CASH POSTING SPECIALIST

JOB SUMMARY

Join a team of dedicated Patient Accounting professionals committed to helping the patients and families of Mt. Washington Pediatric Hospital, where everyone contributes to the mission of maximizing the health and independence of the children we serve.

The Cash Posting Specialist utilizes industry standard best practices to perform all aspects of receiving, sorting, batching, ERA and line item posting of payments into the Expanse system and assisting with reconciling all posting to the General Ledger. Hybrid remote/on-site options may be available after training period.

ESSENTIAL FUNCTIONS OF POSITION

• Posts all payments and denials accurately and efficiently.

• Reconciles electronic remittances (ERA) and EFT payments.

• Proper research and identification of unidentified payments.

• Researches and resolves misdirected and/ or unposted payments.

• Ensures posting variances are noted on the exceptions log and shares the exceptions log weekly

• Completes and sends monthly reporting of denials by payer to leadership.

• Pulls remittance files, reports and EOBs from various systems to accurately post payments.

• Demonstrates strong knowledge of electronic cash posting and auto-post

• Ensure that daily batches are accurate and balanced

• Routes claim denials and correspondence to appropriate individuals for re-billing and appeals as necessary.

• Communicates payment discrepancies on claim denials with appropriate individuals

• Identifies systemic errors and provides solutions.

• Monitors and updates Daily Cash spreadsheet and shares spreadsheet monthly with the appropriate team members.

• Demonstrates in-depth understanding of the claim’s adjudication process

• Compiles and completes the daily deposit documentation as needed

• Maintain Kodiak reconciliation data to ensure it is current, accurate, and updated.

• Performs other duties as required and assigned

POSITION REQUIREMENTS

Educational Requirements

• High School Diploma or GED

Licensure, Certification and Registration

• NA

Work Orientation and Experience

• 3 years prior experience in hospital collections. Strong payer knowledge base. Extremely accurate with figures and data entry.

Knowledge, Skills and Abilities

• Strong analytical skill a must.
• Must be able to work unsupervised.
• Must be able to work with Excel, Outlook and Word
• Ability to multitask and remain focused in a fast-paced environment
• All other duties as assigned or requested
• Other Requirements Specific to Assigned Area

REPORTING RELATIONSHIPS

• Supervision Received
• Patient Accounting Manager. Patient Accounting Director.
• Supervision Exercised
• NA

INTERPERSONAL RELATIONSHIPS

• Communicates daily in person or by telephone with hospital staff and insurance companies.
• Must also be able to handle sensitive situations in a professional manner.

TOOLS/EQUIPMENT USED

• Calculator/adding machine, Fax machine, PC, Telephone, Internet, Copy machine, Printer.

PHYSICAL ENVIRONMENT/WORKING CONDITIONS

• Typical health care environment, stress due to multiple demands, shifting priorities and tight timeframes. Little or no risk of exposure to body fluids, infectious waste or blood borne disease.

This job description identifies the general nature and level of work to be performed. It is not to be considered an exhaustive list of responsibilities, duties or skills required of an incumbent.

• Revised 4/02/26