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Insurance Payment Posting Jobs in Illinois (NOW HIRING)

Hillsboro Health

Payment Posting Specialist

Hillsboro, IL · On-site

$18.90 - $23.63/hr

The Payment Posting Specialist is responsible for accurately posting patient and insurance payments ... Post payments from insurance companies, patients, and third- party payers to patient accounts with ...

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Insurance Payment Posting information

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How much do insurance payment posting jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for insurance payment posting in Illinois is $18.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.30 and $19.57 per hour, depending on experience, location, and employer.

What is insurance payment posting?

Insurance payment posting is the process of recording and reconciling payments received from insurance companies for healthcare services provided to patients. This involves entering payment details into a medical billing system, ensuring payments match the claims submitted, and identifying any discrepancies or denials. Accurate payment posting is crucial for maintaining financial records, tracking outstanding balances, and facilitating the resolution of claim issues. It helps healthcare providers monitor revenue and ensures patients are billed correctly for any remaining balances.

What are the key skills and qualifications needed to thrive as an insurance payment posting specialist, and why are they important?

To thrive as an Insurance Payment Posting Specialist, you need strong attention to detail, knowledge of medical billing and coding, and familiarity with insurance processes, often supported by relevant experience or certification in medical billing. Proficiency in practice management software, electronic health record (EHR) systems, and accounting tools is typically required. Excellent organizational skills, accuracy, and the ability to communicate clearly with both patients and payers are valuable soft skills in this role. These competencies ensure accurate and timely posting of payments, minimizing errors and facilitating efficient revenue cycles for healthcare providers.

What are some common challenges faced in the insurance payment posting role, and how can they be managed effectively?

A common challenge in Insurance Payment Posting is accurately reconciling payments with Explanation of Benefits (EOBs), especially when there are discrepancies or partial payments. Handling denials or adjustments from insurers can also be complex and time-consuming. To manage these challenges, it's important to maintain strong attention to detail, leverage practice management software efficiently, and communicate regularly with billing teams and insurance representatives to resolve issues quickly. Staying organized and up-to-date on payer rules can also help streamline the payment posting process.

What is the difference between Insurance Payment Posting vs Insurance Claims Specialist?

AspectInsurance Payment PostingInsurance Claims Specialist
CredentialsHigh school diploma or equivalent; familiarity with billing softwareHigh school diploma or higher; knowledge of insurance policies and claims processing
Work EnvironmentMedical billing departments, healthcare facilitiesInsurance companies, healthcare providers, billing offices
Primary ResponsibilitiesApplying payments to patient accounts, reconciling payments, updating billing recordsSubmitting claims, following up on denials, ensuring claim accuracy

Insurance Payment Posting focuses on updating patient accounts with received payments, while Insurance Claims Specialists handle the entire claims process, including submission and follow-up. Both roles require knowledge of insurance procedures but differ in scope and daily tasks.

What are popular job titles related to Insurance Payment Posting jobs in Illinois?

For Insurance Payment Posting jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Insurance Payment Posting jobs in Illinois look for?

The top searched job categories for Insurance Payment Posting jobs in Illinois are:

What cities in Illinois are hiring for Insurance Payment Posting jobs?

Cities in Illinois with the most Insurance Payment Posting job openings:

Insurance Payment Posting jobs near you
Infographic showing various Insurance Payment Posting job openings in Illinois as of August 2026, with employment types broken down into 1% As Needed, 70% Full Time, 24% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $38,007 per year, or $18.3 per hour.

Payment Posting Specialist

Hillsboro Area Hospital Inc

Hillsboro, IL • On-site, Remote

$18.90 - $23.63/hr

Full-time

Posted 3 days ago

New

Job description

Description

REMOTE OPTION IS AVAILABLE FOR THIS POSITON.


Job Summary:

The Payment Posting Specialist is responsible for accurately posting patient and insurance payments to patient accounts and performing timely account reconciliations. This role plays a critical part in ensuring the financial integrity of the revenue cycle by verifying payment accuracy, resolving discrepancies, and maintaining up-to-date patient account records.

Essential Duties and Responsibilities:

  • Post payments from insurance companies, patients, and third- party payers to patient accounts with a high degree of accuracy and attention to detail. 
  • Process paper and electronic remittance advice (ERA) and explanation of benefits (EOB) documents.
  • Apply adjustments, and denials according to organizational policies and payer contracts. 
  • Research and resolve misapplied or unidentified payments.
  • Work with insurance carriers, patients, and internal departments to clarify and correct posting errors.
  • Escalate complex discrepancies or unresolved items to management or appropriate teams. 
  • Other duties may be assigned and are subject to change with or without notice. 

Professional Requirements:

  • Maintain detailed records of payment activities and reconciliation processes. 
  • Assist in generating reports related to payment posting, reconciliation, and outstanding items. 
  • Ensure compliance with internal policies, payer rules, and regulatory requirements.
  • Completes and maintains all required education and/or training requirements.
  • Complies with HIPAA regulations and always maintains patient confidentiality.
  • Follows and maintains all lawful safety, health requirements, and regulations, and follow protocols for required protective equipment (PPE).
  • Promptly reports safety issues, job-related injury, or illness, near misses, etc. in SafetyZone.
  • Follows Hillsboro Health Standards of Behavior.


Requirements

Education and/or Experience:

  • High school diploma or equivalent required; associate's degree or coursework in accounting, healthcare billing, preferably in a multi-payer environment. 
  • 3+ years of experience in medical payment posting or healthcare billing, preferably in a multi-payer environment. 
  • Strong understanding of insurance EOBs, ERAs, and medical billing terminology.
  • Experience with practice management systems (e.g., CPSI, Cerner, Oracle Health, etc.) and electronic payment systems preferred.
  • Strong attention to detail and excellent organizational skills.
  • Proficiency in Microsoft Excel and other Office applications a plus.

Certificates and Licenses:

None

Physical Demands:

Physical demands of the position, including vision, hearing, repetitive motion, and environment are required. A separate document will be provided upon hire, during annual evaluation process, and upon request. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

CORPORATE COMPLIANCE

Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health's Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows whether to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.


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