About Pediatrica Health Group Inc.

Every day is a good day to prepare for a healthy tomorrow. Providing children and their families with equitable access to quality pediatric care to build a foundation for a lifetime of optimal health and wellness is what drives our team to deliver its best every day. It’s our purpose.

Offering focused care from tots to teens, our pediatric primary care providers and teams partner with families to foster good health and strong, thriving communities. Second-to-none medical staff and top-tier administrative professionals keep our practices running smoothly and make each patient experience the best we can offer.

Working in partnership with patients, families, and communities who put their trust in us for their care, we hold ourselves accountable to ensure equitable access to care, advocate to create impactful change, and continually learn and progress to create better outcomes and brighter futures. Together, we’re paving the way for kids to develop into healthy young adults. Rooted in these values, we continue to grow and serve. Are you ready to join us?

POSITION SUMMARY:

The Payment Poster is responsible for accurately posting insurance and patient payments to the practice management system, reconciling daily deposits, and flagging payment discrepancies. This position plays a vital role in the revenue cycle by ensuring timely, accurate revenue recording and maintaining compliance with payer guidelines and pediatric billing standards. The ideal candidate has excellent attention to detail, understands healthcare reimbursement workflows, and is committed to the integrity of patient account data.

ESSENTIAL FUNCTIONS:

Payment Processing & Posting

• Post daily insurance and patient payments, including ERAs, paper checks, and credit card transactions.
• Apply manual EOBs and electronic ERAs to the appropriate patient accounts.
• Accurately reconcile all payments to deposit batches.

Account Reconciliation & Auditing

• Identify underpayments, denials, or discrepancies and escalate them for resolution.
• Monitor unapplied balances and ensure proper allocation in collaboration with the billing team.
• Assist with processing patient refunds and payment adjustments as appropriate.

Reporting & Documentation

• Maintain payment by posting logs and reconcile accounts on a daily, weekly, and monthly basis.
• Generate reconciliation and financial reports as needed by leadership.
• Ensure accurate documentation and audit trail of all transactions in accordance with internal protocols.

Compliance & Confidentiality

• Maintain compliance with HIPAA and all state and federal billing regulations.
• Protect the confidentiality and integrity of all patients’ financial data.
• Adhere to Pediatrica Health Group’s policies and procedures governing ethical billing practices.

Collaboration & Communication

• Work closely with billing and collections staff to ensure timely resolution of accounts.
• Provide updates or feedback on trends in payment denials, payer policy changes, or technical issues.
• Attend regular team meetings and training sessions to stay informed about policy updates.

KNOWLEDGE, SKILLS & ABILITIES

• Exceptional attention to detail, accuracy, and timeliness.
• Proficient in navigating practice management systems and EHRs.
• Strong understanding of payer types (Medicaid, Managed Care, Commercial).
• Familiarity with pediatric-specific billing practices and coding structures.
• Excellent communication and problem-solving skills.
• Ability to prioritize and work independently in a high-volume environment.
• Comfortable interpreting EOBs and payer remittance reports.

EDUCATION & EXPERIENCE

• High School Diploma or equivalent required; Associate degree or billing certification preferred.
• 1–2 years of payment posting or medical billing experience; pediatric or multi-specialty preferred.
• Previous experience with payer portals and ERA reconciliation preferred.

SUPERVISORY RESPONSIBILITIES

• None

WORKING CONDITIONS

• General office working conditions in a clinic or community center environment.
• Some standing, sitting, and light lifting may be required.

PHYSICAL DEMANDS

The physical demands described here are representative of those that an associate must meet to perform the essential functions of this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the associate will be required to stand, walk, and sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs and balance; stoop, kneel, crouch, or crawl; and talk or hear. The associate must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust and focus.

Frequent travel is required, often up to several hours of driving per day. The associate must be able to travel to, attend, and conduct sales presentations. Manual dexterity is required to use desktop computers and peripherals. Exposure to variable weather conditions is likely.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those that an associate must meet to successfully perform the essential functions of the job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

TRAVEL

Minimal travel may be required for training or for cross-location support.

SAFETY HAZARDS OF THE JOB

Minimal Hazards