Job Details

Cash Specialist II

The Cash Specialist II is responsible for processing, reconciling, and balancing cash transactions to ensure accurate posting of payments and adjustments. This role involves analyzing payer reimbursements, resolving discrepancies, and maintaining compliance with company policies and regulatory requirements. The Cash Specialist II also reviews health insurance payments, manages fund transfers, and ensures accuracy in patient account transactions while supporting process improvements in financial operations.

The Cash Specialist II receives, reviews, and preps batches for daily posting, ensuring transactions are accurate and correctly applied. They post insurance and non-insurance payments, including resolving edits, manually matching invoices, and balancing payment files against checks or electronic funds transfers (EFTs). They verify and log all fund transfers, lockbox deposits, and over-the-counter payments, ensuring proper reconciliation. They resolve discrepancies and balances daily postings, submitting necessary variances for corrections and ensuring timely completion. They analyze payer reimbursements, comparing payments received against contract fee schedules to confirm appropriate adjustments and determine patient responsibility when applicable. They process and post debit entries for approved refunds, ensuring compliance with company policies and financial guidelines. They research and transfer unidentified payments, applying established procedures to allocate funds correctly. They ensure account balances are accurate, reviewing posted transactions and preparing batches for scanning into document imaging systems. They maintain compliance with hospital policies, procedures, and regulatory requirements, ensuring adherence to HIPAA guidelines and financial controls. They perform other duties as assigned, maintain regular and reliable attendance, and comply with all policies and standards.

Qualifications include a high school diploma or GED, an associate degree in accounting, finance, business administration, or a related field preferred, 2-4 years of experience in cash posting, accounts receivable, banking, or payment processing required, and experience with healthcare revenue cycle, insurance reimbursement, or financial operations preferred. Knowledge of cash reconciliation, payment posting, and financial transaction balancing is required, along with experience with insurance remittance, contractual adjustments, and refund processing. Proficiency in Microsoft Excel, financial reconciliation tools, and cash management software is necessary. Ability to analyze and resolve discrepancies in financial transactions, excellent attention to detail, organizational skills, and ability to work under deadlines are essential. Strong verbal and written communication skills, with the ability to interact with finance teams, payers, and internal departments, are required. Knowledge of HIPAA and financial security regulations related to payment transactions and patient accounts is also necessary.