Payment Application Specialist I

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Posted Jul 16, 2026

Remote · Texas Full Time
Est. $42K – $56K/yr

Overview

A healthcare organization in Dallas-Fort Worth, Texas, is seeking a Payment Application Specialist I to join their team. This role involves ensuring the accuracy of payment postings to patient, company, and suspended or pending accounts. The position supports payment processing from various sources including patients, insurance companies, and government programs.

This is a full-time, work-from-home position requiring residency within the Greater Dallas-Fort Worth area.

Responsibilities

  • Process and apply payments (checks, ACH) to company and patient accounts.
  • Reconcile daily cash receipts and resolve unapplied or misapplied payments.
  • Research and correct payment discrepancies and variances.
  • Maintain accurate transaction records in accounting systems.
  • Assist with month-end closing activities and reporting.
  • Ensure compliance with company policies and internal controls.
  • Post payments received from insurance companies, Medicare, Medicaid, and patients to invoices.
  • Research payment application issues and take corrective actions, including contacting insurance companies and patients.
  • Update Financial Status Classification (FSC) of patients.
  • Prepare journal vouchers and generate invoices.
  • Analyze automatic processes for correctness and post edits and rejects as required.
  • Post rejected and pre-post edits manually for electronically received payments.
  • Research problem accounts to properly post payments and escalate issues as needed.
  • Balance all batches and resolve discrepancies.
  • Properly post critical company accounts, including transplant, research, and complex IA accounts.
  • Perform other duties as assigned.

Requirements

  • High School Diploma or equivalent.
  • Minimum of 2 years of hospital or medical office payment posting or bookkeeping experience.

Compensation & Benefits

  • PPO medical plan available from day one at no cost for full-time employee-only coverage.
  • 100% coverage for preventive healthcare with no copay.
  • Paid Time Off available from day one.
  • Retirement programs through the Teacher Retirement System of Texas (TRS).
  • Paid Parental Leave.
  • Wellness programs.
  • Tuition Reimbursement.
  • Public Service Loan Forgiveness (PSLF) qualified employer.

Location

  • This is a remote work position; applicants must reside within the Greater Dallas-Fort Worth area.
  • Primary physical location: 5323 Harry Hines Blvd, Dallas, Texas.

Additional Information

  • This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes obtaining criminal history record information.
  • The employer is an equal opportunity organization committed to providing an educational and working environment free from unlawful discrimination based on race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.