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Medical Payment Posting Jobs in Iowa (NOW HIRING)

Medix

Medical Billing Specialist

Ankeny, IA · On-site

$23 - $28/hr

  • Medical

  • Dental

  • Vision

  • Retirement

Process payment posting and account reconciliation * Follow up on aging accounts and outstanding ... Minimum 1 year of medical billing experience * Experience with claims follow-up, payment posting ...

Family Access Center

Behavioral Health Biller

Sioux City, IA · On-site

$18 - $23.25/hr

  • Medical

  • Life

  • Retirement

  • PTO

... necessary medical documentation. * Payment Posting & Reconciliation: Accurately post insurance payments (ERAs/EOBs) and patient payments to patient accounts, identifying any underpayments or ...

Family Access Center

Behavioral Health Biller

Sioux City, IA · On-site

$22 - $28/hr

  • Medical

  • Life

  • Retirement

  • PTO

... necessary medical documentation. * Payment Posting & Reconciliation: Accurately post insurance payments (ERAs/EOBs) and patient payments to patient accounts, identifying any underpayments or ...

Family Access Center

Behavioral Health Biller

Sioux City, IA · On-site

$22 - $28/hr

  • Medical

  • Life

  • Retirement

  • PTO

... necessary medical documentation. * Payment Posting & Reconciliation: Accurately post insurance payments (ERAs/EOBs) and patient payments to patient accounts, identifying any underpayments or ...

Family Access Center

Behavioral Health Biller

Sioux City, IA · On-site

$22/hr

  • Medical

  • Life

  • Retirement

  • PTO

... necessary medical documentation. * Payment Posting & Reconciliation: Accurately post insurance payments (ERAs/EOBs) and patient payments to patient accounts, identifying any underpayments or ...

Triumph Financial

Payment Operations Specialist

Bettendorf, IA · On-site

$46K - $61K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Support the back - office payment operations on settlement and posting * Perform daily general ... We offer Medical, Dental, Vision, Paid Time Off, 401k and much more. Go on. Do it. Apply Today!

TBK Bank, SSB

Payment Operations Specialist

Bettendorf, IA

$46K - $61K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Support the back - office payment operations on settlement and posting * Perform daily general ... We offer Medical, Dental, Vision, Paid Time Off, 401k and much more. Go on. Do it. Apply Today!

Deloitte

Epic Denials Management Operator

Des Moines, IA · Remote

$17.50 - $23.50/hr

... Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.

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All JobsMedical Payment Posting JobsMedical Payment Posting Jobs in Iowa

Medical Payment Posting information

See Iowa salary details

$13

$18

$22

How much do medical payment posting jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for medical payment posting in Iowa is $18.70, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $19.66 per hour, depending on experience, location, and employer.

What is medical payment posting?

Medical payment posting is the process of recording payments and adjustments to patient accounts after receiving payments from insurance companies or patients. This step is a critical part of the healthcare revenue cycle, as it ensures that financial records are accurate and up-to-date. Payment posters review explanation of benefits (EOBs) or electronic remittance advices (ERAs), apply payments to the correct accounts, and reconcile any discrepancies. Accurate payment posting helps healthcare providers track revenue, identify payment trends, and resolve billing issues more efficiently.

What is the difference between Medical Payment Posting vs Medical Billing Specialist?

AspectMedical Payment PostingMedical Billing Specialist
Primary RolePosting payments and adjustments to patient accountsPreparing and submitting claims, managing billing processes
CredentialsKnowledge of insurance payments, coding, and account managementMedical coding, billing software proficiency, insurance knowledge
Work EnvironmentHospitals, clinics, billing officesMedical offices, billing companies, healthcare providers
Industry UsagePart of revenue cycle management, focused on payment postingEnd-to-end billing process, including claim submission and follow-up

Medical Payment Posting primarily involves updating patient accounts with insurance payments and adjustments, ensuring accurate financial records. In contrast, Medical Billing Specialists handle the entire billing process, including claim submission and follow-up. Both roles require knowledge of insurance procedures and coding, but Payment Posting is more focused on financial reconciliation, while Billing Specialists manage the broader billing cycle.

What are the key skills and qualifications needed to thrive as a medical payment poster?

To thrive as a Medical Payment Poster, you need strong attention to detail, knowledge of medical billing processes, and familiarity with insurance terminology, often supported by a high school diploma or equivalent. Proficiency in medical billing software (such as Epic, Cerner, or NextGen) and experience with electronic health records are typically expected. Strong organizational skills, accuracy, and effective communication help professionals handle high volumes of data and resolve discrepancies efficiently. These skills ensure accurate revenue cycle management, timely reimbursements, and reduced claim errors for healthcare organizations.

