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Insurance Payment Posting Jobs in Texas (NOW HIRING)

Smile Brands

Insurance Payment Processor

San Antonio, TX · On-site

$16 - $18.50/hr

Accurately post insurance and capitation payments to patient accounts across multiple practice ... Resolve payment posting support tickets and account discrepancies * File and maintain payment ...

Medix

Payment Poster

Houston, TX · On-site

$19 - $22/hr

... years of payment posting experience * Experience in AR, insurance collections, or insurance ... follow-up * Ability to read and interpret EOBs * Comfortable contacting insurance companies by ...

BRSi

Posting Specialist

Houston, TX · On-site

$18 - $23/hr

Experience in medical payment posting and related accounts receivable (AR) functions * Strong understanding of EOBs, ERAs, and insurance payment process * Experience in healthcare revenue cycle ...

PEARL STREET DENTAL GROUP

Dental Payment Poster

Dallas, TX

$17.75 - $22.50/hr

Must have knowledge of Insurance Billing and payment posting in a dental office. * Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes and works ...

Medix

Payment Poster (Onsite)

Dallas, TX · On-site

$21 - $25/hr

Experience * 2 years of payment posting experience in a healthcare insurance setting. Skills * Computer Literacy. * Professional phone skills. * Familiarity with EMRs like OMSVision, Eaglesoft ...

Gryphon Healthcare

Medical Payments Poster

Houston, TX

$17.25 - $20.75/hr

Minimum of 2 years medical payments posting * Strong experience with all major insurance carriers including in network/out of network services. Knowledge of medical billing and collection practices

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Insurance Payment Posting information

See Texas salary details

$12

$17

$22

How much do insurance payment posting jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for insurance payment posting in Texas is $17.57, according to ZipRecruiter salary data. Most workers in this role earn between $15.67 and $18.80 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 Texas?

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

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

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

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

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

Insurance Payment Posting jobs near you
Infographic showing various Insurance Payment Posting job openings in Texas as of August 2026, with employment types broken down into 96% Full Time, 2% Part Time, and 2% Contract. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $36,542 per year, or $17.6 per hour.

Insurance Payment Processor

San Antonio, TX

Smile Brands
Health Care and Social Assistance • 5 - 10K employees

6.5

Company rating: 6.5 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

608th of 893 rated healthcare providers

People enjoy working here

Respectful managers

Uninterrupted breaks

Learn more about Smile Brandsexternal

$16 - $18.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Overview

Smile Brands is seeking an experienced and detail-oriented Insurance Payment Processor to join our Central Billing Office team in San Antonio, TX. This onsite role plays a critical part in supporting accurate and timely insurance payment posting and account reconciliation across multiple practice management systems.

The ideal candidate thrives in a fast-paced, production-driven environment and is highly organized with strong attention to detail. Success in this role requires accuracy, accountability, and the ability to navigate multiple systems while meeting daily productivity goals.


Schedule (days/hours)
Monday - Friday 7:30a-4pm, mandatory monthly OT and occasional Saturdays
Responsibilities
  • Accurately post insurance and capitation payments to patient accounts across multiple practice management systems
  • Review Explanation of Benefits (EOBs) and apply appropriate account adjustments, credits, or patient balances
  • Research and reconcile patient accounts within automated payment processing systems
  • Balance daily posting activity against live check and electronic deposits
  • Maintain accurate daily tracking and reconciliation logs
  • Complete weekly audits and reporting related to payment posting activity
  • Resolve payment posting support tickets and account discrepancies
  • File and maintain payment documentation and EOB records
  • Communicate daily posting totals and unresolved balances to leadership

Qualifications
  • Minimum 1 year of experience in payment posting, insurance processing, medical/dental billing, or a related revenue cycle role
  • Experience reviewing EOBs and understanding insurance claims adjudication
  • Strong data entry and 10-key skills with a high level of accuracy
  • Ability to work efficiently in a high-volume, deadline-driven environment
  • Strong organizational skills and attention to detail
  • Proficiency with Microsoft Office applications, particularly Excel

Preferred Qualifications
  • Experience using Dentrix Ascend 
  • Typing speed of 50+ WPM
  • Experience with cash handling

Compensation
$16.00 - $18.50 per hour
About Us

Benefits are determined by employment status/hours worked and include paid time off (“PTO”), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan. 

Smile Brands supports over 650 affiliated dental practices across 30 states all focused on a single mission of delivering Smiles For Everyone!® Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.

Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at careers@smilebrands.com

Qualifications:
  • Minimum 1 year of experience in payment posting, insurance processing, medical/dental billing, or a related revenue cycle role
  • Experience reviewing EOBs and understanding insurance claims adjudication
  • Strong data entry and 10-key skills with a high level of accuracy
  • Ability to work efficiently in a high-volume, deadline-driven environment
  • Strong organizational skills and attention to detail
  • Proficiency with Microsoft Office applications, particularly Excel
Education:UNAVAILABLEEmployment Type: UNAVAILABLE

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