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Payment Posting Jobs in Iowa (NOW HIRING)

Imh

Cash Poster II

Nevada, IA · On-site +1

$19.41 - $28.14/hr

Post all payments to patient accounts, using both electronic and manual posting systems * Research, validate and make adjustments to payment postings. Follow up in accordance to procedures and ...

Medix

Medical Billing Specialist

Ankeny, IA · On-site

$23 - $28/hr

Process payment posting and account reconciliation * Follow up on aging accounts and outstanding balances * Submit appeals and work within billing portals and payer systems * Utilize Excel to track ...

Family Access Center

Behavioral Health Biller

Sioux City, IA · On-site

$18 - $23.25/hr

Payment Posting & Reconciliation: Accurately post insurance payments (ERAs/EOBs) and patient payments to patient accounts, identifying any underpayments or processing errors. Daily Billing Operations

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$11

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How much do payment posting jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for payment posting in Iowa is $18.58, according to ZipRecruiter salary data. Most workers in this role earn between $16.25 and $20.53 per hour, depending on experience, location, and employer.

What is a payment posting?

A Payment Posting job involves processing and reconciling payments received from insurance companies, patients, and other third-party payers in a healthcare setting. This role ensures that payments are accurately recorded in the billing system, identifies discrepancies, and resolves payment-related issues. Payment posters also verify Explanation of Benefits (EOBs) and assist in maintaining accurate financial records to support revenue cycle management.

What are the key skills and qualifications needed to thrive in payment posting?

To thrive as a Payment Posting professional, you need strong attention to detail, proficiency in basic accounting, and a high school diploma or equivalent, with some employers preferring experience in medical billing or finance. Familiarity with electronic health record (EHR) systems, payment processing software, and spreadsheets is commonly required, and knowledge of industry-specific platforms like Epic or Cerner is valuable. Excellent organizational skills, reliability, and clear communication help you excel in fast-paced environments where accuracy is crucial. Mastering these skills ensures accurate financial record-keeping, prompt revenue cycle management, and strong collaboration with billing and administrative teams.

What does a payment posting specialist do?

A typical day in Payment Posting involves accurately entering and reconciling incoming payments from patients and insurance companies, addressing any discrepancies in accounts, and updating patient records. You will regularly communicate with both internal billing staff and external insurance representatives to resolve payment issues or denials. Attention to detail is crucial as you’ll often be responsible for identifying misapplied payments and ensuring correct allocation within the financial system. Working in this role offers valuable insight into the revenue cycle process and serves as a foundation for advancement to more senior billing or revenue management positions.

What are the most commonly searched types of Payment Posting jobs in Iowa? The most popular types of Payment Posting jobs in Iowa are:
What are popular job titles related to Payment Posting jobs in Iowa? For Payment Posting jobs in Iowa, the most frequently searched job titles are:
What job categories do people searching Payment Posting jobs in Iowa look for? The top searched job categories for Payment Posting jobs in Iowa are:
What cities in Iowa are hiring for Payment Posting jobs? Cities in Iowa with the most Payment Posting job openings:
Payment Posting jobs near you
Infographic showing various Payment Posting job openings in Iowa as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $38,656 per year, or $18.6 per hour.

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

The Iowa Clinic

West Des Moines, IA • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

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. 

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