Cash Receivable Specialist

Signature Performance, Inc.•,

About The Position

The Cash Receivable Specialist supervises daily cash posting, payment processing, adjustment posting, and reconciliation activities to ensure accuracy, timeliness, and compliance with established policies and procedures. The role directly supervises, coaches, trains, and evaluates assigned staff, monitors productivity and quality, and addresses performance gaps. It ensures accurate posting of payments and adjustments, reviews payer documentation, and oversees reconciliation and resolution of unapplied cash, unidentified payments, posting errors, and discrepancies. The position coordinates with payers, government entities, internal departments, client representatives, banks, treasury departments, vendors, and clearinghouses to resolve payment and remittance issues. It analyzes reimbursement and posting trends, maintains workflows, procedures, and controls, conducts quality reviews and audits, and prepares operational reports and KPIs. The specialist collaborates with Patient Financial Services leadership and revenue cycle teams, supports ERA and EFT enrollment and maintenance, and performs cash posting or reconciliation work when needed. The role requires at least five years of progressive healthcare cash posting, payment processing, reconciliation, or related revenue cycle experience. At least two years of supervisory, team leadership, or staff and workflow oversight experience is preferred. Experience with Critical Access Hospitals, Rural Health Clinics, and rural healthcare organizations is also preferred. U.S. citizenship or naturalized citizenship is required, and work must be performed in the continental United States, Alaska, or Hawaii.

Requirements

Minimum of five years of progressive experience in healthcare cash posting, payment processing, reconciliation, or related revenue cycle operations.
Comprehensive knowledge of healthcare cash posting, including insurance and patient payments, contractual adjustments, ERA, EOBs, and reconciliation procedures.
Strong understanding of Medicare, Medicaid, commercial insurance, and other government payer reimbursement methodologies and payment processing requirements.
Working knowledge of CPT/HCPCS codes, insurance billing practices, contractual adjustments, and payer adjudication processes.
Demonstrated ability to supervise, coach, train, and develop employees while maintaining accountability for productivity, quality, and performance.
Experience monitoring KPIs, identifying operational trends, resolving discrepancies, and implementing process improvements.
Strong analytical, problem-solving, and mathematical skills, including the ability to investigate complex payment posting and reconciliation issues.
Proficiency with Microsoft Office applications, including Excel, Word, and Outlook, for data analysis, reporting, and performance monitoring.
Experience with electronic health records (EHR), patient accounting systems, and healthcare revenue cycle management applications.
Ability to prioritize competing demands, manage workloads, and meet operational deadlines in a fast-paced environment.
Strong organizational, interpersonal, written, and verbal communication skills, and ability to collaborate with staff, leadership, clients, and other departments.
Ability to work independently, exercise sound judgment, make operational decisions, and escalate issues appropriately.
Commitment to accuracy, accountability, continuous improvement, customer service, and departmental and organizational goals.
Demonstrated professionalism, integrity, initiative, adaptability, teamwork, and commitment to employee development and organizational success.
U.S. citizenship or naturalized citizenship is required.
All work must be completed in the continental United States, Alaska, or Hawaii.
Candidates must participate in interviews with their camera enabled; interviews may be recorded, subject to the stated consent and notification process.

Nice To Haves

Minimum of two years of supervisory, team leadership, or demonstrated experience overseeing staff, workflows, productivity, and operational performance is preferred.
Experience working with Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and rural healthcare organizations is preferred.

Responsibilities

Supervise daily cash posting, payment processing, adjustment posting, and reconciliation activities for accuracy, timeliness, and policy compliance.
Directly supervise, coach, train, and manage the performance of assigned cash posting staff.
Monitor productivity, quality, accuracy, and turnaround times; identify gaps and implement corrective actions.
Ensure accurate and timely posting of payments, contractual adjustments, denials, and other account transactions in client and company systems.
Oversee daily reconciliation of payments to financial records and identify and resolve discrepancies.
Review and interpret Explanation of Benefits (EOBs), Remittance Advice (RAs), and other payer documentation for payment posting and adjustment processing.
Monitor and resolve unapplied cash, unidentified payments, posting errors, and reconciliation discrepancies; escalate unresolved issues as appropriate.
Coordinate with insurance payers, government entities, internal departments, and client representatives to research and resolve payment and reconciliation issues.
Identify trends in payer reimbursement, claims adjudication, payment variances, and posting discrepancies, and provide findings and recommendations to management.
Establish and maintain workflows, standard operating procedures, and internal controls that support efficiency, accuracy, and process improvement.
Provide ongoing training, cross-training, and re-education to team members on cash posting procedures and operational practices.
Conduct quality assurance reviews and audits, and implement corrective actions to prevent recurring errors.
Prepare, review, and communicate reports on productivity, cash posting volumes, reconciliation status, discrepancies, and other KPIs.
Collaborate with Patient Financial Services leadership and revenue cycle departments to address concerns, improve workflows, and support financial objectives.
Maintain working knowledge of client systems, payer requirements, and cash processing workflows.
Ensure staff provide internal and external customer service consistent with company standards and values.
Assist with staffing, workload distribution, employee evaluations, attendance monitoring, and other supervisory duties under company policies.
Perform cash posting and reconciliation work as needed to address operational demands, staffing shortages, or complex account issues.
Oversee ERA and EFT enrollment, maintenance, payer updates, and issue resolution.
Coordinate with banks, treasury departments, and vendors to resolve deposit discrepancies and payment transmission issues.
Manage relationships with lockbox vendors, payment processors, clearinghouses, and payer representatives to resolve cash application and remittance issues.
Perform other related duties as assigned.