End-to-End B2B Solutions Reducing Operational Costs and Accelerating Profitability
Payments are posted and reconciled the day they arrive. Our payment posting teams keep cash applied, deposits balanced, and accounts ready for the next step in the revenue cycle.
Payment posting starts paying off fast. We build and manage the team, train them on your payer mix and adjustment codes, and post against your write-off policies from day one.
We are fully compliant with all necessary data protection protocols and implement advanced security measures across our operations. This approach reduces compliance risks, simplifies audit processes, ensures transparency, and increases customer trust in highly regulated and sensitive environments.
We enforce strict access controls, ensuring security and confidentiality across on-site and remote teams to maintain the integrity of client data.
We collect only necessary personal data, retain it for defined periods, implement multilevel security, and provide full user control over it.
We safeguard protected health information through end-to-end encryption, secure access protocols, and real-time threat detection.
We secure payment data throughout processing and storage, continuously monitoring our systems to identify and address potential risks.
Our payment posting specialists work alongside AI to post payments accurately, reconcile balances faster, and keep accounts current, so downstream billing and collections move without delay.
We post ERA files the same business day they arrive, helping keep payments applied and accounts current.
We match paper EOBs and manual remittances to the correct claims, ensuring payments are posted accurately.
Our experts apply patient payments quickly and accurately, helping keep balances current and statements reliable.
We capture denial and adjustment codes during posting, helping route balances to the right follow-up workflow.
Our team reconciles posted payments against daily deposits, helping identify and resolve variances before month-end.
We research credit balances and route them for refund, reallocation, or further review as needed.
Payment posting bottlenecks rarely start in the same place. We identify where cash gets stuck and build the team, workflows, and coverage needed to keep payments moving.
Remittance volume arrives in large payer batches, and unapplied cash builds while staff work the biggest files first. Cognitime CX teams split incoming batches by payer and post against daily cutoffs. Cash stays applied and current through month-end volume peaks.
When patients pay through multiple portals and payment channels, reconciliation can lag deposits by days. We consolidate every payment source into a single posting workflow with one balance check. Revenue reporting stays aligned with cash received.
Misapplied payments surface as borrower complaints, often weeks after the transaction posts. Cognitime CX researches disputed payments against the servicing record before corrections are made. Account balances remain accurate through high-volume payment periods.
With only two people handling posting, a single vacation can delay secondary billing for days. Cognitime CX provides trained backup specialists who follow the same rules and posting schedules. Coverage remains consistent through leave, holidays, and turnover.
Simulate the ROI projection of your customer operations with autonomous voice assistant and flexible specialist integration.
40% savings with annual commitment
Expert Operations monthly cost
Compared:
Traditional (In-House) operations cost
Your requirements fall outside our standard parameters.
Schedule a consultation with our expert team for bottleneck analysis and a clear ROI projection.
40% savings with annual commitment
Expert Operations monthly cost
Compared:
Traditional (In-House) operations cost
Your requirements fall outside our standard parameters.
40% savings with annual commitment
Expert Operations monthly cost
Compared:
Traditional (In-House) operations cost
Your requirements fall outside our standard parameters.
Shared Operations Leader
Learning & Onboarding (L&D) Architect
Quality Assurance (QA) Analyst
Customer Success Manager (CSM)
Service Delivery Manager
End-to-End Corporate Support (Admin, Finance, IT, Legal)
1-2 Dedicated Operations Leaders
Learning & Onboarding (L&D) Architect
Scalable Quality Assurance (QA) Analyst
Service Delivery Manager
Customer Success Manager (CSM)
End-to-End Corporate Support (Admin, Finance, IT, Legal)
Real-Time Operations Analyst (RTA)
2-5 Dedicated Operations Leaders
Dedicated Learning & Onboarding (L&D) Architect
1-2 Dedicated Quality Assurance (QA) Analysts
Dedicated Service Delivery Manager
Customer Success Manager (CSM)
End-to-End Corporate Support (Admin, Finance, IT, Legal)
1 Dedicated Real-Time Operations Analyst (RTA)
*Simulations reflect expert operations costs only; AI voice assistant, telephony licenses and custom integrations are scoped separately based on usage.
