Cash Posting Clerk

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.

Qualifications

• A high school diploma or equivalent (GED) is required.
• An associate's degree in Accounting, Business, Healthcare Administration, or a related field is preferred.
• 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.
• Laboratory or high-volume professional billing experience is a plus.