Cash and Refunds Specialist

Primary Location

South Campus Department
Cash Posting Operations Shift
Day (United States of America) Schedule
Full time Weekly Hours
40 FTE
1 Employee Status
Regular

* Expected Starting Pay Range
$17.49 - $20.99
* Starting pay is based on experience, skills, and equity; exceptions may apply for highly qualified candidates. Additional pay (e.g., shift, on‑call, or weekend differentials) and benefits may apply. Annual pay may vary based on FTE status.

The Cash Posting and Refund Specialist supports accurate and timely financial activity across patient accounts. This position processes and balances payments, reviews credit balances, prepares refunds, and researches account discrepancies. The role combines structured transaction processing with detailed investigation to determine whether funds should be applied to an account or returned to an insurance company, patient, family, or other payer.

The specialist works closely with Finance, Revenue Cycle, Cash Applications, Patient Financial Services, and other departments to maintain accurate account information and support efficient financial operations.

• Process Refunds:
  Review credit work queues and account activity to determine whether funds should be returned to an insurance company, patient, family, or other payer. Validate refund information and process requests accurate and timely.
• Post and Balance Payments:
  Process, post, and balance electronic and manual payments and adjustments to patient accounts. Ensure transactions are recorded accurately and within the correct financial period.
• Research Account Activity:
  Investigate unapplied payments, credit balances, payment exceptions, and account discrepancies. Review available information to identify the appropriate resolution and update accounts as needed.
• Reconcile Financial Information:
  Compare payments, adjustments, account balances, and supporting documentation to identify and resolve differences.
• Maintain Accurate Records:
  Enter and update payment, payer, refund, and account information within departmental systems while following established procedures and quality standards.
• Respond to Inquiries:
  Research and respond to questions from patients, families, insurance companies, payers, and internal departments regarding payments, refunds, credits, and account balances.
• Support Quality and Reporting:
  Complete quality checks and provide reports related to payment posting, balancing, refunds, and account activity. Identify recurring issues and share opportunities for process improvement.
• Maintain Compliance:
  Complete cash posting and refund activities in accordance with hospital policies, departmental procedures, payer requirements, and applicable financial controls.
• Collaborate Across Departments:
  Work with Finance, Revenue Cycle, Cash Applications, Patient Financial Services, Access Services, and other departments to resolve account issues and support timely financial processing.
• Manage Priorities and Deadlines:
  Organize work across payment and credit queues, respond to changing priorities, and meet applicable daily and month-end deadlines while maintaining accuracy.

• High school diploma or equivalent
• No directly related experience

At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.

• Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
• Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
• Recognized as one of America's Best Large Employers (2025) , America's Best Employers for New Grads (2025)
• One of the nation's America's Most Innovative Companies as noted by Fortune
• Consistently certified as great place to work
• A Leading Disability Employer as noted by the National Organization on Disability
• Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)

Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation