Texas Medical Billing CompanyRevenue Cycle Support

Medical Billing Services

Payment Posting Services

Same-day ERA and manual posting with disciplined adjustment coding and deposit reconciliation — because every downstream report is only as accurate as the posting underneath it.

Payment posting looks clerical but determines whether your entire revenue picture is trustworthy. Sloppy posting hides underpayments inside contractual adjustments, buries denials in miscoded write-offs, and makes AR reports fiction. Disciplined posting is what makes underpayment detection, denial tracking, and net collection reporting possible at all.

Our posting service handles electronic remittances and paper EOBs on a same-day cycle, applies adjustment codes according to a documented policy, and reconciles postings against actual bank deposits so nothing is posted that was not received.

Problems This Service Addresses

  • Underpayments hidden inside blanket “contractual adjustment” postings
  • Denials posted as write-offs instead of routing to follow-up
  • Posting backlogs that make AR reports weeks out of date
  • Postings that never get reconciled to bank deposits

What’s Included

  • Same-day ERA (835) auto-posting with exception review
  • Manual EOB posting for paper and portal remittances
  • Documented adjustment-code policy with variance flagging
  • Denial routing to follow-up queues at posting time
  • Daily posting-to-deposit reconciliation

Who This Service Is For

  • Practices with posting backlogs distorting their AR reports
  • Groups that suspect underpayments but cannot see them in the data
  • Administrators tightening month-end close discipline

Risks and Operational Considerations

Posting policy decisions — small-balance write-off thresholds, adjustment categories — are practice decisions we document and apply, not decisions we make unilaterally.

Accurate posting exposes problems (underpayments, denial volume) that were previously invisible; expect reports to look worse before they look truthful.

How Our Payment Posting Process Works

  1. Posting policy setup

    Adjustment codes, small-balance rules, and variance thresholds are documented so every poster applies the same logic.

  2. Daily posting cycle

    ERAs auto-post with exceptions reviewed line by line; paper EOBs are posted manually the day received.

  3. Reconciliation and routing

    Postings tie to deposits daily; denials and variances route to work queues instead of dying as adjustments.

Payment Posting: Frequently Asked Questions

Why does payment posting quality matter so much?

Because everything downstream reads from it. Denial tracking, underpayment recovery, AR aging, and net collection rate all assume payments and adjustments were coded correctly at posting. A practice with sloppy posting cannot even see its problems, let alone fix them.

Do you post from ERAs automatically?

Yes — electronic remittances auto-post where your system supports it, but the value is in the exception handling: variances from expected allowed amounts, takebacks, and denial codes get human review and routing instead of blind acceptance.

Ready to talk about payment posting?

Request a free billing assessment and get a clear, no-obligation review of your claims process, denial patterns, and accounts receivable.