Summary

The Cash Posting Representative performs day-to-day payment posting and reconciliation activities within the Revenue Cycle Management department. Reporting to the Supervisor of Cash Management, this role is responsible for ensuring accurate and timely posting of all incoming payments, maintaining complete daily balancing, and supporting the integrity of the cash management process across all payer types and service lines.

This is a detail-oriented, production-focused role that requires strong knowledge of healthcare payment processing, payer-specific posting requirements, and reconciliation workflows. The Cash Posting Representative keeps cash activity moving accurately, documents discrepancies thoroughly, and escalates exceptions in a timely manner to support clean financial reporting and optimal reimbursement outcomes.

Duties and Responsibilities

Daily Cash Posting and Reconciliation

• Knows, understands, incorporates, and demonstrates the Healthrise Core Values in all interactions with team members, clients, and stakeholders.

• Perform daily activities of the payment posting team, including receipt, posting, and reconciliation of all incoming cash payments as part of the cash management team.

• Complete accurate daily balancing of all incoming cash received versus cash posted to customer accounts to ensure all cash is appropriately applied.

• Adhere to proactive posting practices, ensuring all incoming payments are posted in a timely and accurate manner in accordance with payer-specific requirements.

• Perform all related cash posting processes to ensure activities are submitted timely, tracked, trended, and reported to key stakeholders; provide additional information as needed.

Documentation and Exception Management

• Provide detailed documentation of corrections regarding discrepancies, outstanding items, and exceptions in appropriate system(s).

• Identify routine issues and resolve or escalate them as appropriate to the supervisor.

• Investigate and address overpayment and underpayment accounts with the goal of optimizing reimbursement; document all actions in the patient accounting system.

• Track data on payment activity and related findings for the supervisor; maintain knowledge of state and federal laws as they relate to contracts and the appeals process.

Quality, Compliance, and Collaboration

• Perform duties in a manner that promotes accurate, efficient, and timely cash posting and reconciliation in accordance with departmental and regulatory standards.

• Cross-train in various cash management functions to enhance service delivery and support team capacity.

• Performs other duties as assigned.

Qualifications

Required

• High school diploma or Associate’s degree in Accounting, Business Administration, or a related field; or an equivalent combination of education and experience, with a minimum of one year of experience in revenue cycle functions and systems within a hospital, clinic, health insurance company, managed care organization, or similar healthcare financial services setting.

• Working knowledge of health insurance and governmental programs, billing regulations, and payment processes including Medicare, Medicaid, managed care contracts, and coordination of benefits.

• Strong attention to detail, accuracy, and time management with the ability to meet daily balancing and posting deadlines.

• Excellent written and verbal communication, organizational, and interpersonal skills; ability to work independently and as part of a team.

• Basic proficiency in Microsoft Office (Outlook, Word, PowerPoint, Excel) and experience navigating electronic health record and revenue cycle platforms.

• Comfortable working in a collaborative, shared leadership environment.

• Completion of regulatory/mandatory certifications as required.

• Willingness and ability to travel as needed.

Preferred

• Certification: Certified Medical Reimbursement Specialist (CMRS) or equivalent.

• Experience with Epic or similar electronic health record and revenue cycle management platforms.

• Previous experience with Global Partner vendors.

• Experience in a complex, multi-site revenue cycle environment.

Physical Demands and Work Environment

• Primarily office or remote-based environment; this role routinely uses standard office equipment such as computers and phones.

• Prolonged periods of sitting at a desk and working on a computer; employees may need to use keyboards, mouse, and other devices for typing, clicking, and navigating software systems.