Cash Posting Specialist

Key Responsibilities

• Post insurance and patient payments accurately and timely for three separate DME entities, ensuring payments are applied to the correct entity, patient, and claim.
• Apply payments and adjustments based on EOBs and ERAs, including contractual allowances, deductibles, coinsurance, refunds, and recoupments.
• Balance daily cash activity by entity and reconcile postings to bank deposits and lockbox totals.
• Identify and resolve unapplied cash, misapplied payments, and posting discrepancies across entities.

Lockbox & Bank Processing

• Process and review daily bank lockbox files for insurance and patient payments for multiple entities.
• Reconcile lockbox transactions to system postings by entity.
• Investigate and correct discrepancies between bank records, lockbox files, and billing system entries.

Data Entry & Documentation

• Accurately enter payment data into billing, accounting, and tracking systems while maintaining proper entity separation.
• Maintain detailed documentation supporting all posted payments for audit and compliance purposes.
• Ensure remittance information is properly indexed, stored, and accessible for each entity.

Audits & External Vendor Support

• Perform routine and ad hoc audits of payment posting accuracy across all three entities.
• Support external vendors by validating payment posting, providing documentation, and reviewing reconciliation results.
• Assist with internal audits, external reviews, and cash variance analysis.
• Identify recurring posting issues or trends by entity and escalate findings to leadership.

Communication & Collaboration

• Collaborate with billing, accounts receivable, customer service, finance, and management teams to resolve posting-related issues.
• Communicate entity-specific discrepancies clearly and promptly.
• Cookordination with banks and external vendors regarding lockbox and remittance issues.
• Adhere to all cash handling, data integrity, and HIPAA compliance standards.