detail, and a good

understanding of the US medical billing payment posting process.

Key Roles & Responsibilities

Payment Posting

• Accurately post insurance and patient payments into the billing system.
• Process Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB).
• Ensure all payments are posted within the defined turnaround time.
• Verify payment amounts before posting.
• Post payments received through electronic transfers, checks, virtual cards, and

other payment methods.

Payment Reconciliation

• Reconcile posted payments with bank deposits and payment reports.
• Ensure payment totals match daily deposit records.
• Identify and investigate posting mismatches.
• Maintain complete financial accuracy while posting transactions.

Adjustments & Write-offs

• Process contractual adjustments as per payer contracts.
• Apply approved write-offs and payment corrections.
• Post patient responsibility amounts including deductibles, copayments, and

coinsurance.

• Ensure adjustments comply with company policies.

Denial & Variance Identification

• Identify underpayments, overpayments, zero payments, and denied claims.
• Flag payment discrepancies for further investigation.
• Escalate unresolved payment issues to the Accounts Receivable (AR) team.
• Document reasons for payment variances.

Revenue Cycle Support

• Coordinate with Billing, Coding, and AR teams for payment-related clarifications.
• Assist in resolving unidentified payments.
• Support correction of posting errors when identified.
• Ensure proper claim status updates after payment posting.

Reporting & Documentation

• Maintain daily productivity reports.
• Submit quality reports as required.
• Track pending payments requiring follow-up.
• Maintain complete documentation for audits.

Compliance

• Follow HIPAA regulations and maintain strict confidentiality of patient information.
• Adhere to company policies and standard operating procedures.
• Ensure compliance with payer guidelines.
• Participate in internal quality audits whenever required.

Required Skills & Competencies

Technical Skills

• Basic knowledge of US Medical Billing Revenue Cycle Management (RCM)
• Understanding of Payment Posting process
• Knowledge of ERA (Electronic Remittance Advice)
• Knowledge of EOB (Explanation of Benefits)
• Familiarity with CPT, ICD-10, and HCPCS codes (basic understanding)
• Basic understanding of insurance payment methodologies
• Knowledge of contractual adjustments and write-offs
• Basic knowledge of MS Excel and spreadsheets
• Ability to work with Medical Billing Software/Practice Management Systems

Soft Skills

• Excellent attention to detail
• Strong analytical and problem-solving skills
• Numerical accuracy
• Good written and verbal communication
• Ability to meet deadlines
• Strong organizational skills
• Ability to work independently in a remote environment
• Team player with a positive attitude

Educational Qualification

• Bachelor's Degree in any discipline.
• Medical Billing Certification is an added advantage.

Experience

• 03 years of experience in US Healthcare Medical Billing.
• Freshers with training or certification in Medical Billing may also apply.
• Prior experience in Payment Posting will be preferred.

Working Conditions

• Work From Home (Remote)
• Night Shift aligned with US business hours
• Stable internet connection and uninterrupted power backup are mandatory.