We post insurance payments claim by claim from ERAs and EOBs, then look for the things that quietly cost a practice money: recoupments nobody explained, reversed payments and claims paid below the fee schedule.
Payment posting is recording each insurance payment against the claim it pays, in the practice's billing system. The information comes from the ERA (electronic remittance advice) or the EOB (explanation of benefits) the payer sends. Accurate posting is what makes your patient balances, your AR and your revenue reports correct.
A recoupment is money the insurer takes back from a payment it made earlier, usually by deducting it from a later payment. A reversal is a payment the insurer cancels, often to reprocess the claim. Both are easy to miss on a busy remittance, and an unexplained recoupment can hide an error by the payer.
Our team posts payments in NextGen and SimplePractice from ERAs and EOBs downloaded from payer portals or Availity. We enter each claim's paid amount, patient responsibility and contractual adjustments, and review the ERA and claim history for adjustments, reversals and recoupments. When a recoupment is unclear, we ask the payer and handle it based on the reason they give. We also compare the allowed amount with your fee schedule to catch underpayments, and file an appeal or reconsideration with supporting documents when one is justified.
Turnaround depends on your volume and on when the ERA or EOB becomes available.
| Task | Average time |
|---|---|
| Payment posted, per claim | 2 to 5 minutes |
This is hands-on time per item, not a promise of when your whole queue is cleared. Queue timing depends on your volume and is agreed with you at the start.
Using something else? Tell us which system you use. We will say plainly whether we have worked in it before.
Our parent company, Hire My Assistants KPO LLP, is HIPAA compliant.
We sign the Business Associate Agreement your practice or plan uses, before any access is set up.
We work directly in your billing or claims system, or through the VPN or virtual desktop you provide. We never download or store patient data.
Restricted, monitored workstations, multi-factor login, encrypted devices, and access logs. No phones or writing material on the floor.
Every team member passes police verification and an outside background check, and completes HIPAA training when they join the team.
Tell us your billing system, your monthly ERA and EOB volume, and whether recoupments are piling up. We reply within one business day.