Job Description

Job Summary 

The Remote Medical Cash Specialist is responsible for posting payments, reconciling cash receipts, and processing adjustments to patient accounts. This role ensures accurate application of insurance and patient payments, monitors daily cash transactions, and supports bank deposit and financial reporting activities. The Cash Specialist I collaborates with internal teams to resolve discrepancies, ensure compliance with company policies, and maintain financial accuracy. 

Essential Functions

Reviews health insurance explanation of benefits (EOBs) to determine appropriate application of payments and contractual adjustments. Posts insurance and patient payments, resolving edits, manually matching invoices, and balancing payment files to checks or electronic funds transfers (EFTs). Verifies and logs all fund transfers, lockbox deposits, and over-the-counter payments, ensuring accurate financial records. Reconciles daily cash transactions, identifying and resolving discrepancies in accordance with established guidelines. Analyzes payer reimbursements, comparing payments received against contract fee schedules to determine patient responsibility. Processes debit entries for approved refunds, auditing transactions for accuracy and compliance with company policies. Researches and transfers unidentified payments, ensuring timely resolution and proper account allocation. Balances daily cash reconciliation reports, including direct deposit reconciliation and variance resolution, preparing necessary reports for Finance. Prepares bank deposits and financial reports, ensuring timely submission and accuracy in financial reporting. Ensures confidentiality of patient financial records, maintaining compliance with HIPAA and company security policies. Performs other duties as assigned. Complies with all policies and standards.

Qualifications

H.S. Diploma or GED required Associate Degree in Accounting, Finance, Business Administration, or a related field preferred 0-1 years of experience in cash posting, accounts receivable, banking, or healthcare revenue cycle operations required Experience working with electronic health records (EHR) systems, payment processing, or insurance reimbursement preferred

Knowledge, Skills and Abilities

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, with the ability to analyze and resolve payment discrepancies. Excellent attention to detail, organizational skills, and ability to meet deadlines. Strong verbal and written communication skills, with the ability to interact with finance teams, payers, and internal departments. Knowledge of HIPAA and financial security regulations related to patient accounts and payment processing.