Payment Posting and AR Specialist

About Prompt: Prompt is an elite, hyper-growth medical technology enterprise revolutionizing healthcare by delivering highly automated, modern cloud EMR software architectures to physical rehabilitation therapy businesses, clinical teams, and the diverse patient populations they serve. As the fastest-growing software corporation inside the therapy management ecosystem, Prompt sets new tech baselines by transforming paper-heavy operations into pristine digital pipelines—reducing overhead, eliminating environmental waste, and unlocking superior patient care outcomes at scale.

Position Overview

We are seeking a high-precision, process-driven Payment Posting and AR Specialist to join our specialized PROMPT RCM division. In this multi-tenant financial administration track, you will be responsible for reviewing, optimizing, and accurately posting insurance claims and patient payments across multi-channel structures. This role demands an analytical professional with exceptional ten-key validation speed who can systematically clear complex Electronic Remittance Advice (ERA) errors daily, manage month-end ledger closing cycles, and provide vital back-up support for accounts receivable balances, claim appeals, and revenue cycle integrity audits.

Key Responsibilities

• Payment Posting Governance: Review and manually or electronically input patient and insurance payments with absolute mathematical precision, maintaining total alignment with company internal controls and compliance guidelines.
• ERA System Error Resolution: Analyze and resolve auto-posted clearinghouse Electronic Remittance Advice (ERA) system discrepancies daily to mitigate complex downstream tracking issues.
• Multi-Channel Ledger Matching: Import, process, and reconcile transaction files originating from digital payer portals, bank lockbox cash receipts, facility direct deposits, and real-time validation checks.
• Ledger Auditing & Balance Adjustments: Perform systematic billing corrections, transaction write-offs, account analysis, and insurance recoupment adjustments to guarantee clean patient ledgers.
• Accounts Receivable Support: Conduct strategic follow-ups on outstanding commercial or government insurance claims, preparing and submitting detailed appeal packages for denied items.
• Month-End Closing Reconciliation: Collaborate cross-functionally with billing leads and Client Relations Managers to complete strict month-end reconciliation balances prior to closing final registers.

Required Skills & Qualifications

• Demonstrated professional tracking background executing payment posting architectures, transaction write-offs, adjustment distributions, or accounting refunds inside a medical billing environment.
• Comprehensive operational familiarity tracking medical billing codes, health insurance payer policies, compliance rules, and standard clinical terminology.
• High-signal technical command over workspace tools including Google Workspace applications, Microsoft Excel data formulas, and cloud web browsers.
• Verified expert ten-key numeric entry speed combined with absolute mathematical error-checking precision.
• Highly organized context-switcher capable of self-managing a rigorous daily transaction queue within deadline-driven startup metrics.
• Outstanding verbal and written communication mechanics, optimized for high-trust internal synchronization and cross-functional problem solving.
• Location Context: 100% remote-first operational framework open to qualified revenue cycle specialists residing anywhere within the United States.

Preferred Strategic Indicators (Nice to Have)

• Prior technical background or direct hands-on experience navigating dedicated outpatient physical rehabilitation or therapy-specific EMR platforms.
• Familiarity with automated claims clearinghouse routing engines, medical sub-tier insurance laws, or specialized digital collection networks.

What We Offer

• Competitive Hourly Compensation Range: $21.00 – $25.00 USD per hour (Targeted base pay calibrated against qualifications, with potential equity compensation rewards for outstanding operational performers).
• Comprehensive medical, dental, and vision insurance portfolios tailored for you and your family.
• Highly flexible Paid Time Off (PTO) allowances alongside company-paid family, medical, and disability leave structures.
• Corporate 401(k) investment framework with an active company matching module.
• Complimentary subscription models for digital fitness classes, wellness content libraries, and specialized lifestyle benefits.
• One-time stipend upgrades for home office utility configurations coupled with company-paid life insurance protections.