What are the responsibilities and job description for the Payment Posting Specialist position at Delta County Memorial Hospital?
Position Summary
The Payment Posting Specialist is responsible for the accurate and timely posting of payments for hospital facility (UB-04) and professional (CMS-1500) claims. This role ensures payments, contractual adjustments, denials, and patient responsibility balances are applied correctly to maintain clean accounts receivable and support revenue integrity.
Key Responsibilities
- Post electronic remittance advices (ERAs) and manual EOB payments for facility and professional claims.
- Apply contractual adjustments based on payer agreements.
- Reconcile daily payment batches with bank deposits and clearinghouse totals.
- Post payments for facility services (inpatient, outpatient, emergency, ancillary) and professional claims at the CPT/HCPCS level.
- Process secondary and tertiary payer payments .
- Review CARC/RARC codes , identify denials or underpayments, and route accounts for follow-up.
- Maintain accurate posting records and support audit and compliance requirements .
- Assist with revenue cycle process improvements when needed.
Qualifications
- High school diploma or equivalent required; associate degree in business, accounting, or healthcare administration preferred.
- 1–2 years of revenue cycle experience (billing, collections, or payment posting) preferred.
- Knowledge of medical billing, payer contracts, EOBs, CPT/ICD-10 coding, and ERA processing .
- Familiarity with EHR/billing systems and Microsoft Office .
- Strong attention to detail, organization, and ability to work in a fast-paced environment .
- Understanding of HIPAA and healthcare compliance standards .
Physical Requirements
Primarily sedentary with frequent computer use; occasional standing, walking, and lifting up to 10 pounds. Must be able to manage a high-volume workload and multitask effectively.
Why Join Delta Health?
Comprehensive Benefits Package
- Medical, RX, Dental & Vision – Low premiums with 100% coverage on services provided within the Delta Health system, and no deductibles or co-pays. Includes access to massage therapy, acupuncture, and chiropractic care .
- Life & Disability Insurance – Employer-paid coverage for your peace of mind.
- Time Off – Over 4 weeks of paid vacation annually (including sick and personal leave) for full-time staff.
- Retirement – 403(b) plan with up to a 2% employer match .
Work-Life Balance in a Stunning Location
Located on the Western Slope of the Rocky Mountains, Delta offers an unmatched combination of small-town charm, affordability, and natural beauty. Enjoy year-round outdoor activities such as hiking, skiing, mountain biking, fishing, and exploring the Grand Mesa and surrounding public lands. Whether you're raising a family or looking for work-life balance, Delta provides a safe, friendly community with a slower pace and a high quality of life. Delta is surrounded by the Grand Mesa, Uncompahgre Plateau, and nearby wineries, offering a unique blend of adventure and relaxation.
Delta Health is a county-wide healthcare system with more than 100 years of dedication to serving our community. Our 49-bed hospital and outpatient locations across Delta County are committed providing remarkable care in a healing environment . We operate with the core belief: Excellence. Every Patient. Every Time.
We are an equal opportunity employer . All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, disability, veteran status, or any other protected characteristi