Cash Specialist
Listed on 2026-10-03
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Accounting
Cash Posting Specialist
Location: Charleston, Illinois (on-site)
Reports To: Billing Director
The Cash Posting Specialist plays a critical role in ensuring all payments are accurately and timely applied, directly impacting AR accuracy and overall collections performance. This individual must be detail-oriented, efficient, and experienced in skilled nursing payment workflows.
Key ResponsibilitiesPayment Posting
Accurately post all payments, including Medicare, Medicaid, managed care, and private pay
Ensure daily posting of cash, checks, EFTs, and lockbox payments
Reconcile payments to remittance advice (EOBs/ERAs)
Accuracy & Reconciliation
Identify and resolve discrepancies between payments and billed amounts
Ensure all payments are applied to the correct accounts and service dates
Maintain clean and accurate AR balances
Denials & Adjustments
Post contractual adjustments appropriately
Flag underpayments, denials, and discrepancies for follow-up
Work closely with AR and billing teams to resolve issues
Reporting & Support
Assist in maintaining accurate AR reports
Support month-end close processes related to cash posting
Provide insight into trends or recurring payment issues
Systems
Utilize Point Click Care (PCC) for posting and reconciliation
Ensure proper documentation and audit trails are maintained
SNF experience preferred (strongly encouraged)
2–4+ years of cash posting or payment posting experience in healthcare
Familiarity with Medicare, Medicaid, and insurance remittance processes
Experience with Point Click Care (PCC) preferred
Strong attention to detail and accuracy
Ability to manage high-volume work efficiently
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