Cash Posting and Refunds Specialist

Cincinnati Children's • Mount Vernon, VA

10d • $17 - $21 • Onsite

About The Position

The Cash Posting and Refund Specialist supports accurate and timely financial activity across patient accounts. This position processes and balances payments, reviews credit balances, prepares refunds, and researches account discrepancies. The role combines structured transaction processing with detailed investigation to determine whether funds should be applied to an account or returned to an insurance company, patient, family, or other payer. The specialist works closely with Finance, Revenue Cycle, Cash Applications, Patient Financial Services, and other departments to maintain accurate account information and support efficient financial operations.

Requirements

• High school diploma or equivalent
• No directly related experience

Responsibilities

• Process Refunds: Review credit work queues and account activity to determine whether funds should be returned to an insurance company, patient, family, or other payer. Validate refund information and process requests accurately and timely.
• Post and Balance Payments: Process, post, and balance electronic and manual payments and adjustments to patient accounts. Ensure transactions are recorded accurately and within the correct financial period.
• Research Account Activity: Investigate unapplied payments, credit balances, payment exceptions, and account discrepancies. Review available information to identify the appropriate resolution and update accounts as needed.
• Reconcile Financial Information: Compare payments, adjustments, account balances, and supporting documentation to identify and resolve differences.
• Maintain Accurate Records: Enter and update payment, payer, refund, and account information within departmental systems while following established procedures and quality standards.
• Respond to Inquiries: Research and respond to questions from patients, families, insurance companies, payers, and internal departments regarding payments, refunds, credits, and account balances.
• Support Quality and Reporting: Complete quality checks and provide reports related to payment posting, balancing, refunds, and account activity. Identify recurring issues and share opportunities for process improvement.
• Maintain Compliance: Complete cash posting and refund activities in accordance with hospital policies, departmental procedures, payer requirements, and applicable financial controls.
• Collaborate Across Departments: Work with Finance, Revenue Cycle, Cash Applications, Patient Financial Services, Access Services, and other departments to resolve account issues and support timely financial processing.
• Manage Priorities and Deadlines: Organize work across payment and credit queues, respond to changing priorities, and meet applicable daily and month-end deadlines while maintaining accuracy.

Benefits

• Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED