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Insurance Payment Posting Specialist (eClinicalWorks)

Job Overview:

Our client is seeking an Insurance Payment Posting Specialist to accurately post insurance payments received through Electronic Remittance Advice (ERA) and paper Explanation of Benefits (EOBs) with accompanying insurance checks into the eClinicalWorks (eCW) Practice Management system. This role ensures all insurance payments, contractual adjustments, denials, and payer-specific transactions are posted accurately and reconciled on time to support an efficient revenue cycle.

Responsibilities:

  • Post insurance payments received via Electronic Remittance Advice (ERA) into eClinicalWorks.
  • Post insurance paper check payments using Explanation of Benefits (EOBs) into eClinicalWorks.
  • Accurately apply contractual adjustments, payer discounts, denials, deductibles, coinsurance, and other insurance-related adjustments according to payer guidelines.
  • Verify payment amounts and ensure all insurance transactions are posted accurately and completely.
  • Balance and reconcile daily ERA and paper check posting batches.
  • Research and resolve payment discrepancies, underpayments, overpayments, zero-pay remittances, and unapplied insurance payments.
  • Identify payment posting errors and communicate discrepancies to the appropriate billing or accounts receivable staff.
  • Work closely with the insurance billing and denial management teams to resolve posting-related issues.
  • Ensure compliance with HIPAA regulations and organizational policies.
  • Perform other insurance payment posting and revenue cycle duties as assigned.
  • Work within the Revenue Cycle Management / Medical Billing department and report to the Billing Supervisor or Revenue Cycle Manager

Requirements:

  • Minimum 4+ years of experience in Insurance Payment Posting or similar roles.
  • Minimum 2+ years of experience directly handling US healthcare clients and medical billing processes.
  • Direct experience in eClinicalWorks (eCW) for medical billing, payment posting, and account reconciliation.
  • Professional English communication skills, both verbal and written.
  • Previous experience in the medical field handling billing protocols and payment structures.
  • Precise numeric entry skills to eliminate posting errors and ensure accurate patient balances.
  • Professional phone manner with a patient-focused approach.
  • Ability to handle high-volume environments with composure while maintaining accuracy.

Independent Contractor Perks:

  • Permanent work from home
  • Immediate hiring
  • Health Insurance Coverage for eligible locations

Note:

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.

Insurance Payment Posting Specialist (eClinicalWorks)

Job Category

Accounting and Finance

Job Type

Full Time (35 hours or more per week)

Work Schedule and Timezone

PST

Published on

Jul 22 2026

“BruntWork made the entire recruitment process smooth, transparent, and stress-free. They matched me with a client that genuinely fits my skills and values — and the support didn’t stop at placement... A reliable, professional partner I’d recommend without hesitation.”

— Zyrrah D, Bookkeeper

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