Cash Posting Representative-1.0 FTE

OMC Core Behavior Standards: 

Create Teamwork● Lead with Honesty & Integrity● Convey Compassion● Show Respect● Pursue Quality

Osceola Medical Center is committed to implementing these behavior standards as a foundation for how we hire, develop, and retain our team members. By intentionally selecting candidates whose values and behaviors align with these standards, we ensure that our mission is lived out every day, creating an environment where patients feel valued, respected, and confident that OMC is the place for all their healthcare needs.

Job Summary:
 Responsible for the accurate and timely posting of payments, adjustments, and denials for hospital and clinic services. Ensures insurance, government payer, and patient payments are applied correctly to patient accounts. Maintains accountability for balancing daily cash batches, preparing and reconciling bank deposits, and resolving discrepancies in collaboration with other departments. Works closely with billing, follow-up, patient access, and finance teams to support overall revenue cycle performance and compliance with payer contracts and regulatory requirements. Additionally, responsible for enrolling providers in EFT and ERA programs to facilitate electronic payment and remittance processing.

Qualifications:

• High school diploma or GED required. Associate degree preferred.
• 1–3 years of medical payment posting, billing, or revenue cycle experience preferred
• Experience in hospital and/or multi-specialty clinic environment preferred
• Knowledge of Medicare, Medicaid, and commercial payer regulations preferred
• Experience with electronic remittance advice (ERA) and electronic funds transfer (EFT) processing. Proficiency in basic computer applications including Microsoft Office

Responsibilities include:

• Post insurance payments, ERAs, EOBs, EFTs, checks, and patient payments accurately and timely Apply contractual adjustments, denials, and write-offs per payer and organizational guidelines
• Prepare daily bank deposits and reconcile with cash batches and system totals. Balance and reconcile daily cash batches and coordinate with other departments on deposits and accounting accuracy
• Research and resolve payment discrepancies, unidentified payments, credit balances, and zero-pay remittances
• Collaborate with finance, billing, and patient access teams to ensure all deposits are accurately reconciled. Assist with month-end close processes and reporting as needed
• Enroll providers in EFT and ERA programs and maintain enrollment records to ensure electronic payment and remittance efficiency
• Identify denial or underpayment trends and communicate findings to appropriate team members
• Process refund requests according to policy and compliance standards
• Maintain confidentiality in accordance with HIPAA regulations
• Meet departmental productivity and accuracy benchmarks

Knowledge, Skills, and Abilities:

• Strong attention to detail and accuracy
• Analytical and problem-solving skills
• Effective communication and collaboration across departments
• Ability to work independently and manage multiple priorities
• Adaptable and committed to continuous improvement

Physical Requirements:

• Prolonged sitting and computer use
• Manual dexterity for keyboard, mouse, and office equipment
• Occasional lifting to 20 pounds

Work Environment:
 Primarily office-based within a hospital and clinic setting. Work involves frequent computer use and extensive interaction with multiple internal departments, including finance, billing, and patient access, to ensure accurate deposit preparation, posting, reconciliation, and electronic payment processing. The noise level is typically moderate. Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions of the position.

Behavior-Based Leadership Expectations: 

Successful candidates will:

• Treat every patient, visitor, and team member with dignity and respect
• Take ownership of their actions and follow through on commitments
• Adapt positively to change and support new initiatives
• Contribute to a culture of trust, collaboration, and accountability
• Consistently act in ways that support OMC’s mission and values

Why Join OMC?

At OMC, we don’t just hire for skills—we hire for behaviors that align with our mission. We invest in team members who are committed to making a meaningful difference in the lives of our patients and in the communities we serve.

Osceola Medical Center is an equal opportunity employer and is committed to creating an inclusive environment for all employees.