Posting Specialist

Billing Services

Full-time

Hybrid

About Ritten

Ritten is building the next generation of Electronic Health Records (EHR) and practice management tools for
Behavioral Health providers. We empower clinicians and admin teams with intuitive software that simplifies care
delivery, improves outcomes, and supports sustainable growth. Backed by top-tier investors, we’re scaling quickly
and on a mission to transform behavioral health.

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Role Overview

We're looking for a detail-oriented Payment Posting Specialist to join our Revenue Cycle Management team. This
role is the critical bridge between claim adjudication and AR resolution — responsible for accurately posting
insurance payments and adjustments, and ensuring that EOBs and ERAs are reconciled completely and on time.
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You'll work closely with the Billing Specialist upstream and the AR/Denial Management team downstream to make
sure every dollar is accounted for and discrepancies are surfaced quickly.

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Location‍

Hybrid in NYC, Philadelphia, and Denver, or Remote

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Key Responsibilities:

Payment Posting

• Post insurance payments (ERA/EFT and manual EOB) accurately and in a timely manner across all payers
  including commercial insurance, Medicaid, and Medicare
• Post patient payments, copays, coinsurances, and deductibles to the correct patient accounts
• Apply contractual adjustments, write-offs, and non-covered adjustments in accordance with payer contracts
  and internal guidelines
• Ensure all posted payments reconcile to bank deposits and remittance totals

ERA & EOB Processing

• Download, review, and process Electronic Remittance Advices (ERAs) through the practice management
  system
• Manually enter EOB data for payers that do not support electronic remittance
• Identify and resolve ERA/EOB discrepancies, missing payments, and short pays before they age into AR

Secondary & Patient Balance Processing

• Accurately identify claims that require secondary billing upon primary payment posting and communicate
  them to the Billing Specialist
• Apply primary EOB/ERA information correctly to facilitate clean secondary claim submission
• Identify remaining patient balances after insurance adjudication and ensure they are moved to patient
  responsibility accurately

Cross-Functional Coordination

• Work closely with upstream billing team members to flag claim issues, underpayments, or payer errors
  identified during posting
• Communicate trends in payer payments, denials, or adjustments to the AR and denial management team to
  support timely follow-up
• Escalate contractual discrepancies, unusual adjustments, or suspected payer errors to the appropriate team
  members

Quality & Reconciliation

• Perform daily and monthly reconciliation of posted payments against deposit reports
• Maintain clean, organized posting queues with minimal unposted or unresolved remittances
• Follow payer-specific posting rules and ensure compliance with contractual rates across multiple states and
  payers

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Qualifications

Required

• 2+ years of payment posting experience in a healthcare or behavioral health revenue cycle setting
• Experience posting ERA and manual EOB payments across commercial insurance, Medicaid, and Medicare
• Strong understanding of EOB/ERA components including allowed amounts, contractual adjustments,
  patient responsibility, and denial codes
• Familiarity with coordination of benefits (COB) and identifying claims that require secondary billing
• Experience working across multiple payers and states
• Proficiency with practice management or billing software
• High attention to detail with strong reconciliation and data entry accuracy

Preferred

• Experience with behavioral health billing across multiple levels of care (OP, IOP, PHP, Residential, Detox)
• Familiarity with EDI 835 transaction sets and ERA auto-posting workflows
• Experience working in a SaaS, health tech, or billing services environment supporting multiple clients
• Knowledge of Medicaid remittance processes across multiple states

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Compensation

We offer competitive compensation packages that include strong cash salaries benchmarked against top startups atour stage.

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