RCM Specialist - Cash Poster

Job Duties:

Process and post electronic remittance advice (ERA/835), paper checks, credit cards, and other forms of payment.

Accurately apply payments, contractual adjustments, denials, and other forms of payment.

Reconcile daily deposits to cash posted.

Research and resolve unapplied cash, unidentified payments, payment variances, and posting discrepancies.

Identify underpayments, over payments, duplicate payments, recoupments, and other payment irregularities; escalate issues as appropriate.

Review explanation of benefits (EOBs) and electronic remittance advice to ensure payments and adjustments are posted in accordance with payer requirements and organizational procedures.

Communicate with billing, accounts receivable, collections, and other departments to resolve payment discrepancies and ensure accurate account balances.

Maintain accurate documentation of payment activity, reconciliation efforts, and outstanding issues.

Meet established daily and monthly productivity, accuracy, and cash reconciliation deadlines.

Assist with month-end close activities, reporting, and reconciliation of cash receipts.

Identify recurring payment issues and recommend process improvements to increase efficiency and reduce posting errors.

Maintain confidentiality and comply with HIPAA requirements and applicable organizational policies.

Perform other duties as assigned.

Participate in in-service education programs provided by the company.

Pursue continuing education programs appropriate to job responsibilities.

Complete all mandatory and regulatory training programs.

Report any misconduct, suspicious or unethical activities to the Compliance Officer.

Comply with accepted professional standards and practice.

Job Skill Requirements:

Attention to detail and accuracy.

Competent in mathematic equations.

Analytical thinking and problem-solving skills.

Strong communication, time management, and organization skills.

Has excellent communication skills.

Understanding of HIPAA compliance.

Ability to work independently and collaboratively.

Proficiency in Excel, Outlook, and all other office applications.

Familiarity with pharmacy management systems (CPR+, Wellsky, and Care Tend, etc.) preferred.

Accountability and follow-through.

Adaptability to changing workflows, systems, and priorities.

Educational Requirements:

High school diploma or GED

Experience:

One to three years of experience in cash posting for medical claims preferred.