Cash Specialist I (REMOTE)

Community Health Systems Professional Services Corporation•Franklin, TN
•Remote

About The Position

The Cash Specialist I posts payments, reconciles cash receipts, and processes adjustments to patient accounts. The role ensures accurate application of insurance and patient payments, monitors daily cash transactions, and supports bank deposit and financial reporting activities. The specialist collaborates with internal teams to resolve discrepancies, comply with company policies, and maintain financial accuracy. The position is with the Shared Services Center - Nashville at Community Health Systems, which provides business office support for hospitals and healthcare providers. The organization describes its team environment as engaging and offers competitive benefits, recognition programs, and professional development opportunities.

Requirements

  • High school diploma or GED required.
  • 0–1 years of experience in cash posting, accounts receivable, banking, or healthcare revenue cycle operations required.
  • Basic understanding of cash posting, payment reconciliation, and financial reporting.
  • Knowledge of insurance remittance, contractual adjustments, and refund processing.
  • Proficiency in Microsoft Excel, banking reconciliation tools, and financial software.
  • Strong problem-solving skills and the ability to analyze and resolve payment discrepancies.
  • Attention to detail, organizational skills, and ability to meet deadlines.
  • Strong verbal and written communication skills and ability to interact with finance teams, payers, and internal departments.
  • Knowledge of HIPAA and financial security regulations related to patient accounts and payment processing.

Nice To Haves

  • Associate degree in Accounting, Finance, Business Administration, or a related field preferred.
  • Experience working with electronic health records (EHR) systems, payment processing, or insurance reimbursement preferred.

Responsibilities

  • Review health insurance explanation of benefits (EOBs) to determine appropriate application of payments and contractual adjustments.
  • Post insurance and patient payments; resolve edits, manually match invoices, and balance payment files to checks or electronic funds transfers (EFTs).
  • Verify and log fund transfers, lockbox deposits, and over-the-counter payments, maintaining accurate financial records.
  • Reconcile daily cash transactions and identify and resolve discrepancies according to established guidelines.
  • Analyze payer reimbursements by comparing payments received against contract fee schedules to determine patient responsibility.
  • Process debit entries for approved refunds and audit transactions for accuracy and compliance with company policies.
  • Research and transfer unidentified payments to ensure timely resolution and proper account allocation.
  • Balance daily cash reconciliation reports, including direct deposit reconciliation, resolve variances, and prepare necessary reports for Finance.
  • Prepare bank deposits and financial reports, ensuring timely submission and accuracy.
  • Maintain confidentiality of patient financial records and comply with HIPAA and company security policies.
  • Perform other duties as assigned.
  • Maintain regular and reliable attendance.
  • Comply with all policies and standards.

Benefits

  • Medical, dental, and vision plans.
  • 401(k) with matching.
  • Student loan repayment assistance up to $10,000.
  • Educational tuition assistance.
  • Competitive pay and full benefits.
  • Recognition programs.
  • Professional development opportunities.
  • Engaging team environment.
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