Cash Specialist

$20–$24/hr | Long-Term Contract | Remote After Training

Medix is hiring experienced Hospital Cash Posting / Payment Posting Specialists to support a large health system revenue cycle team.

This is a high-volume, long-term contract opportunity for candidates with direct hospital or facility cash posting experience who are comfortable working independently in a production-driven environment.

Pay: $20–$24/hour

Schedule: Monday–Friday, 8:00 AM–4:30 PM Central Time

Location: Fully remote after training

Projected Start: November 9, 2026

Employment Type: Long-term W-2 contract through Medix

Interview: One 30-minute virtual interview

Equipment: Client provided

The team is likely to conduct approximately one week of onsite training in San Antonio, TX around the projected start date.

Candidates must be comfortable traveling to San Antonio if the onsite training plan is finalized.

Required flight and lodging expenses will be covered.

After training, the position will remain fully remote for the duration of the assignment
.

• Post insurance and patient payments, adjustments, denials, and other financial transactions accurately
• Review and process EOBs, ERAs, and electronic remittance information
• Apply payments and adjustments to the correct hospital accounts
• Research and resolve posting discrepancies, unmatched payments, and account variances
• Reconcile financial transactions and maintain accurate patient accounting records
• Work closely with Billing, A/R, and Revenue Cycle teams to resolve account issues
• Maintain strong accuracy while processing high transaction volumes
• Meet established Cash Posting productivity, quality, and turnaround expectations

• High School Diploma or equivalent
• 2+ years of recent Cash Posting / Payment Posting experience with hospital or facility accounts
• Experience with EOBs and ERAs
• Experience posting insurance payments, patient payments, adjustments, and denials
• Strong reconciliation and discrepancy-resolution skills
• Healthcare billing and revenue cycle experience
• Proven ability to work accurately in a high-volume environment
• Ability to work independently in a remote setting
• Ability to attend approximately one week of onsite training in San Antonio, TX if required

• Epic / Epic Resolute Hospital Billing experience
• Experience supporting a large hospital or health system
• Experience with 835 remittances, EFTs, unapplied cash, or payment variances
• Consistent success meeting or exceeding Cash Posting KPIs and productivity metrics

The client will provide the equipment required for the assignment.

This position includes Medix’s refundable $300 equipment/security deposit
. There is no upfront payment
. The deposit is collected at $30 per week for 10 weeks and is refunded after client-issued equipment is returned according to Medix’s equipment-return process.

This is expected to be a long-term contract opportunity
. The project may continue for an extended period, but assignment length will remain dependent on ongoing business needs.