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AI handles the repetitive work at scale, matching payments, reading remittances, and posting routine transactions automatically. Our specialists focus on the exceptions that require judgment, investigating variances, resolving unapplied cash, and making sure every adjustment is posted correctly.
Matches remittance lines to open claims automatically and routes only true exceptions to a specialist for review.
Reads check images, PDF remittances, and payer files automatically, reducing the need for manual payment entry.
Pulls electronic remittance files directly from clearinghouses and posts matched payments the same business day.
Shortens the time between receiving a payment and posting it, helping financial reports reflect current account balances.
Review underpaid claims against payer contracts and fee schedules, then flag variances for follow-up instead of writing them off.
Research unmatched checks, EFTs, and portal payments until each one is applied to the correct account.
Work with payers to confirm primary and secondary responsibility before incorrect balances reach patients.
Determine whether an overpayment should be refunded, transferred, or reported based on your policies and requirements.
We map your payer mix, remittance channels, adjustment codes, and posting deadlines, then agree on reconciliation and accuracy targets.
We assemble payment posting specialists with experience in your systems and specialty, then complete background and HIPAA checks.
We train the team on your contract terms, denial code mapping, and refund policies, then shadow live batches until quality meets your standards.
We post ERAs, EOBs, and patient payments daily, reconcile deposits, and identify unapplied cash before it affects reporting.
We analyze recurring variances, refine posting workflows, and share denial trends with the teams managing your accounts receivable.
Payment posting affects cash flow, account accuracy, and the patient billing experience. We build dedicated teams, train them on your workflows, and operate under SOC 2 Type II and HIPAA controls to deliver consistent results at scale.
Accurate payment posting helps prevent billing confusion, giving patients and providers a clearer view of account balances and payment activity.
Thanks to our high employee retention, we keep experienced specialists on your account long-term, preserving knowledge of your payer requirements and posting workflows.
Teams across 19 locations provide the coverage needed to keep payment posting and reconciliation moving through volume spikes and month-end deadlines.
Consistent posting accuracy, transparent reporting, and experienced teams are primary reasons why clients stay with Cognitime CX for an average of more than five years.
Thirty-plus industry awards, 90% CSAT, and five-year average client partnerships reflect a delivery model built on consistency, accountability, and long-term operational excellence.
Payment posting records insurance and patient payments against the correct claim lines, along with adjustments, write-offs, and denial codes. It closes the payment cycle, updates account balances, and gives billing teams the information they need to manage denials and underpayments. Across the medical industry, 88% of remittance advice now arrives electronically.
An ERA is the electronic 835 remittance file a payer sends, allowing many payments to post automatically. An EOB is the paper or PDF version and typically requires manual review and entry against each claim. Moving remittances from manual to electronic processing can save roughly $3 per transaction while reducing administrative work.
Most payments post within 24 hours of receipt. Fast posting keeps account balances current, improves the accuracy of aging reports, and helps prevent collection activity on balances already paid. High-performing practices keep days in accounts receivable below 30, and posting delays are often one of the first drivers of that number rising.
Most payment posting programs are priced per specialist, transaction volume, or program scope. Percentage-of-collections billing, often 4–10% for full-service revenue cycle management, rarely fits a single back-office function. Cognitime CX prices each engagement based on workflow complexity, volume, coverage requirements, and integration needs. Pilots typically launch within 30–60 days.
They move into a research queue for investigation. Specialists trace the check, ACH, or portal payment back to the correct patient account and date of service before posting it. Unapplied balances are reported daily, helping teams stay ahead of reconciliation issues and avoid month-end surprises.
Teams post directly inside the practice management, billing, and clearinghouse systems you already use, including Epic, Oracle Health, and athenahealth. No data migration is required. Cognitime CX signs a Business Associate Agreement and completes access reviews before handling live transactions.
Accurate posting records denial codes, contractual adjustments, and payment details exactly as payers report them, giving billing teams reliable data for appeals, variance analysis, and payer performance tracking. Underpayments surface as actionable variances instead of being written off. CAQH estimates the medical industry still has an $18.7 billion savings opportunity tied to reducing manual administrative work.
