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Insurance Payment Posting Jobs in Tennessee (NOW HIRING)

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Insurance Payment Posting information

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$12

$17

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How much do insurance payment posting jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for insurance payment posting in Tennessee is $17.11, according to ZipRecruiter salary data. Most workers in this role earn between $15.29 and $18.32 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 job categories do people searching Insurance Payment Posting jobs in Tennessee look for? The top searched job categories for Insurance Payment Posting jobs in Tennessee are:
What cities in Tennessee are hiring for Insurance Payment Posting jobs? Cities in Tennessee with the most Insurance Payment Posting job openings:
Infographic showing various Insurance Payment Posting job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $35,599 per year, or $17.1 per hour.

Overpayment Resolution Coordinator

OrthoTennessee

Knoxville, TN • On-site

$17.25 - $22.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago


Job description

Description
Are you passionate about helping orthopaedic patients? Do you want to be part of the largest orthopaedic provider in Eastern Tennessee? Join the team at KOC in our Revenue Cycle Department, where we provide personalized care in a collaborative and supportive environment. We are currently seeking a full-time Overpayment Resolution Coordinator who is committed to providing superior service and eager to grow within a highly respected orthopaedic practice.
At Knoxville Orthopaedic Clinic, our purpose is to improve lives through patient-centered care - every patient, every time. And we've been doing just that since our founding in 1930.
Key Responsibilities:
  • Follow the OrthoTennessee Playbook.
  • Address daily credit balance tasks in the PM software.
  • Review monthly A/R reports and follow up on patient or payer credit balances.
  • Prepare refund requests as assigned.
  • Collaborate with Front Desk staff to ensure accurate billing information and copay/coinsurance collection procedures.
  • Communicate refund needs to the Payment Posting Department with appropriate documentation.
  • Research recouped and reapplied payments.
  • Adhere to federal and state guidelines and timelines for refund processing.
  • Confirm patient credit balances resulting from overpayments, transferring credits appropriately or initiating refunds in NextGen.
  • Research government, commercial, and workers' comp payer credit balances to ensure payment postings and adjustments are accurate and not duplicated.
  • Utilize payer-specific software, spreadsheets, or forms to notify payers of overpayments and facilitate recovery processes.
  • When payer systems are not available, prepare refund requests with appropriate documentation for review by the Contract Appeals Analyst.
  • Cross-train in other departmental job functions as needed.
  • Assist with training new departmental personnel.
  • Perform other duties as assigned.

Required Qualifications and Skills:
  • High school diploma or equivalent.
  • Minimum of 1 year of experience in a medical billing office or similar detail-oriented environment.
  • Experience reviewing patient accounts and balances.
  • Knowledge of medical billing and claims processing; orthopaedics experience preferred.
  • Knowledge of billing guidelines for government and commercial insurance plans.
  • Ability to read and interpret remittance advice (EOBs) to identify payer errors.
  • Proficiency with Practice Management software.
  • Knowledge of HIPAA regulations and ability to maintain strict confidentiality.
  • Strong organizational skills and attention to detail.
  • Excellent communication and interpersonal skills with patients, staff, and external stakeholders.
  • Sensitivity to patient needs, particularly in financial discussions.
  • Commitment to professional conduct, attendance, punctuality, and personal appearance.
  • Customer service orientation with strong problem-solving skills.

Preferred Qualifications and Skills:
  • Prior experience with refund and overpayment processes.
  • Experience with payer-specific software or recovery systems

Why Join KOC:
  • Full-time and part-time schedule with flexibility
  • Training and mentorship in orthopaedics
  • Strong collaboration with referring orthopaedic surgeons
  • Modern, well-equipped facilities in a trusted clinical setting
  • Purpose-driven culture focused on delivering great outcomes and improving lives

We offer competitive pay and an excellent benefits package, including:
Low-cost high-quality medical, dental, and vision coverage
401(k) with profit sharing
Life insurance and long-term disability
Generous paid time off (PTO)
UKG Wallet Partner - On Demand Pay
Employee discounts and much more
Knoxville Orthopaedic Clinic was proudly recognized as a Top Workplace for 2025! Apply today to become part of a team making a difference in orthopaedic care - every patient, every time.