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Payment Posting Services for Medical Billing Teams

Keep cash applied accurately and on time. Salt HealthOps posts insurance and patient payments, adjustments, and reconciliations as a co-managed service with QA and weekly reporting.

Quick answer

What do payment posting services include?

Payment posting services cover applying insurance and patient payments, posting ERA/EOB remittances and adjustments, flagging underpayments, and supporting reconciliation. Salt HealthOps delivers payment posting as a co-managed service with QA review and weekly reporting, so cash is applied accurately and posting backlogs do not build up.

Problems payment posting solves

  • Posting backlogs delaying accurate AR and reporting
  • Underpayments going unflagged and uncollected
  • Adjustment and write-off codes applied inconsistently
  • Reconciliation gaps between deposits and posted payments
  • Staff time pulled from higher-value RCM work

What Salt HealthOps can handle

ERA/EOB posting support

Posting electronic and paper remittances accurately.

Patient payment posting

Applying patient payments to the right accounts.

Adjustment code posting

Applying contractual and other adjustments consistently.

Underpayment flagging

Flagging payments below expected for follow-up.

Reconciliation support

Helping reconcile deposits to posted payments.

Posting backlog cleanup

Clearing accumulated posting backlogs.

Best-fit buyers

  • Billing companies with posting backlogs or overflow
  • RCM companies needing posting capacity at volume
  • Practices where posting falls behind during busy periods
  • Teams wanting cleaner, faster cash application

How payment posting works with Salt HealthOps

  1. 01

    Intake

    Review remittance sources, volume, and posting rules.

  2. 02

    Access setup

    Least-privilege access to your EHR/PM and tools.

  3. 03

    SOP alignment

    Align posting, adjustment, and exception rules.

  4. 04

    Execution

    Specialists post payments and flag exceptions.

  5. 05

    QA

    Sample audits verify posting accuracy.

  6. 06

    Reporting

    Posting volume, lag, and exceptions reported.

KPIs we baseline and report

Payment posting lag

Time from remittance receipt to posting.

Posting accuracy

Accuracy verified through sample audits.

Underpayments flagged

Below-expected payments routed for follow-up.

Backlog cleared

Outstanding posting worked down over time.

Recommended engagement models

Security and compliance

Posting runs under HIPAA-aware workflows with access control and audit-friendly processes. We are BAA-ready; Salt Technologies is ISO certified with SOC 2 in progress. You keep ownership of your systems and data.

Frequently asked questions

Do you post both ERA and manual EOB payments?

Yes. We support electronic remittance (ERA) posting and manual posting from paper EOBs, following your posting and adjustment rules and flagging exceptions for review.

Can you flag underpayments for follow-up?

Yes. We flag payments below expected amounts so your team — or our AR and denial specialists — can pursue the variance instead of letting underpayments slip through.

Can you clear a posting backlog quickly?

A Backlog Cleanup Sprint is designed for this. We define the backlog, time-box the work, and report progress so AR and reporting reflect reality again.

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Next step

Keep cash applied accurately

Discuss payment posting support or request a posting backlog review. We will recommend the right engagement model.