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We are looking for a Medical Payment Poster Specialist to join a healthcare revenue cycle team in Sacramento, California. This is a contract opportunity with the potential to become permanent, supporting in-office operations and ensuring accurate, timely posting of insurance and patient payments. The ideal candidate brings strong knowledge of medical billing processes, payment application, and account reconciliation, along with the ability to identify issues that require follow-up.
Job Responsibility
Accurately apply insurance reimbursements to patient accounts at the line-item level within the designated billing platform
Review posted payments against payer agreements and internal guidelines to confirm amounts are correct
Record patient payments promptly and maintain complete account documentation
Enter denials, zero-payment responses, and related adjustments, then alert the appropriate collections team member for further action
Process takebacks and recoupments in accordance with established procedures and payer requirements
Monitor payment activity for recurring issues such as underpayments or denial patterns and communicate findings to leadership
Reconcile daily posted totals to settlement reports to ensure accuracy and resolve discrepancies quickly
Direct payer correspondence and remittance-related documentation to the appropriate team members for next steps
Requirements
Experience in medical payment posting, cash applications, or a closely related healthcare revenue cycle function
Working knowledge of medical billing, medical claims, and collections processes
Ability to interpret payer contracts, reimbursement terms, and payment policies accurately
Familiarity with identifying and documenting denials, zero pays, recoupments, and underpayments
Strong attention to detail with the ability to balance daily payment activity against reports
Proficiency using patient account or billing systems in a healthcare environment
Effective communication skills for escalating trends and coordinating with internal teams