Payment Poster

Diana Health

Diana Health

Operations
Remote
Posted on Aug 19, 2025

Payment Poster

About Diana Health

Diana Health is a network of modern women’s health practices working in partnership with hospitals to reimagine the maternity and women’s healthcare experience. We are restructuring the traditional approach to care to create an experience that is good for patients and good for providers. We do that by combining a tech-enabled, wellness-focused care program that women love with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team. We work with clients across all life stages to empower and support them to live happier, healthier, more fulfilling lives.

With strong collaborative care teams; passionate administrators and a significant investment in operational support, Diana Health employees are well-supported to bring their very best to the work they love. Come join us!

Role Description:

The Payment Poster is responsible for accurately posting all manual and electronic payments, adjustments, and denials to patient accounts within the practice management system. This role ensures that all payments received from insurance companies, patients, and third parties are reconciled to daily bank deposits and recorded accurately to maintain the integrity of the organization’s revenue cycle. The Payment Poster will support patient-centered care by maintaining accuracy, timeliness, and accountability in payment posting and reconciliation processes.

Distinguishing Characteristics:

The Payment Poster is detail-oriented, highly organized, and capable of managing multiple tasks while maintaining accuracy. This position requires strong analytical skills and knowledge of healthcare payment processes, including ERA/EFT posting, manual payment entry, and bank reconciliation. The Payment Poster ensures that payments, adjustments, and denials are properly allocated to the correct patient accounts and that all daily deposits are balanced to the general ledger.

Minimum Education Required:

High School Diploma or General Education Degree (GED) required.

Minimum Experience Required:

  • 2–3 years of experience in healthcare payment posting (manual and electronic).
  • Experience with AthenaOne or similar practice management/EHR systems preferred.
  • Familiarity with Explanation of Benefits (EOBs), Explanation of Payments (EOPs), and Electronic Remittance Advice (ERAs).

Qualifications:

  1. Knowledge of insurance payment processes, including electronic remittances (ERA) and manual posting.
  2. Experience reconciling payments to daily bank deposits.
  3. Proficiency in navigating EMR/Practice Management systems (AthenaOne preferred).
  4. Understanding of Medicare, Medicaid, and commercial payer payment practices.
  5. Strong organizational skills and attention to detail to ensure accuracy in financial posting.
  6. Knowledge of HIPAA regulations related to patient financial data.

Job Duties and Responsibilities:

  • Post all insurance and patient payments (manual and electronic) accurately and in a timely manner
  • Post adjustments, denials, and refunds according to departmental policies.
  • Download and post Electronic Remittance Advices (ERAs) and reconcile them to bank deposits.
  • Review and post patient payments received via lockbox, office collections, or online portals.
  • Reconcile all daily payment activity to bank deposits and resolve discrepancies promptly.
  • Communicate with the Revenue Cycle and Accounting teams regarding deposit and posting variances.
  • Maintain logs and reports for all daily posting and reconciliation activities.
  • Research and resolve unapplied cash, payment discrepancies, and missing remittances.
  • Assist with month-end reconciliation and provide support for audits as required.
  • Maintain compliance with internal policies and industry Regulations.

Core Revenue Cycle Functions:

  • Comply with Revenue Cycle policies and posting procedures.
  • Ensure daily posting and reconciliation are completed within established timelines.
  • Maintain accurate records for internal audits and financial reporting.
  • Meet productivity and quality benchmarks for payment posting.
  • Collaborate with AR and billing teams to ensure correct application of payments and adjustments.
  • This list is not meant to be restrictive, totally inclusive, or limited in employee assignment or responsibilities.

Knowledge, Skills, Abilities:

Language/Communications Skills

  • Skill and ability to communicate effectively both verbally and in-writing.
  • Ability to interpret EOBs, remittance files, and payer communications.

Mathematical Skills

  • Adds, subtracts, multiplies, and divides in all units of measure, using whole numbers, common fractions, and decimals.
  • Ability to calculate totals, percentages, and reconcile deposits accurately.
  • Ability to identify and resolve discrepancies in payment posting.

Computer / Technical Skills

  • Proficiency with Microsoft Office (Excel, Outlook, Word).
  • Ability to download, import, and post electronic remittance files.
  • Proficiency with AthenaOne or similar EMR/Practice Management systems.

Customer Service Skills

  • Ability to work with internal stakeholders to resolve posting and reconciliation issues promptly.

Disclaimer - The above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified. Examples listed do not preclude the performance of other duties similar in nature or in level of complexity.

Benefits

  • Competitive compensation
  • Medical, dental & vision plans, with an HSA/FSA option
  • 401(k) with employer match
  • Paid time off
  • Paid parental leave

Diana Health Culture

  • Having a growth mindset and striving for continuous learning and improvement
  • Positive, can do / how can I help attitude
  • Empathy for our team and our clients
  • Taking ownership and driving to results
  • Being scrappy and resourceful