Payment Poster Specialist (Home-based)

Job Description

About Us:

Outsourced. ph is a leading ISO-certified Philippines offshore outsourcing company that provides dedicated remote staff to some of the world's leading international companies. Outsourced is recognized as one of the Best Places to Work and has achieved Great Place to Work Certification. We are committed to providing a positive and supportive work environment where all staff can thrive. As an Outsourced staff member, you will enjoy a fun and friendly working environment, competitive salaries, opportunities for growth and development, work-life balance, and the chance to share your passion with a team of over 1,000 talented professionals

Duties And Responsibilities

Payment Posting

  • Accurately post insurance payments (EOBs, ERAs, checks, EFTs) across all insurance payers.
  • Post patient payments received through online portals, lockbox, or other approved payment channels.
  • Apply contractual adjustments, write-offs, and payer reductions correctly based on remittance.
  • Research and retrieve missing or incomplete Explanation of Benefits (EOBs) as needed.
  • Identify and correct posting discrepancies, underpayments, payer recoupments, and contractual variances.
  • Ensure proper application of adjustments, write-offs, refunds, and reversals in accordance with payer contracts and internal policy.
  • Reconcile daily deposits and payment batches; escalate variances promptly.

Patient Accounts

  • Ensure patient responsibility (copay, deductible, coinsurance) is posted correctly and balanced.
  • Identify, research, and resolve unapplied payments and posting discrepancies.
  • Review and process no-show fees and account dismissals per established policies.

Process & Quality Improvement

  • Work payment batches and ensure that totals match the accounting team's deposit records.
  • Maintain accurate notes and documentation in the billing system for audit tracking.
  • Follow established billing workflows while identifying opportunities to improve efficiency and accuracy.
  • Maintain compliance with payer rules, HIPAA, data security, and internal policies.
  • Support audits, month-end close activities, and reporting requests as needed.
  • Contribute to a culture of accountability, responsiveness, and continuous improvement.

Metric Expectations

  • Within 90 Days:
    • Fully trained on your practice workflows, completing tasks with minimal supervision
    • Post ERAs and EOBs within 48 hours of receipt
    • <2% rework rate (items needing reposting or supervisor correction)
    • Achieve an average productivity rate of 20 insurance checks per hour and/or 40 manually posted payments or transactions per hour, in addition to processing 20 miscellaneous account work items per hour. (May range based on complexity)
      • Note: Key at 90 days is consistency and clean work over speed)
    • 100% of underpayments/recoupments flagged within 48 hours
  • By End of First Year:
  • Post >95% of ERAs and EOBs within 1 business day
    • <1% rework rate
  • Achieve an average productivity rate of >25 insurance checks per hour and/or >50 manually posted payments or transactions per hour, in addition to processing >25 miscellaneous account work items per hour.
    • Able to manage spikes without backlog
  • 100% of underpayments/recoupments flagged within 1 business day
  • Ability to build and update SOPs and checklists
    • Requirements

    • College degree preferred but not required
    • 1-3+ years of U.S. medical billing experience with a primary focus on payment posting
    • Demonstrated experience with payment posting from ERAs, EOBs, patient payments
    • Strong knowledge of insurance payment posting, patient responsibility, adjustments and write offs
    • Ability to accurately apply CPT/HCPCS, ICD-10, and modifier basics for posting accuracy
    • Proficiency with Excel for filters, sorting, basic formulas, and reconciliation logs
    • Ability to solve problems and troubleshoot issues, high attention to detail for charge/payment balancing, reconciliations, and audit trails
    • High English fluency to communicate with U.S.-based billing team.
    • Excellent written English communication for posting notes, internal messages, escalation summaries
    • Ability to follow SOPs and maintain clean documentation
    • Track record of maintaining accuracy and organization

    Work Location

    • Home-based
    • Should have strong internet connection (minimum of 20 mbps)
    • Should have own Laptop/PC (minimum of i5 8GB RAM)

    Note: As part of our recruitment process, we conduct a background check on all hired candidates. Please ensure that all required documents are prepared and submitted promptly.

    By clicking on the "I'm Interested" button I hereby allow Outsourced Quality Assured Services, Inc. ("Outsourced") to store and collect my personal information for the purposes of employment application. As such, I agree and authorize Outsourced to collect, store, or continue to use my personal information for the above-stated purpose, and to retain my personal information for a period of 1 year, and for these purposes only.