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Payment Posting

Payment Posting Services in Medical Billing That Keep Your Accounts Accurate and Your Cash Flow Clear

Every payment, adjustment, and denial needs to land in the right place. Our payment posting services post ERAs, EOBs, and patient payments accurately, flag denials early, and reconcile every deposit so your books always match reality.


98%+
Posting Accuracy
24 hrs
Typical Posting Turnaround
100%
HIPAA Compliant
40+
Specialties Served
Payment Posting Services in Medical Billing

Trusted by 2,000+ Providers

What Is Payment Posting in Medical Billing
What Is Payment Posting?

What Is Payment Posting in Medical Billing?

Payment posting is the process of recording payments, adjustments, and denials from insurance payers and patients against the correct claims and patient accounts. Done well, it keeps your receivables accurate, shows you which claims still need work, and gives you reliable data on how every payer pays.

Key Functions
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Posting insurance payments from ERAs and EOBs

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Recording patient payments and updating balances

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Posting contractual adjustments and write-offs

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Flagging denials and underpayments for follow-up

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Reconciling deposits against payer remittances

Accurate posting is the foundation of clean AR. Talk to a Payment Posting Specialist and see where your accounts are out of sync.

Our Capabilities

Comprehensive Payment Posting Services

A dedicated posting team that handles every payer response, from electronic remittances to paper EOBs and patient payments.

ERA / EDI Payment Posting

Electronic remittances are reviewed and posted directly, with paid and unpaid ERAs sorted quickly for easier accounting.

Manual EOB Posting

Paper EOBs are keyed into the right patient accounts and reconciled, following your client-specific rules.

Patient Payment Posting

Checks, cash, and card payments are applied to co-pays, deductibles, and balances accurately and promptly.

Denial Posting & Flagging

Denials are posted with the right reason codes and routed to AR follow-up, patient billing, or secondary insurance.

Adjustment & Write-off Review

Write-offs and adjustments are checked against fee schedules and policies to catch payment errors.

Reconciliation & Reporting

Checks, card payments, and EFTs are matched to payer statements, with reports on payments, denials, and payer trends.

How We Help

We Help You Streamline Payment Posting By:

Accurate posting keeps your receivables clean and your reports trustworthy.

Identifying denials for medical necessity, non-covered services, and services not authorized, and preventing them from happening again.

Updating patient responsibility whenever there is a difference between the allowed amount and the payment amount.

Writing off the difference between the claim amount submitted and the amount received, in line with contracted rates.

Conducting routine payment reviews to keep your receivables up to date.

Tracking payment patterns to spot inconsistencies and payer trends early.

Our Process

Our End-to-End Payment Posting Process

01

Verify Payment Details

We carefully check every detail on the EOB (Explanation of Benefits): billed amounts, adjusted amounts, allowed amounts, co-pays, and more.

02

Patient Payments

We enter every patient payment, whether check, cash, or card, against co-pays or deductibles for services the payer did not cover.

03

ERA Processing

We receive electronic remittance advice, review it, and post payments directly, sorting paid and unpaid ERAs for easier accounting.

04

Posting Denials

We post claim denials and either transfer the balance to the patient account or re-bill the secondary insurance.

05

EOB Processing

We key claim details into the right patient accounts and reconcile them, following your client-specific rules.

Payment posting and EOB reconciliation at Synergy Healthcare
Why Synergy

Why Synergy Healthcare?

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Patient Balances – We reconcile accounts correctly and bill the balance to the patient promptly.

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Reviewing Denials – Accurate posting of remittances and EOBs helps AR staff work denied claims and reveals payer problems that may affect multiple patients.

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Reviewing Write-offs & Adjustments – We check write-offs and adjustments against fee schedules and policies to catch payment errors.

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Secondary Claims – Quick turnaround of EOBs from the primary payer to the secondary or tertiary payer means faster, fuller payment.

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Identifying Internal Factors – Denial and payment data shows issues such as prior authorization or coding errors, so they can be prevented.

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Data Analysis – We compile payments and denial reasons to support accurate revenue forecasting.

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Reconcile Payments with ERAs/EOBs – We match incoming checks, card payments, and EFTs to payer statements to safeguard funds and control misrouted payments or lost checks.

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Specialties We Serve

Specialty-Specific Payment Posting Expertise

Our tailored payment posting services cover specialty-specific payer rules, remittance formats, and denial patterns across 40+ practice types.

FAQ's

It is the process of recording payments, adjustments, and denials from insurance payers and patients against the correct claims and patient accounts, so your receivables always reflect what has actually been paid.
An ERA is the electronic remittance advice sent by the payer, which can be posted directly into your system. An EOB is the paper or PDF Explanation of Benefits, which is keyed into patient accounts and reconciled manually. We handle both.
Yes. Denials are posted with the correct reason codes and routed for follow-up, and payments are compared against allowed amounts so underpayments are flagged instead of being missed.
Yes. Our team works inside your current EHR or practice management system, so there is no disruption to your workflow, and we provide regular posting and reconciliation reports.

Trusted by Practices Nationwide

See how accurate payment posting has helped practices clean up their accounts and understand their revenue.

"Our books finally match our bank deposits. Synergy's posting team reconciles everything and flags problems quickly."
Dr. Marcus VanceLead Rheumatologist, Apex Center
"Denials are posted with clear reasons now, so our AR team knows exactly what to work. The reporting is easy to follow."
Sarah JenkinsPractice Administrator, Metro Health
"They caught underpayments we would never have noticed. Posting is accurate and our patient balances are always up to date."
Dr. Emily ChenOwner, Chen Institute
"Outsourcing payment posting freed up our front desk and gave us better data than our in-house process ever did."
Thomas PatelClinic Manager

Ready for Accurate, Reliable Payment Posting?

Talk to our team about how our payment posting services can keep your accounts clean, surface denials early, and give you a clear view of your revenue.

Book a Free Consultation