Cash Posting Analyst

PurposeCare • Pittsburgh, PA

4h • Hybrid

About The Position

You’ll join a fast-growing Revenue Cycle team supporting a multi-state home
health and home care organization. This role is hands-on and detail-driven, with
direct impact on cash flow, financial accuracy, and month-end close. Expect to
work closely with billing, accounting, and operations while owning the accuracy
and reconciliation of cash across multiple agencies and payors.

This role is ideal for someone analytical, self-directed, and comfortable
troubleshooting complex payment issues in a fast-paced healthcare environment.

Why this role matters

Accurate and timely cash posting is critical to PurposeCare’s financial health.
This role ensures that every dollar received—from Medicare, Medicaid, managed
care, and private pay—is correctly applied, reconciled, and reported. You’ll
serve as a key escalation point for cash discrepancies and play a central role
in ensuring deposits tie cleanly from remittance to sub-ledger to general
ledger.

If you enjoy digging into data, solving problems, and owning outcomes with
minimal oversight, this role offers real visibility and impact.

Requirements

• 3–5 years of healthcare revenue cycle experience, with a strong focus on cash posting, payment application, or reconciliations
• Experience in home health, home care, hospice, SNF, or similar healthcare settings required
• Solid understanding of how cash posting ties to billing, collections, and the general ledger
• Strong analytical and problem-solving skills with the ability to work independently
• Advanced Excel skills (pivot tables, VLOOKUP/XLOOKUP preferred)
• High attention to detail, strong organization, and commitment to accuracy
• Comfortable working in a fast-paced, high-accountability environment
• Effective written and verbal communication skills

Nice To Haves

• Experience working in multiple EMR systems (AlayaCare, Wellsky, Kantime, and Axxess strongly preferred)
• Prior accounting or finance experience
• Experience in a private-equity-backed or high-growth organization
• Comfort serving as an escalation point for complex payment or reconciliation issues

Responsibilities

• Accurately post daily cash receipts for Medicare and non-Medicare payors
• Apply payments to the correct patient accounts, claims, or invoices in a timely manner
• Perform daily, weekly, and monthly cash reconciliations for assigned agencies
• Reconcile cash postings to bank deposits and ensure sub-ledger balances to the general ledger
• Identify, document, research, and resolve discrepancies between deposits and posted amounts
• Track unapplied or missing payments and escalate unresolved issues appropriately
• Process contractual adjustments and approved write-offs following standard coding guidelines
• Maintain organized documentation for remittance advice, deposits, and reconciliations
• Create and maintain spreadsheets and tracking tools to support accuracy and reporting
• Communicate cash posting issues, risks, or trends to Revenue Cycle leadership
• Partner with billing, collections, and accounting teams to support overall revenue cycle operations
• Recommend process improvements to increase efficiency, accuracy, and timeliness
• Support additional revenue cycle and cash flow initiatives as needed

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed