Payment Posting Specialist

Are you interested in harnessing technology and AI to transform healthcare? 

At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care. 

We’re on a mission to simplify the business side of healthcare—and we know that mission takes people from all backgrounds and experiences. Whether you’re early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference. 

 About the Role 

The Payment Posting Specialist will be responsible for the posting of all Medicare, insurance, Medi-Cal, and self-pay patient payments to patient accounts and perform reconciliations daily. You will be responsible for the timely, accurate and detailed posting of EOB payments, denials, and adjustments.  

This position will be located at our offices in Charleston, SC.  

How you will make an impact: 

In this role, you’ll: 

• Posting Insurance and 3rd party payments, adjustments and contractual using our internal software
• Daily balancing for Revenue Cycle with bank deposits
• Determine overpayments and underpayments from insurance and 3rd party payers
• Recognize and report consistent trends in revenue recognition
• Process undistributed reports and recouped payments
• Research payment/price discrepancies and determine necessary action to file payment
• File payments after reviewing and approving the next status summary and the reimbursement discrepancy report

What you will bring to the team:  

We’re looking for someone with a growth mindset and a passion for learning. You might be a great fit if you: 

• Are detail-oriented, organized, and proactive
• Communicate clearly and confidently, both in writing and in conversation
• Are eager to learn, ask great questions, and work with others to solve problems
• Possess the ability to translate technical concepts to a non-technical audience
• Have the ability to identify denial issues form insurance payors

Skills and experience you have:  

You don’t need to check every box. We will consider a combination of education and experience, including: 

• High School diploma required, Associate degree or higher preferred
• 1-year related experience in medical field
• Professional working experience in MS Suite 
• Understanding of medical terminology

Why XiFin? 

We’re more than just a healthcare technology company—we’re a team that cares about people.
Here’s a glimpse at what we offer: 

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching to support your financial future
• Health Savings Account (HSA) with company contributions
• Wellness incentives that reward your preventative healthcare activities

• Tuition assistance to support your education and growth
• Flexible time off and company-paid holidays
• Social and fun events to build community at our locations!

Pay Transparency 

At XiFin, we believe in pay transparency and fairness. The expected hourly range for this role is $20 to $23, based on your experience, skills, and geographic location. 

Depending on your qualifications, you may be considered for either a Payment Posting Specialist or Senior Payment Posting Specialist title. Final compensation will be determined during the selection process and may vary accordingly. 

Accessibility & Accommodations 

We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2901. 

Equal Opportunity Employer 

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law. 

Ready to apply?
We’d love to hear from you—even if you’re not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.