Cash Posting Clerk

At Pathology Group of Louisiana, our mission is to provide the finest quality pathology services to patients, referring physicians, outpatient surgery centers and hospitals with the greatest accuracy in the most cost-effective manner as rapidly as possible.

Can we depend on you to work hard for our clients and shareholders? Do you foster a positive work culture for your co-workers? If so, apply today!

POSITION SUMMARY:

The Data Entry, Cash Posting Clerk is responsible for the timely and accurate posting of patient and payer payments to the billing system, including 835/ERA files, electronic funds transfers (EFTs), lockbox deposits, credit card payments, and manual payments. Under the direction of the RC Cash Supervisor, this position performs daily reconciliation activities, researches and resolves posting variances, and works assigned vendor and clearinghouse tickets to closure. The Cash Posting Clerk plays a key role in maintaining the integrity of accounts receivable data and supports a clean revenue cycle through accurate, on-time posting and proactive issue identification.

DUTIES AND RESPONSIBILITIES:

• Post all assigned 835/ERA files, EFTs, lockbox deposits, credit card payments, and manual payments accurately and within established daily timeframes.

  • Apply contractual adjustments, denials, and other transaction codes accurately based on remittance advice and payer-specific guidelines.
  • Reconcile daily posted batches against bank deposit reports, clearinghouse reports, and lockbox totals; identify variances and escalate unresolved items to the RC Cash Supervisor.
  • Research and resolve unidentified, unapplied, and misapplied payments within established aging thresholds.
  • Process patient and payer refund requests in accordance with policy, ensuring accuracy of refund calculations and supporting documentation.
  • Maintain accurate, organized documentation of daily posting activities, batch totals, reconciliation worksheets, and ticket logs.
  • Follow established standard operating procedures (SOPs) and cross-train on additional cash posting workflows as assigned to support team coverage.
  • Support month-end, quarter-end, and year-end close activities, including meeting posting cutoffs and assisting with reconciliations as directed.
  • Maintain confidentiality of patient, financial, and organizational information in compliance with HIPAA, PCI-DSS, and organizational policies.
  • Communicate professionally with team members, internal departments, and external vendors regarding posting and reconciliation matters.
  • Perform other duties as assigned by the RC Cash Supervisor or Director of Revenue Cycle.

  QUALIFICATIONS

  • High school diploma or equivalent (GED) is required.
  • Associate's degree in Accounting, Business, Healthcare Administration, or a related field is preferred.

  Experience

  • Minimum of two (2) to four (4) years of experience in healthcare cash posting, payment reconciliation, medical billing, or a related revenue cycle role.
  • Hands-on experience posting 835/ERA files, EFTs, and lockbox / manual payments preferred.
  • Lab or high-volume professional billing experience is a plus.

  SKILLS & COMPETENCIES

  • Working knowledge of healthcare remittance (835/ERA), EOBs, and standard adjustment / denial reason codes.
  • Proficient with Microsoft Excel (data entry, basic formulas, sorting/filtering);
  • Strong attention to detail with a demonstrated commitment to data accuracy.
  • Solid 10-key, data entry, and keyboarding skills.
  • Ability to follow documented procedures and apply payer-specific guidelines consistently.
  • Effective written and verbal communication skills, including professional vendor and internal team communication.
  • Ability to manage multiple priorities, meet daily deadlines, and stay organized in a high-volume environment.
  • Experience with revenue cycle / billing systems
  • Basic understanding of HIPAA, PCI-DSS, and revenue cycle compliance principles.
  • Team-oriented mindset with a willingness to cross-train and support coworkers.