Billing & AR · Remote · Full-time

Payment Posting Specialist (ERA/EOB) — Remote Medical Billing

Post insurance and patient payments line by line, reconcile every deposit, and catch the underpayments and denials that a lump-sum post would hide.

About the payment posting role

Payment posting is where a practice finds out what it was actually paid. Posted carefully, line by line against the fee schedule, it surfaces underpayments, denials hidden in zero-pay lines and contractual adjustments that don't match the contract. Posted carelessly, it buries them. As a payment posting specialist you make sure the ledger tells the truth.

What you will do

  • Post ERA (835) files and manual EOBs, including adjustments, patient responsibility and transfers
  • Post patient payments, refunds and recoupments correctly
  • Reconcile posted payments to bank deposits and clearinghouse reports every day
  • Compare allowed amounts to the contracted fee schedule and flag underpayments
  • Route denials and zero-pay lines to the denial team with the reason codes intact
  • Move secondary balances to the next payer or to patient responsibility
  • Investigate unapplied payments and credit balances

What you need

  • One or more years of medical payment posting
  • Ability to read ERAs and paper EOBs and interpret CARC/RARC and group codes (CO, PR, OA)
  • Experience reconciling deposits and resolving variances
  • Accuracy and patience with detailed, repetitive work

Helpful, not required

Experience posting in athenahealth, eClinicalWorks, AdvancedMD, Tebra / Kareo or Open Dental, and handling Medicare crossover and secondary payments.

Working remotely at CredSpun

This is a fully remote, work-from-home role open to applicants living in the United States. You work during U.S. business hours alongside a named account team, inside each client practice's own EHR and practice management system, with every login tied to you personally. You need a quiet, private workspace, a reliable broadband connection and a computer that can run a current browser and a second monitor. HIPAA training is part of onboarding, and you sign our confidentiality terms before you are given access to any patient data.

Apply online

Apply for the Payment Posting Specialist role

It takes about five minutes. Attach your resume as a PDF or Word file (5 MB max). Every application is read by a person, and we reply within 5 business days.

ApplyPayment Posting Specialist

Tell us where the money is stuck.

Send your aging summary and denial reasons. You get the findings in writing, including what you can fix without us.