Payment Poster

Welcome to USPI

At USPI, we are committed to delivering exceptional patient care by supporting our surgery centers with outstanding business office operations. Our revenue cycle teams play a critical role in ensuring accurate financial processes that allow our clinical teams to focus on what matters most—our patients. If you're detail-oriented, thrive in a collaborative environment, and are passionate about accuracy and service, we'd love to have you join our team.

Payment Posting Representative at USPI

The Payment Posting Representative is responsible for accurately and efficiently posting both automated and non-automated payments into the patient accounting system to ensure timely reconciliation of daily bank deposits. This role supports the revenue cycle by applying payments, researching unidentified transactions, resolving payment discrepancies, and maintaining accurate financial records to maximize revenue and provide exceptional service to our clients.

Qualifications

· High School Diploma or GED required

· Minimum of 2–3 years of related experience required

· Previous payment posting or hospital patient accounting experience preferred

· Knowledge of medical billing, payment posting, and revenue cycle processes preferred

· Experience with patient accounting systems and electronic remittance advice (ERA) preferred

· Strong analytical, organizational, and problem-solving skills

· Excellent attention to detail with the ability to maintain a high level of accuracy

· Strong communication skills and ability to work collaboratively across departments

· Proficiency with Microsoft Office and healthcare billing software preferred

Responsibilities

· Post electronic and manual payments accurately into the patient accounting system

· Research and resolve unidentified accounts using established identification processes

· Interpret remittance advice and payer behavior to ensure proper account resolution

· Forward balances and overpayment recoveries as appropriate

· Reconcile bank deposits and special accounts, including payment transfers and refunds

· Run system queries to review account details and monitor payment postings and transfers

· Review and research payment-related issues received through email and work queues

· Process payment corrections, payment transfers, inter-facility transfers, capitation payments, and payroll deductions

· Communicate with reconciliation teams to resolve payment discrepancies

· Contact insurance companies to obtain remittance advice or missing information needed for accurate payment posting

· Open and manage tickets with business partners to ensure timely resolution of outstanding payment issues

· Identify, reconcile, track, and document owner-to-owner refund transactions

· Participate in special projects and process improvement initiatives as assigned

What We Offer

As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes the following, subject to employment status:

Medical, dental, vision, and prescription coverage

Life and AD&D coverage

Availability of short- and long-term disability

Flexible financial benefits including FSAs and HSAs

401(k) and access to retirement planning

Paid holidays and vacation

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

Required Skills

Required Experience