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Medical Claims Deposit Posting Specialist

Benefits:
  • Dental insurance
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Vision insurance
Key Responsibilities:
  • Post insurance and patient payments (EOBs/ERAs) to patient accounts accurately and within established timelines.
  • Reconcile daily deposits, including checks, EFTs, credit card payments, and lockbox transactions.
  • Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) for accuracy and completeness.
  • Apply contractual adjustments, denials, and patient responsibility amounts appropriately.
  • Identify and escalate payment discrepancies, underpayments, or posting issues.
  • Balance posted transactions to bank deposits and system reports daily.
  • Process and post refunds, recoupments, and takebacks as needed.
  • Work closely with billing and follow-up teams to resolve unapplied cash and variances.
  • Maintain compliance with payer contracts, company policies, and regulatory requirements.
  • Document posting procedures and maintain audit-ready records.
Qualifications:
  • High school diploma or equivalent required; associate or bachelor’s degree preferred.
  • 2+ years of experience in medical payment posting, cash applications, or revenue cycle operations.
  • Strong understanding of EOBs, ERAs, CPT/HCPCS codes, and payer guidelines.
  • Experience with practice management systems and clearinghouses (e.g., Office Ally, AlayaCare, ABS) preferred.
  • Proficiency in Microsoft Excel and financial reconciliation processes.
  • Strong attention to detail and accuracy.
  • Ability to meet productivity and quality benchmarks.
Key Competencies:
  • Detail-oriented with strong analytical skills
  • Time management and ability to meet deadlines
  • Problem-solving and discrepancy resolution
  • Knowledge of insurance payer rules and reimbursement methodologies
  • Effective communication and teamwork
Performance Metrics:
  • Posting accuracy rate
  • Daily/weekly productivity targets
  • Reconciliation accuracy and timeliness
  • Reduction of unapplied cash
  • Error rate and audit findings
Work Environment:
  • Onsite Healthcare Revenue Cycle Environment
  • May require extended periods of sitting and computer use
Reporting Structure:
  • Reports to Revenue Cycle Manager

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