Cash Application Specialist

ECU Health; Greenville (NC); On-site; USD 37,000 - 55,000; Full time

Benefits offered by this job

Great Benefits

Job summary

ECU Health in Greenville, NC is seeking a Cash Application Specialist to ensure accurate posting of payments to patient accounts. The role focuses on timely posting, accuracy, and adherence to billing processes and insurance guidelines.

Responsibilities include posting payments, reconciling deposits and EFTs, resolving discrepancies, and maintaining HIPAA compliance while delivering clear explanations of postings to patients and internal teams.

Qualifications

• Two+ years of cash posting and reconciliation experience.
• High accuracy and attention to detail in financial data.
• Proficient with billing software, EHR, and Excel.

Responsibilities

• Post payments, adjustments, and denials to patient accounts.
• Reconcile deposits, EFTs, and EOBs daily.
• Identify and resolve payment discrepancies.
• Document denials with reasons and maintain posting accuracy.
• Ensure HIPAA compliance and data security.
• Support patient inquiries with clear postings.

Skills

Attention to detail

Analytical thinking

Problem-solving

Excel proficiency

Education

High School diploma or higher

Tools

Billing software

Electronic Health Records (EHR)

Microsoft Office

Job description

Position Summary

Cash Application Specialist will be responsible for ensuring that payments are accurately and efficiently applied to patient accounts. This position requires attention to detail, accuracy, and a solid understanding of billing processes and insurance guidelines. Cash Application Specialist ensures the timely posting of payments, contributing to the financial health and operational efficiency of the healthcare facility.

Responsibilities

• Accurately post all payments, adjustments, and denials from insurance companies, patients, and third-party payers to the appropriate patient accounts in the billing system.
• Ensure that all transactions are recorded promptly and correctly to maintain up-to-date account balances.
• Reconcile daily deposits, electronic funds transfers (EFTs), and lockbox payments with the corresponding remittance advice and explanation of benefits (EOBs).
• Ensure that all posted payments match the deposited amounts, identifying and resolving any discrepancies.
• Post and categorize denials accurately, documenting reasons for denials in the patient accounts.
• Apply necessary adjustments and write-offs according to established guidelines and authorization protocols.
• Ensure that adjustments are appropriately documented and justified.
• Ensure that all documentation complies with internal policies and external regulatory requirements.
• Work with the customer service team to address patient inquiries and resolve payment-related issues.
• Provide clear and concise explanations of payment postings and account activity.
• Ensure all payment posting activities comply with federal, state, and local regulations, as well as internal policies and procedures.
• Adhere to HIPAA guidelines to protect patient confidentiality and data security.
• Participate in training and professional development opportunities to maintain expertise in payment posting practices.

Minimum Requirements

• High School graduate or higher with two (2) or more years experience in a similarly related cash posting and reconciliation position.
• High level of accuracy and attention to detail in handling financial transactions and patient account information.
• Strong analytical and problem-solving skills to identify and resolve discrepancies.
• Proficiency in using billing software, electronic health records (EHR), and Microsoft Office applications, particularly Excel.
• Ability to navigate multiple systems with limited instructions.

Pay Range

$18.01 - $26.25/hr

Other Information

• Onsite role (based out of Greenville, NC)
• Monday - Friday full-time day shift:
  • 8:00 a.m. - 5:00 p.m.
• Great Benefits

ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children¿s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well‑being of eastern North Carolina through patient care, education and research.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant¿s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.