Cash Posting and Refunds Specialist

Cincinnati Children's•Mount Vernon, VA
•$18 - $22•Hybrid

About The Position

The Cash Posting and Refunds Specialist is an entry-level role in Cash Posting Operations supporting accurate and timely financial operations for patient accounts. The position works with payment and account information, follows defined procedures, investigates exceptions, and collaborates with teams across Cincinnati Children’s. Work may focus on refunds or cash posting. Refund-focused work involves reviewing credit work queues and determining whether credits should be returned to an insurer or family. Cash-posting work supports electronic payment posting and research of transactions requiring additional problem solving. The schedule is full time, 40 hours per week, on the day shift. The expected starting pay range is $17.80–$21.51; starting pay is based on experience, skills, and equity, and additional pay or benefits may apply. The position is hybrid after training, with four remote days and one office day each week. Initial training is in person and may last up to two to three months depending on learning progress.

Requirements

  • High school diploma or equivalent.
  • No directly related experience is required; 0+ years of related work experience.
  • Attention to detail and a consistent approach to accuracy.
  • Comfort learning payer, insurance, account, and payment concepts.
  • Problem-solving skills and willingness to investigate information before reaching a conclusion.
  • Ability to organize work across queues, priorities, and deadlines in a fast-paced environment.
  • Clear communication and collaboration with internal partners.

Nice To Haves

  • Hospital or medical revenue cycle experience.
  • Patient registration exposure involving meaningful insurance knowledge and account research.
  • Banking, cash application, payment processing, accounts receivable, or reconciliation experience.
  • Experience using Excel and working with detailed financial or account information.

Responsibilities

  • Process, post, and balance payments to accounts accurately, on time, and in the correct period.
  • Review account and payment information, follow up on billing items, apply appropriate adjustments, and update accounts as needed.
  • For refund-focused work, review credit work queues and investigate whether credits should be returned to an insurer or family.
  • For cash-posting work, support electronic payment posting and research transactions requiring additional problem solving.
  • Maintain accurate information in departmental systems and collaborate with related revenue cycle and financial teams.
  • Complete quality checks and follow established procedures and deadlines.
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