Cash Applications Specialist

Providence Anesthesiology Associates PA•Charlotte, NC

4d•Hybrid

About The Position

The Cash Applications Specialist supports the healthcare revenue cycle by accurately and promptly posting, reconciling, and balancing insurance and patient payments. The role researches unidentified payments, remittances, posting discrepancies, and account variances, and reviews account activity for credit balances, refund opportunities, and insurance recoupments. The specialist works with billing, denial management, payer, and operational teams to resolve payment-related issues and support reimbursement, cash flow, and revenue integrity. The position is based in Charlotte, North Carolina, with a hybrid schedule requiring onsite work two days per week and remote work up to three days per week. It is a full-time, hourly position.

Requirements

High school diploma required.
Two to three years of experience in healthcare cash applications, insurance payment posting, medical billing, patient accounts receivable, or healthcare reimbursement required.
Professional and effective verbal and written communication with internal and external stakeholders.
Experience using healthcare billing, claims, and payment-posting systems required.
Strong Microsoft Excel proficiency, including data reconciliation, sorting, filtering, and spreadsheet management, required.
Experience with EOBs, ERAs, payer portals, and electronic remittance processing required.
Proficiency in Microsoft Outlook, Word, Teams, and other Microsoft Office applications required.
Ability to analyze payment, reimbursement, and account information to identify discrepancies, resolve posting issues, and ensure transaction accuracy.
Ability to research unidentified payments, payment variances, credit balances, and account exceptions using EOBs, ERAs, payer communications, and billing records.
Ability to prioritize workload, exercise sound judgment, and make informed decisions while following policies, procedures, and regulatory requirements.
Ability to identify trends and potential payer or system issues and communicate findings to management and internal stakeholders.

Nice To Haves

Associate degree preferred.
Experience with EOB/ERA processing, payment reconciliation, credit balance review, payment variance research, and payment discrepancy resolution.
Working knowledge of healthcare revenue cycle accounts receivable processes, including insurance reimbursement, claim resolution, and patient account management.

Responsibilities

Complete daily assigned tasks by their deadlines.
Post insurance payments for all bill types, including corresponding contractual adjustments, to patient accounts.
Research unidentified payments, missing-information requests, and insurance recoupments to ensure transaction accuracy.
Review account transaction history to identify patient or insurance credit balances and request refunds.
Provide coverage for tasks assigned by management.
Identify and resolve posting discrepancies; review, approve, and prepare adjustments and refunds as necessary.
Identify system or carrier issues, report them to management for review, and follow up on escalated issues.
Ensure compliance with HIPAA standards.
Perform other duties within the scope of responsibility as required or assigned.