What are some common challenges faced in a medical payment posting role and how can they be addressed?

Medical Payment Posting professionals often encounter challenges such as accurately matching payments to the correct patient accounts, dealing with incomplete or unclear remittance information, and handling denials or discrepancies from insurance companies. Staying detail-oriented and organized is crucial, as is frequent communication with billing teams and payers to resolve issues quickly. Many organizations provide ongoing training and utilize specialized software to streamline the posting process, helping team members manage workloads efficiently and reduce the risk of errors.

What are the most commonly searched types of Medical Payment Posting jobs in Iowa?

The most popular types of Medical Payment Posting jobs in Iowa are:

Medical Payment Posting jobs near you
Infographic showing various Medical Payment Posting job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $38,896 per year, or $18.7 per hour.

Manager - Payment and Customer Svc. - (Full-Time )

The Iowa Clinic

West Des Moines, IA

Full-time

Re-posted 22 days ago

The Iowa Clinic rating

7.0

Company rating: 7.0 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

The Manager, Payments provides leadership and day-to-day oversight of the patient financial experience including customer service, payment posting and payment plans. You will drive performance against key revenue-cycle metrics, implement process improvements, and foster a high-performing, inclusive team culture. This role partners closely with clinic operations and other key stakeholders to ensure timely, accurate revenue capture and exceptional service delivery.
 
Job Duties and Responsibilities
  • Recruit, mentor, coach, and develop a high-performing team of customer service representatives and payment posting specialists
  • Define, track, and report on key performance indicators through dashboards and monitor daily and weekly workloads, monitor key volumes (e.g., calls, postings, payment plans) to adjust staffing or workflows to meet revenue-cycle targets.
  • Develop, document, and maintain standard operating procedures (SOPs) for all Central Billing Office processes.
  • Lead process-improvement initiatives to optimize efficiency, reduce errors, and accelerate cash flow.
  • Manage the customer service phone line to ensure calls are answered timely, escalations are handled promptly, and first-call resolution is maximized.
  • Monitor call-center metrics (abandonment rate, average handle time, first-call resolution).
  • Supervise payment posting workflows to guarantee accuracy and timeliness of cash application.
  • Lead or participate in organization-wide projects ensuring CBO requirements and impact are fully addressed.
  • Design and deliver ongoing training programs on best practices for new hires and existing staff.
  • Oversee quality-assurance reviews to ensure compliance with regulatory requirements, internal policies, and audit standards.
  • Performs other tasks as assigned.
 
Knowledge, Skills and Abilities Required:
  • Ability to effectively communicate with people from diverse professional, educational and lifestyle backgrounds both orally and in writing. 
  • Ability to give, read and understand/follow written and verbal directions. 
  • Ability to operate a computer, including proven general software skills and effective utilization of the Microsoft office suite.
  • Must demonstrate ability to utilize effective decision-making and problem-solving techniques. 
  • Ability to relate favorably with people and gain their confidence. 
  • Ability to work independently and interdependently with physicians, management, staff and external constituencies. 
  • Requires organizational and self-motivational skills in prioritizing and managing multiple tasks with limited supervision. 
 
Minimum Job Qualifications
Education:                                        Bachelor’s degree in business related field or equivalent work experience.
Licensure/               
Certification:                                  None.
Work Experience:                         Minimum of 5 years’ experience in a billing office operation with at least 2 years in a leadership role. Customer service knowledge. Demonstrated ability to apply process management skills within the work site. Experience in handling customers.  Experience in strategic planning and finance and the ability to understand how this impacts CBO. 
 
Physical Requirements and Work Environment
Employees are subject to the risks inherent to working in a medical environment.  This position functions in an office environment and requires
  • Extended periods of sitting with concentrated viewing of a computer monitor. 
  • Manual dexterity necessary for inputting computer data and operation of business machines, i.e., copy and fax machines, calculators, etc. 
  • Verbal and auditory ability necessary for communicating both in person and via the telephone and participating in oral conversations.
  • Visual acuity necessary for viewing computer screens, reading computer-generated reports and written instructions. 
  • Mental ability necessary for assimilating information and utilizing effective decision-making and problem-solving techniques.
  • Emotional demands require working and remaining calm and professional in a potentially stressful, fast-paced environment.  The environment may cause high stress levels due to constant interruptions, high volume, urgency of issues and interactions with a wide variety of personalities.
  • Position may require early morning and late evening hours for meeting attendance. 

What The Iowa Clinic employees say

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