Senior Medical Payment Specialist

MD Billing, LLC | Lubbock, Texas | Full-Time, In-Office About the Opportunity MD Billing is seeking an experienced, detail-oriented Senior Medical Payment Posting Specialist with the technical expertise and leadership potential to help strengthen and grow our payment posting department.

We are looking for more than someone who can accurately post payments. The ideal candidate understands the full revenue cycle, recognizes how payment posting impacts accounts receivable and financial reporting, and has the initiative to improve processes, resolve discrepancies, and take ownership of departmental performance.

This position offers an opportunity to grow into a leadership role, overseeing the payment posting function, developing team accountability, and helping establish a more efficient and independent department.

Key Responsibilities Accurately post insurance payments, patient payments, adjustments, denials, and contractual allowances within the billing system.

Review and reconcile Electronic Remittance Advice (ERA), Explanation of Benefits (EOB), and electronic funds transfer (EFT) transactions.

Research and resolve unapplied payments, posting discrepancies, credit balances, and payment variances.

Maintain a strong understanding of payer reimbursement methodologies, contractual adjustments, and payment allocation.

Ensure timely and accurate posting of all payments while maintaining established productivity and quality standards.

Work closely with Revenue Cycle and Accounting teams to ensure accurate payment reconciliation and financial reporting.

Identify workflow inefficiencies and recommend improvements to strengthen accuracy, productivity, and internal controls.

Assist in developing standardized procedures, performance metrics, and accountability measures for the payment posting department.

Demonstrate the ability to train, mentor, and potentially supervise payment posting personnel.

Take ownership of departmental deadlines, problem resolution, and continuous process improvement.

Required Qualifications Minimum of 2 years of medical billing experience, with significant hands-on experience in insurance payment posting.

Advanced understanding of ERA/EOB processing, insurance adjustments, denials, and payment reconciliation.

Strong knowledge of the medical billing revenue cycle and the relationship between payment posting, accounts receivable, and collections.

Experience identifying and resolving complex posting errors and reconciliation discrepancies.

Strong organizational, analytical, and problem-solving abilities.

Excellent communication skills and the confidence to take initiative and lead others.

Demonstrated accountability, attention to detail, and commitment to accuracy.

Preferred Qualifications Previous supervisory, team lead, or departmental management experience.

Experience developing workflows, training staff, or managing productivity and quality standards.

Familiarity with eClinical

Works or comparable practice management systems.

Experience with high-volume, multi-provider medical billing operations.

Understanding of financial controls, cash reconciliation, and reporting.

What We're Looking For We value individuals who take ownership of their work, approach challenges with solutions, and recognize the importance of accuracy and accountability in the revenue cycle.

Our ideal candidate is someone who can perform the work today while demonstrating the ability to lead the department tomorrow.

This is an excellent opportunity for an experienced payment posting professional who is ready to take the next step in their career and contribute to the long-term growth and operational excellence of our organization.

Position Details & Application

Location:

Lubbock, TX (In-Office) |

Schedule:

Full-Time Compensation:
Competitive, based on experience and qualifications

To apply , submit your resume highlighting your medical payment posting experience, billing systems knowledge, and any previous leadership or supervisory responsibilities.