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Cash Specialist

Job in City of Watertown, Jefferson County, New York, USA
Listing for: Samaritan Medical Center
Full Time position Listed on 2026-11-12
Job specializations:
Salary/Wage Range or Industry Benchmark: 20.23 - 25.79 USD Hourly USD 20.23 25.79 HOUR

Job Description & How to Apply Below

Location:

Samaritan Medical Center Department:
01.8521 SMC PATIENT ACCOUNTING Pay Range:
20.23 - 25.79

Care for our community, and your career.

Cash Posting Specialist Summary This  position reports to the Manger of Patient Financial Services. This is an on-site only position; remote work is not available for this position. The Cash Posting Specialist is responsible for the daily review, reconciliation, and posting of insurance remittances and payments received from patients, guarantors, third-party payers, and insurance companies, whether received electronically or in hard copy.

This role reviews contractual adjustments taken by managed care payers, research discrepancies, and resolves payment variances. The position is also responsible for distributing payments received by Patient Financial Services that are intended for other Samaritan Medical Center (SMC) entities and preparing appropriate documentation for the Accounting Department to ensure accurate recording of all cash transactions related to patient accounts receivable.

This role directly supports core revenue cycle operations. Timely completion of cash posting responsibilities is essential to maintaining efficient workflows across multiple departments. Speed, accuracy, and strong attention to detail are critical for success in this position.

Duties & Responsibilities Apply payments received electronically or in hard copy daily to the appropriate patient accounts.

Perform daily processing reconciliation of lockbox deposits, EFTs, and credit card postings in the practice management system.

Process and transfer credits to the appropriate SMC entities.

Prepare journal entries and supporting documentation for the Accounting Department for all journal entries related to patient accounts receivable.

Using managed care contract terms and governmental reimbursement regulations, correct erroneously posted system-generated or manual contractual adjustments taken prior to the time of payment, and posting any appropriate contractual adjustments not posted prior to the time of payment.

After reviewing the accuracy of payments and adjustments posted to the account, and after ensuring the accuracy of amounts prorated to third parties and the patient, determine the next step in pursuing any remaining balances and provide the necessary data to the person responsible for follow-up on remaining balances.

Verify and apply credit card transactions to reconcile monthly account statements.

Reconcile bank statement reports daily.

Process all patient or third-party checks returned as unpayable due to insufficient funds.

Perform other job functions and duties as assigned.

Education and Experience:

High school diploma or general education degree (GED) required.

Two to three years of related experience and/or training preferred.

Solid knowledge of Excel is required, including linking worksheets and creating formulas.

Math and accounting experience preferred.

Ability to enter or key high volumes of data rapidly and accurately required.

Analytical skills are required to identify and correct errors.

Bank reconciliation experience required.

Experience with electronic remittance advice software preferred.

Meditech, Medent, CPSI, and Quadax experience preferred.

Samaritan is an Affirmative Action/Equal Opportunity Employer. Women, Minorities, Disabled, and Veterans are encouraged to apply.

Work Shift:

FLSA7

DAY- 8 Hours Day Shift (United States of America)
Position

Hours:

80

Samaritan is an Affirmative Action/Equal Opportunity Employer. Women, Minorities, Disabled, and Veterans are encouraged to apply.
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