Cash Posting & Balancing Specialist

The Cash Posting & Balancing Specialist supports healthcare revenue cycle operations by accurately posting payments, reconciling remittances, balancing daily cash activity, and documenting payment discrepancies. This role works closely with Revenue Cycle, Finance, Accounting, and Compliance teams to ensure all financial transactions are properly recorded, balanced, and audit-ready.

This position is best suited for candidates who enjoy working with numbers, reviewing financial records, researching payment variances, and maintaining accurate documentation. Experience with healthcare reimbursement, insurance remittances, ERAs, Medicare, Medicaid, commercial insurance payments, debits, credits, reconciliations, and cash balancing is strongly preferred.

### Key Responsibilities

* Download, review, and process electronic remittance advice files, including zero-payment remits
* Post payments accurately and timely within revenue cycle workflows
* Reconcile posted payments and adjustments against daily cash tracking reports
* Identify, research, document, and resolve payment discrepancies
* Maintain accurate documentation, audit trails, and remittance records
* Organize and retain remittance documentation according to company policy
* Support month-end balancing and financial reporting activities
* Collaborate with Revenue Cycle, Finance, Accounting, and Compliance teams
* Ensure cash posting procedures are followed accurately and consistently

### Requirements

* High School Diploma or equivalent required
* 2+ years of cash posting, debits, credits, reconciliation, or cash balancing experience strongly preferred
* Familiarity with Medicare, Medicaid, and commercial insurance remittance processes preferred
* Additional education in Accounting, Finance, Business, Healthcare Administration, or a related field preferred
* Strong attention to detail and accuracy
* Strong analytical and problem-solving skills
* Ability to manage multiple priorities in a fast-paced environment
* Strong documentation and organizational skills

### Benefits

* Medical, dental, and vision insurance
* Wellness programs
* Paid time off and paid holidays
* On-the-job training
* Advancement and compensation growth opportunities
* Tuition reimbursement and certification assistance
* Mileage reimbursement
* 401(k) with company match
* Additional voluntary coverage options

### Good Fit For

This role may be a strong fit for candidates with experience in cash posting, payment posting, accounts receivable, healthcare revenue cycle, insurance remittance processing, payment reconciliation, cash balancing, finance operations, accounting support, or back-office healthcare billing.