Cash Posting Representative

LADD MEMORIAL HOSPITAL • Osceola, WI

12h • Onsite

About The Position

Responsible for the accurate and timely posting of payments, adjustments, and denials for hospital and clinic services. Ensures insurance, government payer, and patient payments are applied correctly to patient accounts. Maintains accountability for balancing daily cash batches, preparing and reconciling bank deposits, and resolving discrepancies in collaboration with other departments. Works closely with billing, follow-up, patient access, and finance teams to support overall revenue cycle performance and compliance with payer contracts and regulatory requirements. Additionally, responsible for enrolling providers in EFT and ERA programs to facilitate electronic payment and remittance processing.

Requirements

• High school diploma or GED required.
• Experience with electronic remittance advice (ERA) and electronic funds transfer (EFT) processing.
• Proficiency in basic computer applications including Microsoft Office
• Strong attention to detail and accuracy
• Analytical and problem-solving skills
• Effective communication and collaboration across departments
• Ability to work independently and manage multiple priorities
• Adaptable and committed to continuous improvement

Nice To Haves

• Associate degree preferred.
• 1–3 years of medical payment posting, billing, or revenue cycle experience preferred
• Experience in hospital and/or multi-specialty clinic environment preferred
• Knowledge of Medicare, Medicaid, and commercial payer regulations preferred

Responsibilities

• Post insurance payments, ERAs, EOBs, EFTs, checks, and patient payments accurately and timely
• Apply contractual adjustments, denials, and write-offs per payer and organizational guidelines
• Prepare daily bank deposits and reconcile with cash batches and system totals. Balance and reconcile daily cash batches and coordinate with other departments on deposits and accounting accuracy
• Research and resolve payment discrepancies, unidentified payments, credit balances, and zero-pay remittances
• Collaborate with finance, billing, and patient access teams to ensure all deposits are accurately reconciled. Assist with month-end close processes and reporting as needed
• Enroll providers in EFT and ERA programs and maintain enrollment records to ensure electronic payment and remittance efficiency
• Identify denial or underpayment trends and communicate findings to appropriate team members
• Process refund requests according to policy and compliance standards
• Maintain confidentiality in accordance with HIPAA regulations
• Meet departmental productivity and accuracy benchmarks

What This Job Offers

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