Location: Mexico

Type: Full Time (Remote)

Position Summary:

The Payment Posting Specialist is responsible for the accurate and timely posting of insurance and patient payments, adjustments, and denials to patient accounts. This role ensures that all remittances, electronic and manual are reconciled against expected reimbursement and posted in accordance with payer contracts, company policy, and regulatory requirements. The specialist plays a critical part in maintaining the integrity of the revenue cycle and supports downstream billing, follow-up, and reporting functions. This is a fully remote position open to candidates residing in the United States.

Key Responsibilities

- Post insurance payments, patient payments, adjustments, and write-offs to the appropriate patient accounts from electronic remittance advice (ERA/835 files), explanation of benefits (EOBs), lockbox files, and patient-pay sources.
- Reconcile daily deposits, batches, and posted totals to bank and clearinghouse reports, ensuring all funds are accounted for and balanced.
- Identify, research, and resolve unapplied cash, misapplied payments, and posting discrepancies in a timely manner.
- Accurately post contractual adjustments and denials using correct reason and remark codes (CARC/RARC), routing denied and underpaid claims to the appropriate follow-up team.
- Process patient refunds, credit balances, and payment transfers according to established policies.
- Work electronic remittance exceptions and manual posting queues, escalating unusual trends or recurring payer issues to the supervisor.
- Maintain productivity and accuracy standards while meeting daily and monthly close deadlines.
- Ensure all activity complies with HIPAA, payer guidelines, and internal controls,



safeguarding protected health information (PHI) at all times.
- Document posting activity clearly and maintain organized records for audit and reconciliation purposes.
- Collaborate with billing, cash management, and A/R follow-up teams to support accurate account resolution.

Qualifications

Required:

- 1–3 years of payment posting, cash posting, or medical billing experience in a healthcare or revenue cycle setting.
- Working knowledge of EOBs, ERAs/835 files, CARC/RARC codes, and insurance reimbursement processes.
- Familiarity with commercial, Medicare, and Medicaid payer remittances.
- Strong 10-key data entry skills with high accuracy.
- Proficiency with practice management or hospital billing systems and Microsoft Excel.
- Solid understanding of HIPAA and PHI handling requirements.

Preferred:

- Experience with a major EHR/PM system (e.g., Epic, Cerner, athenahealth, NextGen, or similar).
- Understanding of the full revenue cycle and denial management workflows.
- Prior experience working in a fully remote environment.

Skills & Competencies:

- Strong attention to detail and commitment to accuracy.
- Ability to reconcile and balance numbers independently.
- Effective time management and the ability to meet deadlines with minimal supervision.
- Clear written and verbal communication skills.
- Problem-solving mindset for researching and resolving discrepancies.

Remote Work Requirements:

- Maintain a private, secure, HIPAA-compliant home workspace free from unauthorized access to PHI.
- Reliable high-speed internet connection meeting company specifications.
- Availability to work core business hours in the assigned time zone (MST).

Job Type: Full-time

Pay: $17,000.00 - $21,000.00 per month

Work Location: In person

📌 Payment Posting Specialist (México)
🏢 TalentFort
📍 México