Cash Posting - Spec Customer Service Ops

Position Summary

The Cash Posting Specialist is responsible for accurately posting payments, processing denials and adjustments, and performing daily cash reconciliation to ensure financial accuracy within the revenue cycle. This role plays a critical part in balancing daily deposits, resolving unapplied or misapplied payments, and supporting month-end close activities.

Working closely with other Revenue Cycle (RCM) functions, the Cash Applications Specialist ensures timely and accurate reconciliation of cash receipts from payers, patients, and third-party partners. This position requires a strong attention to detail, familiarity with ERA/EOB formats, and the ability to navigate billing and bank systems to maintain clean financial records.

This is a key role in preserving the integrity of the organization’s financial operations—supporting timely reimbursement, clean claim follow-up, and audit readiness across our HME/DME lines of business.

Payment Posting & Reconciliation

• Accurately post insurance, patient, and third-party payments (ERA, EFT, check, credit card) into the billing system.
• Retrieve and post remittances from payer websites and lockbox files as needed.
• Perform daily reconciliation of cash logs, bank deposits, and billing system activity (3-way balancing).
• Ensure all payments, adjustments, and denials are posted and reconciled in a timely manner to support accurate A/R management and month-end close.
• Identify and resolve unapplied or misapplied payments, short pays, and overpayments.
• Post refund checks issued by Accounting for confirmed credit balances.
  
  

• Accurately post denial codes and descriptions to corresponding claims.
• Research and resolve discrepancies such as duplicate payments, recoupments, or payer underpayments.
• Escalate denial trends and unresolved issues to the appropriate RCM teams for follow-up or appeals.
  
  

• Maintain adherence to payer-specific remittance rules and internal posting protocols, including those for Medicare, Medicaid, and commercial plans.
• Scan and store remittance documentation to the appropriate location within the billing system.
• Ensure audit readiness by maintaining clear, organized, and complete posting records.
  
  

• Support daily, weekly, and monthly reporting of cash posting metrics, unapplied balances, and reconciliation outcomes.
• Monitor payment trends and identify patterns that may indicate posting errors, payer issues, or process gaps.
• Participate in continuous improvement initiatives to streamline cash application processes and reduce manual errors.
  
  

• Partner with AR, Refunds, and Denials teams to ensure end-to-end account accuracy.
• Communicate proactively with team leads and supervisors regarding anomalies or posting delays.
  
  

• At least 2 years of college coursework or experience
• At least 2 years of experience in doing Revenue Cycle Management Cash Posting is required
• Experience in using Contact Center phone system such as NICE and/or Genesys is an advantage