Posh title or medal perhaps (7)
I believe the answer is:
earldom
'posh title' is the definition.
'earldom' can be an answer for 'title' (I've seen this before). I'm unsure of the 'posh' bit.
'or medal perhaps' is the wordplay.
'perhaps' indicates anagramming the letters.
'or'+'medal'='ormedal'
'ormedal' is an anagram of 'EARLDOM'.
Can you help me to learn more?
(Other definitions for earldom that I've seen before include "Dignity" , "noble title?" , "What sort of noble has" , "Noble's lands or rank" , "Peer's rank" .)