Medical Payment Poster Specialist

Description We are looking for a Medical Payment Poster Specialist to join a healthcare revenue cycle team in Sacramento, California. This in-office opportunity is a contract position with the potential to become permanent, supporting payment posting and cash application activities with a strong focus on accuracy, reconciliation, and follow-up coordination. The ideal candidate brings hands-on experience in medical billing environments and can ensure payments, denials, and adjustments are recorded correctly while helping maintain efficient account resolution.

Responsibilities:

• Record insurance reimbursements at the line-item level within the patient account platform, ensuring each transaction is applied accurately.

• Enter patient payments promptly and maintain complete, up-to-date account activity in the billing system.

• Review posted amounts against payer agreements and internal guidelines to confirm reimbursement accuracy.

• Document denied claims, zero-pay remittances, and related exceptions, then direct follow-up items to the appropriate collections partner.

• Process recoupments, reversals, and take-backs in accordance with established payment posting procedures.

• Reconcile daily payment activity to settlement documentation and resolve balancing discrepancies in a timely manner.

• Identify recurring issues such as underpayments, denial patterns, or other reimbursement variances and communicate findings to leadership.

• Distribute payer correspondence and remittance-related documents to the correct team members for further action. Requirements • Prior experience in medical payment posting, cash applications, or a closely related revenue cycle function.

• Working knowledge of medical billing, claims processing, and payment reconciliation practices.

• Ability to interpret payer contracts, reimbursement terms, and posting policies with a high degree of accuracy.

• Familiarity with handling denials, zero payments, recoupments, and other remittance exceptions.

• Strong attention to detail with the ability to balance payment activity against daily reports.

• Effective communication skills for escalating trends, discrepancies, and follow-up needs to internal teams.

• Comfortable working in an on-site office environment in Sacramento, California.

• Background in medical collections or medical coding is a plus.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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