Cash Specialist

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities. Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc.

– that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

The Cash Posting Specialist is responsible for the accurate and timely posting of payments, reconciliation of accounts, and processing of remittance information to support the organization’s revenue cycle operations. This role ensures proper application of insurance and patient payments, maintains compliance with internal financial controls, and supports overall accounts receivable accuracy.

• Post insurance, patient, and third-party payments accurately and in a timely manner.
• Download and process electronic remittance advice (ERA) files and online remittance information.
• Research and resolve electronic posting exceptions and payment discrepancies.
• Complete daily and monthly cash reconciliation reports for assigned centers or programs.
• Analyze payments to ensure appropriate reimbursement in accordance with payer contracts and fee schedules.
• Process contractual adjustments and move balances to secondary or patient responsibility as appropriate.
• Review and process account adjustments following company policy and internal control standards.
• Maintain awareness of current payer contracts, reimbursement methodologies, and updates.
• Assist with month-end reporting and reconciliation of posted cash.
• Identify and notify leadership of issues related to billing, pricing discrepancies, or payment variances.
• Maintain strict adherence to internal control procedures and revenue cycle policies.
• Maintain confidentiality of financial, patient, and company information at all times.
• Open, sort, and distribute incoming mail in the office related to payments, remittances, correspondence, and billing documentation.
• Communicate effectively with billing, accounts receivable, and other revenue cycle team members to resolve posting-related questions.
• Must exercise discretion and maintain confidentiality with regard to all company information.
• Completion of all required trainings as designated by the company and applicable regulatory bodies.
• Other duties as assigned.

None

Licensure, Education, & Experience

• High school diploma or equivalent required.
• Minimum of one (1) year of experience in medical cash posting, payment reconciliation, or accounts receivable preferred.
• Experience working with electronic remittance advice (ERA) and explanation of benefits (EOB) processing preferred.
• Experience in a healthcare or behavioral health billing environment, preferred.
• Familiarity with electronic health record (EHR) and billing systems, preferred.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Knowledge of medical payment posting and reimbursement processes
• Ability to understand and apply payer reimbursement guidelines
• Strong attention to detail and accuracy with financial data
• Ability to identify discrepancies and follow established procedures for resolution
• Strong organizational and time-management skills
• Effective written and verbal communication skills
• Ability to maintain confidentiality and handle sensitive financial and patient information
• Proficiency with Microsoft Office, especially Excel
• Ability to work independently and as part of a team
• Basic analytical and problem-solving skills

While performing the duties of…