Patient Financial Services - Payment Posting Specialist

7 days ago
Job ID
# Positions
Hours per pay period
Regular Full-Time
Shift Start & End Time
Scheduled days of the week
USD $14.56/Hr.
USD $20.80/Hr.
1 - Day shift


In Central Oregon you will find some of the finest places for paddling, hiking, cycling, golfing and dining al fresco in the warmer months. In winter, areas of the High Desert turn into a snowy playground with skiing, snowboarding, sledding and ice skating. It doesn't hurt that, whatever the season, Central Oregon is home to some of the country's top craft breweries, unique boutiques for tax-free shopping, and world-class restaurants to please every lifestyle and budget.


St. Charles Health System is the largest employer in Central Oregon with more than 3,600 caregivers/employees at four hospitals and multiple outpatient clinics. We offer a wide variety of exciting clinical and non-clinical career paths for talented individuals.  We are seeking individuals with a passion for delivering exceptional care and service and who are looking for an opportunity to work with a dynamic and talented team of caregivers.


The Payment Posting Specialist is responsible for the analysis and posting of all payments received in Patient Financial Services from patients, insurance companies and third parties. The role is part of a team that analyzes, reconciles and posts payments, adjustments and documents into the SCHS health information systems. This position does not manage any other caregivers. 


ESSENTIAL FUNCTIONS AND DUTIES   (May perform additional duties of similar complexity within SCHS as required or assigned)

  • Analyze insurance explanation of benefits and post payments and adjustments to patients accounts in the health information system.
  • Analyze and post patient and third party payments to patients accounts in the health information system.
  • Process and post credit card payments to patients accounts in the health information system.
  • Balance payment and adjustment batches and record batch information on the daily cash report.
  • Retrieve, record and reconcile all payment tracking logs and electronic file logs established by PFS policies and procedures.
  • Retrieve, analyze and post transactions from electronic payment files.
  • Retrieve and print explanation of benefits from insurance carriers,  third party vendors and third party websites.
  • Analyze insurance explanation of benefits to verify accurate patient balance billing.
  • Receive payment batches from hospital departments and physician offices and verify the tracking, balancing, reporting and deposit of payments collected at time of service.  
  • Research and reconcile PFS transactions to the unmatched bank reconciliation spreadsheet.
  • Analyze and post payments and adjustments to the client billing system.   
  • Reconcile self funded insurance transactions to the medical expense account.
  • Knowledge of department and organizational structure, workflow, and operating procedures.
  • Enter clear and concise documentation in the health information system.
  • Deliver customer service in a manner that promotes goodwill and teamwork; timely, efficient and accurate.
  • Conduct all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health system’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules and cooperating fully with all company investigations and proceedings.
  • Attend required training and complete on-line training as assigned.



  • High school diploma or GED required. Additional education in health care insurance work and/or accounting preferred.



  • NA


Personal Protective Equipment:

  • Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.



  • At least six months experience in health care insurance work, accounting or a similar field is required.


  • Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS
  • Strong team working and collaborative skills
  • Must have excellent customer service skills


  • Ability to multi-task and work independently
  • Attention to detail
  • Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions

Mathematical Skills

  •  Performs intermediate math (add, subtract, multiply and divide) calculations


  • Intermediate proficiency in Microsoft applications (Word, Excel and Access), database management and document preparation

Physical Requirements

Continually (75% or more): Sitting, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Standing, lifting 1-10 pounds, grasping/squeezing.

Occasionally (25%): Bending, reaching overhead, carrying/pushing or pulling 1-10 pounds.

Rarely (10%): Walking, stooping/kneeling/crouching, climbing stairs.

Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 11-50 pounds, operation of a motor vehicle, ability to hear whispered speech level.

Exposure to Elemental Factors

Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP


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