Payment Posting & Denials Specialist

Titanium Healthcare Inc.

. Accurately post payments, adjustments, recoupments, and offsets received from health plans and managed care organizations .

Posted 10/12/2026full-timeGarden Grove • California • United StatesMid-LevelSenior💰 $21 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare revenue cycle management, particularly in payment posting, denial management, and reimbursement methodologies. Proficient in collaborating with cross-functional teams to resolve claim issues and ensure compliance with payer guidelines and regulatory requirements.

Highest-signal resume keywords

Healthcare Revenue Cycle ExperiencePayment PostingDenial ManagementEClinicalWorks (eCW)Medi-Cal Managed Care Plans

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payment PostingRemittance ProcessingClaim AdjudicationDenial ManagementReimbursement MethodologiesClaim AppealsDispute ResolutionData AnalysisReporting ToolsMonth-End Reconciliation

Soft Skills

Clear CommunicationIndependent WorkAttention to DetailProblem SolvingCollaboration

Tools & Technologies

Microsoft Office SuiteExcelEClinicalWorks (eCW)Business SystemsVirtual Platforms

Industry Keywords

Electronic Remittance AdviceExplanation of BenefitsEFT PaymentsHealthcare ProgramsRevenue Recovery

About the role

Key responsibilities & impact

Accurately post payments, adjustments, recoupments, and offsets received from health plans and managed care organizations
Review and reconcile Electronic Remittance Advice, Explanation of Benefits, EFT payments, and check payments
Identify and resolve payment discrepancies, underpayments, overpayments, and unapplied payments
Research reimbursement issues and coordinate with payers to obtain additional information
Monitor payer payment trends and escalate recurring reimbursement issues
Review denied claims and determine appropriate resolution actions
Submit corrected claims, disputes, reconsiderations, and appeals as appropriate
Collaborate with billing, authorization, and operations teams to resolve reimbursement-impacting claim issues
Track and follow up on outstanding denials and high-dollar balances
Maintain accurate documentation of payment posting, denial resolutions, and account follow-up
Assist with month-end payment reconciliation and reporting
Ensure compliance with payer guidelines, company policies, and regulatory requirements
Support special revenue cycle projects and departmental initiatives
Work with Medi-Cal managed care plans to maximize revenue recovery for ECM, CS, and Outreach services

Requirements

What you’ll need

Diploma/GED required
Minimum 3+ years of healthcare revenue cycle experience, with a strong focus on payment posting and accounts receivable follow-up
Knowledge of payment posting, remittance processing, claim adjudication, denial management, and reimbursement methodologies
Experience reviewing ERAs, EOBs, payment reports, and claim status information
Experience with Medi-Cal managed care plans and government-funded healthcare programs preferred
Experience using eClinicalWorks (eCW) preferred
Experience billing, posting payments, and resolving denials for ECM, CS, Outreach, or other Medi-Cal-funded programs preferred
Experience with claim appeals, disputes, and denial prevention strategies preferred
Proficiency in Microsoft Office Suite, including Excel, business systems, reporting tools, and data analysis software
Fluent in English, written and verbal
Distraction-free home workspace with a secure internet connection
Ability to communicate clearly in person, by phone, and electronically
Adequate hearing and vision, with corrective devices if necessary
Ability to remain in a stationary position and move around the office and/or travel throughout the community
Ability to travel as needed to support business operations and organizational initiatives
Ability to work independently and complete assignments within established policies and procedures
Ability to type for extended periods
Competent with computers, email, virtual platforms, and programs

Benefits

Comp & perks

12 holidays
Up to 15 days of accrued PTO
Additional time off for sick leave, jury duty, bereavement, reproductive loss, and therapy
Hybrid work model
Medical, dental, and vision benefits; employer covers up to 100% of employee premium and 50% of dependent premiums depending on plan
Unlimited therapy sessions funded 100% by Titanium Healthcare
Flexible Spending, Health Savings, and Dependent Care Accounts
Life/AD&D insurance funded 100% by Titanium Healthcare
Supplemental disability plans
Employee Assistance Programs
Pet insurance
Employee Referral Program: up to $1000 per referral
401(k) plan and Roth IRA options
Career development and growth opportunities