Cash & Collection Analyst

Cash & Collection Analyst

This position provides operational support for Patient Financial Services. Responsibilities include payment posting, reconciliation, payer follow-up, collections, credit balance review, and the research and resolution of patient account issues. The role involves handling cost containment and recovery for the revenue cycle department by reviewing contract terms against claims and billing to identify payment discrepancies. The position requires independent work within established policies and may support both Facility/Hospital Billing (HB) and Professional/Physician Billing (PB) workflows.

Key Responsibilities

• Perform patient payment posting, reconciliation, and cash application.
• Conduct payer follow-up, collections, and credit balance resolution.
• Review contract terms, claims, billing, and Explanation of Benefits (EOBs) to identify and resolve payment discrepancies.
• Investigate patient charges, payments, adjustments, and account history.
• Analyze and identify trends, root cause opportunities, and process improvements, communicating findings to leadership.
• Manage multiple work queues effectively to meet productivity and turnaround expectations.
• Use independent judgment and initiative within established policies and procedures.

Required Qualifications

Education:

A high school diploma or GED is required. Some higher education is preferred.

Experience:

A minimum of 3-5 years of experience in a hospital or physician revenue cycle environment is required. This experience should include facility (HB) or professional/physician (PB) billing, collections, cash posting, credit balance, or refund functions.

Technical

Skills:

Proficiency in Microsoft Excel, Word, and Outlook is required. Experience with Epic Resolute (PB/HB) is necessary. Knowledge of UB-04 and CMS-1500 forms is also required.

Knowledge and Skills

• Working knowledge of Accounts Receivable processes, including insurance and patient payment posting, follow-up, and credit balance resolution.
• Familiarity with clinical billing, reimbursement, payer regulations, and HIPAA requirements.
• Knowledge of Medicare, Medi-Cal, Managed Care, and other payer rules related to collections and refunds.
• Ability to interpret Explanation of Benefits (EOB) and Remittance Advice (RA).
• Understanding of payer contract language and its application to reimbursement.
• Analytical, critical thinking, mathematical, and reconciliation skills.
• Written and verbal communication skills.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including Clearly Rateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.