Cash Poster

Guidehouse•Mitchell, SD

About The Position

The Cash Applications / Poster Specialist performs payment-posting duties for the Management Services Organization (MSO) under general supervision and according to established policies and procedures. The role processes and posts deposits, payments, denials, and adjustments; reconciles manual and electronic batches; researches payments; reviews statements and remittances; and maintains records. The position requires timely and accurate work, independent judgment, adaptability to changing tasks and deadlines, and a customer-focused approach in a fast-paced healthcare environment. The specialist also protects patient confidentiality and communicates and collaborates effectively with people from varied backgrounds.

Requirements

  • High school diploma or GED, or three years of relevant equivalent experience in lieu of a diploma or GED.
  • One to three or more years of experience in an office, business, operations, customer service, or healthcare field.
  • Self-directed and self-motivated, with good communication and interpersonal skills.
  • Able to handle changing tasks without losing efficiency or composure, plan and control one’s own work, and work independently.
  • Able to maintain timely and accurate payment posting while adapting schedules to meet critical deadlines and business needs.
  • Recognizes patient confidentiality rights and responsibilities.
  • Communicates effectively with people from varied socioeconomic, cultural, and educational backgrounds; relates to others in a way that supports teamwork and cooperation.
  • Flexible and able to cope with a changing, fast-paced healthcare environment and perform effectively in emergency, critical, unusual, or dangerous situations.
  • Demonstrates a quality work ethic, customer focus, empathy, and compassion.

Nice To Haves

  • Six or more months of payment-posting experience.
  • One to three years of related experience and general knowledge of payor-specific or medical-specialty reimbursement.
  • Knowledge of CPT and ICD-9/10 coding.

Responsibilities

  • Prepare and post payments, denials, and adjustments to invoices across payment groups according to protocol.
  • Sign payment batches out and back in on the batch log, recording the times received and completed.
  • Prepare payment batches before keying by identifying and circling invoices and separating payments by group.
  • Balance all payment groups to the batch total.
  • Pull payments requiring additional information from the batch for research and refer unresolved items to the Supervisor if not resolved within two business days.
  • Research payments posted to unapplied invoices to identify where a refund should be issued, verifying with the Lead or Supervisor before placing payments on an unapplied invoice.
  • Review billing statements in lockboxes for address corrections and credit card payments.
  • Review workers’ compensation folders for remittances requiring preparation for imaging.
  • Post and review special projects.
  • Maintain records; assist with opening mail when needed; and maintain and shred lockbox statements, Viva remits, and commercial remittance backup after six months.
  • Perform other duties as assigned or requested by the direct supervisor or Supervisor/Manager.

Benefits

  • Medical, prescription, dental, and vision insurance
  • Personal and family sick time and company-paid holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental leave
  • 401(k) retirement plan
  • Basic life and supplemental life insurance
  • Health savings account
  • Dental/vision and dependent care flexible spending accounts
  • Short-term and long-term disability
  • Tuition reimbursement
  • Personal development and learning opportunities
  • Skills development and certifications
  • Employee referral program
  • Corporate-sponsored events and community outreach
  • Emergency back-up childcare program
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service