Cash Posting Representative

CommonSpirit Health • Chattanooga, TN

2d

About The Position

The Cash Posting Representative reviews and posts payments and adjustments from insurance companies and patients, supporting accurate revenue-cycle operations and compliant financial performance. The role uses critical thinking to determine how to transfer payments and applies knowledge of payer contracts, insurance benefits, reimbursement terms, and remittance advice details.

Responsibilities include reviewing Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), posting and tracking electronic funds transfer (EFT) information, validating EFTs, following approval protocols for non-routine adjustments, and completing daily posting logs and quarterly cash-handling audits. The representative researches unusual or escalated issues, resolves matters within the scope of their authority or escalates them appropriately, and informs a Supervisor or Manager of ongoing concerns.

The position requires accurate documentation, confidentiality of medical records, compliance with applicable policies and regulations—including HIPAA and signature-on-file requirements—and achievement of quality and productivity standards. The representative maintains professional relationships with peers, clinics, and other stakeholders to resolve issues. Depending on the role and Epic training, the employee may support other Revenue Cycle areas.

Requirements

• High school diploma or GED, required upon hire.
• Knowledge of cash-posting processes.
• Knowledge of government and commercial insurance reimbursement terms, contractual and other adjustments, and remittance advice details.
• Ability to use critical thinking and problem-solving skills to review, transfer, and post payments and resolve or escalate issues.
• Ability to maintain accurate documentation and confidentiality and meet quality and productivity standards.

Nice To Haves

• One to three years of revenue-cycle or related work experience demonstrating the required job knowledge and abilities.
• Graduation from a post-high-school program in medical billing or another business-related field.

Responsibilities

• Review and post payments, write-offs, and adjustments from insurance companies and patients.
• Review EOBs and ERAs, payments, adjustments, insurance contracts and contracting systems, insurance benefits, and account comments; gather additional information as needed.
• Post and track EFT information and validate EFTs for accuracy.
• Follow write-off approval protocols for non-routine adjustments.
• Complete daily posting logs and quarterly cash-handling audits, and report audit findings to the Supervisor.
• Research unusual, complex, or escalated issues; resolve them within the position’s authority or escalate them according to established procedures.
• Notify the Supervisor or Manager of ongoing issues and concerns as appropriate.
• Document activities and findings according to established procedures, protect account documentation integrity, and maintain medical-record confidentiality.
• Meet quality assurance and productivity standards for timely and accurate payment posting.
• Maintain knowledge of applicable internal, industry, and government regulations and comply with requirements including HIPAA and signature-on-file rules.
• Maintain professional relationships with peers, clinics, FMG staff, and other stakeholders to resolve issues.
• Support other Revenue Cycle areas when called upon, depending on role and Epic training.

What This Job Offers

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