Cash Application Coordinator

Forrest General Hospital•Hattiesburg, MS

17h•Hybrid

About The Position

The Cash Application Coordinator is responsible for accurately and promptly posting payments received from insurance companies, government payers, patients, and other third-party sources. The position ensures payments, adjustments, denials, refunds, and contractual allowances are posted correctly; reconciles payment discrepancies; and maintains accurate patient account balances to support the organization’s financial integrity. The role reports to the Cash Application Team Lead. The coordinator works with Insurance Coordinators, Patient Access, Coding, and Finance, and assists departments with payment-related questions. The position follows a hybrid work schedule: regular onsite presence is required to support staff, attend meetings, and ensure operational effectiveness. Remote work is available as approved based on departmental needs and performance.

Requirements

High school diploma or equivalent required.
Experience with hospital or physician billing systems.
Familiarity with ERA/EFT processing and payer remittance advice.
Strong understanding of payment posting, adjustments, contractual allowances, and credit balances.
Knowledge of Medicare, Medicaid, and commercial insurance payment methodologies.
Experience with patient accounting systems and EHRs.
Proficiency in Microsoft Excel and financial reconciliation.
Excellent attention to detail and organizational skills.
Strong analytical and problem-solving abilities.
Effective written and verbal communication.

Nice To Haves

Associate’s degree in accounting, business, healthcare administration, or a related field preferred.
Two to four years of healthcare payment posting, cash application, or patient accounting experience preferred.

Responsibilities

Post electronic remittance advices (ERAs), electronic funds transfers (EFTs), paper checks, and patient payments accurately and on time.
Process payments from Medicare, Medicaid, commercial insurance, managed care organizations, and self-pay patients.
Verify payment amounts against remittance advice and apply contractual adjustments according to payer contracts.
Post denial and remark codes accurately.
Reconcile daily deposits to payment batches and balance posted payments to bank deposits and accounting records.
Investigate and resolve payment variances; research unidentified payments and unapplied cash.
Assist with month-end reconciliation activities.
Coordinate with insurance follow-up staff to resolve payment issues and obtain corrected remittance advice when necessary.
Identify missing remittance information and accounts requiring refunds.
Process refund requests according to organizational policy, monitor credit balance reports, and comply with payer and regulator refund requirements.
Maintain documentation supporting payment corrections.
Identify trends affecting payment accuracy and recommend workflow improvements.
Work with Insurance Coordinators, Patient Access, Coding, and Finance, and assist departments with payment-related questions.
Maintain compliance with HIPAA regulations, follow Medicare, Medicaid, and commercial payer payment guidelines, and adhere to organizational financial policies and internal controls.
Meet performance expectations, including posting within established turnaround times, maintaining posting accuracy, balancing daily cash, resolving unapplied cash promptly, meeting productivity standards, communicating payment issues proactively, supporting month-end close activities, and maintaining confidentiality and data integrity.
Perform other duties as assigned.