Cash Posting Coordinator

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.

The Cash Posting Coordinator is responsible for leading the day-to-day cash posting function and ensuring payments are accurately and timely posted, balanced, reconciled, and managed in accordance with revenue cycle policies and payer requirements. This role serves as a key resource for the Cash Posting team, supporting operational performance, identifying process improvement opportunities, and maintaining the integrity of cash application and account balances.

Essential Duties:

Cash Posting & Reconciliation

• Oversee and perform accurate posting of insurance, patient, electronic, and manual payments to patient accounts.
• Ensure payments, adjustments, recoupments, and denials are posted accurately and to the appropriate accounts.
• Monitor daily cash posting activity to ensure timely and accurate application of cash.
• Perform daily and monthly cash balancing and reconciliation between bank deposits, remittance files, clearinghouse activity, and the patient accounting system.
• Research and resolve posting discrepancies, unidentified payments, and out-of-balance conditions.
• Monitor unapplied and unidentified cash and ensure timely resolution.

Credit Balance Management

• Lead the credit balance review process, identifying accounts with potential overpayments or credit balances.
• Research credit balances to determine the appropriate resolution, including transfers, corrections, refunds, or recoupments.
• Coordinate with other RCM departments to resolve account issues contributing to credit balances.
• Monitor credit balance aging and ensure timely resolution in accordance with organizational policies and payer requirements.

Cash Posting Rules & System Management

• Own and maintain cash posting rules, ensuring they accurately reflect payer remittance and contractual requirements.
• Identify opportunities to automate posting and reduce manual intervention.
• Partner with IT, billing, and system vendors to troubleshoot and implement cash posting rule changes.
• Test new or modified posting rules and validate results.
• Monitor rule performance and identify trends that may result in incorrect posting.

Team Leadership & Quality

• Serve as a subject matter expert and escalation point for the Cash Posting team.
• Provide guidance, training, and support to team members on complex posting and reconciliation issues.
• Review work for accuracy and identify opportunities for additional training or process improvement.
• Monitor team productivity, quality, and turnaround-time metrics.
• Assist with workload prioritization and resource allocation to meet department goals.

Reporting & Process Improvement

• Develop and monitor key performance indicators related to cash posting, including posting turnaround time, accuracy, unapplied cash, credit balances, and reconciliation variances.
• Identify trends and root causes impacting cash application and revenue cycle performance.
• Recommend and implement process improvements that increase efficiency, accuracy, and cash visibility.
• Maintain and update SOPs, workflows, and cash posting policies.
• Support system implementations, payer changes, acquisitions, and other RCM initiatives impacting cash posting.
• Assist with the identification, investigation, and resolution of payments issued to incorrect providers, addresses, or banking information, coordinating corrective actions with payors and internal stakeholders.
• Ensure compliance with HIPAA transaction standards, CMS requirements, and applicable federal and state regulations governing electronic healthcare transactions.
• Performs other related duties as assigned.

Skills, Knowledge, Abilities:

• Strong knowledge of healthcare revenue cycle management, cash posting, payment application, and account reconciliation.
• Working knowledge of hospital and physician billing, payer remittances, EOBs/ERAs, contractual adjustments, recoupments, and refunds.
• Ability to accurately interpret 835/ERA transactions, EOBs, payment information, and payer-specific requirements.
• Strong understanding of cash reconciliation and balancing processes, including identifying and resolving variances.
• Knowledge of credit balance identification, research, resolution, and refund processes.
• Ability to develop, maintain, and troubleshoot cash posting rules and system configurations.
• Strong analytical and problem-solving skills with the ability to research discrepancies and identify root causes.
• Ability to recognize trends and identify opportunities to improve cash application accuracy, efficiency, and automation.
• Strong attention to detail and commitment to data accuracy and financial integrity.
• Ability to manage multiple priorities and meet daily, monthly, and departmental deadlines.
• Demonstrated ability to serve as a subject matter expert and escalation resource for complex cash posting issues.
• Strong communication and interpersonal skills with the ability to work effectively with RCM, billing, coding, IT, payers, and external vendors.
• Ability to train and provide feedback to team members while promoting accountability and quality.
• Proficiency with patient accounting/billing systems, clearinghouses, Microsoft Excel, and other revenue cycle technology.
• Ability to analyze operational reports and KPIs to identify performance trends and improvement opportunities.
• Ability to create and maintain SOPs, workflows, and process documentation.
• Demonstrated ability to participate in system implementations, testing, process changes, and continuous improvement initiatives.
• Strong organizational skills with the ability to work independently while effectively supporting a team.

Core Clinical Partners is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Education:

• High school diploma or GED required.

Experience:

• 3–5+ years of healthcare revenue cycle or cash posting experience.
• Prior experience in a lead, senior, or supervisory role.
• Experience with automated cash posting, 835/ERA processing, and posting-rule configuration.
• Experience with credit balance management and payer reconciliation.

Work Location:

• Hybrid, with a minimum of 3 days a week in office. When working remotely, the employee must have reliable access to internet.