Cash Posting Analyst

Pafford Emergency Medical Services; Hope (AR); On-site; USD 42,000 - 56,000; Full time

Job summary

Pafford Emergency Medical Services in Hope, AR, is seeking a Cash Posting Analyst to support revenue cycle by accurately posting payments from Medicare, Medicaid, private pay, and other payers. You will ensure postings are correct and reconciling activity is maintained.

The role emphasizes attention to detail, analytic problem-solving, and collaboration with billing teams to resolve unapplied cash, variances, and refunds, while complying with HIPAA and internal controls.

Qualifications

• Experience with healthcare billing systems and cash posting.
• Knowledge of Medicare, Medicaid, and managed care reimbursement.
• Strong analytical and problem-solving abilities.
• Excellent verbal and written communication skills.

Responsibilities

• Post electronic remittance advice (835) payments accurately and timely.
• Post EFT, lock-box, paper checks, credit card, attorney, facility, and patient payments.
• Verify payments are applied to the correct accounts and service dates.
• Reconcile payment activity against remittance files and deposit records.
• Identify posting discrepancies and investigate variances.
• Maintain documentation and support audit activities.

Skills

Healthcare billing

Payment posting

Account reconciliation

Analytical skills

Attention to detail

Communication skills

Job description

Job Title: Cash Posting Analyst

Work Location: Corporate Office – Hope, AR

Division/Department: PMBS

The Cash Posting Analyst is responsible for accurately posting and reconciling payments received from Medicare, Medicaid, commercial insurance carriers, healthcare facilities, attorneys, and private pay patients. This position performs detailed analysis of payment activity, researches posting discrepancies, resolves unapplied cash, and assists in maintaining the integrity of financial and billing records.

The Cash Posting Analyst serves as a key contributor to revenue cycle operations by ensuring payments are accurately applied, variances are investigated, and account balances reflect proper reimbursement activity.

Essential Duties and Responsibilities

Cash Posting & Payment Processing

• Post electronic remittance advice (835) payments accurately and timely.
• Post EFT, lock-box, paper check, credit card, attorney, facility, and patient payments.
• Verify payments are applied to the correct accounts and service dates.
• Review and process contractual adjustments, write-offs, and payer adjustments.
• Monitor daily posting volumes and ensure established turnaround times are met.
• Identify and resolve posting exceptions and payment discrepancies.

Payment Analysis & Reconciliation

• Research payment variances and posting discrepancies.
• Analyze remittance advice and explanation of benefits (EOB) information.
• Reconcile payment activity against remittance files and deposit records.
• Investigate unidentified or misapplied payments.
• Assist with daily, weekly, and monthly reconciliation activities.
• Identify trends impacting payment posting accuracy and efficiency.

Unapplied Cash & Credit Balance Resolution

• Research unapplied cash and unidentified payment balances.
• Assist in resolving credit balances and overpayment situations.
• Review accounts for potential refund activity.
• Document research findings and account resolution efforts.
• Escalate unresolved issues to management as appropriate.

Account Research & Resolution

• Review patient accounts to ensure accurate account balances.
• Research payer payment issues and discrepancies.
• Coordinate with billing, EDI, customer service, and follow-up teams to resolve account concerns.
• Assist with correction of posting errors and account adjustments.
• Maintain accurate documentation within the billing system.

Reporting & Quality Assurance

• Monitor personal productivity and quality standards.
• Assist with preparation of payment posting reports and reconciliation summaries.
• Perform quality reviews to ensure posting accuracy.
• Identify process improvement opportunities and communicate recommendations.
• Maintain departmental performance expectations for accuracy and productivity.

Compliance & Security

• Ensure compliance with HIPAA and all applicable federal and state regulations.
• Maintain confidentiality of protected health information and financial records.
• Follow departmental policies and internal financial controls.
• Support internal and external audit activities as requested.
• Participate in quality assurance and compliance initiatives.

Team Collaboration

• Collaborate with billing, collections, customer service, EDI, and finance teams.
• Participate in staff meetings, training programs, and departmental projects.
• Assist with implementation of workflow improvements and system enhancements.
• Perform other duties as assigned.

Minimum Qualifications

• Knowledge of healthcare billing and reimbursement processes.
• Knowledge of payment posting, remittance processing, and account reconciliation.
• Knowledge of Medicare, Medicaid, commercial insurance, and managed care reimbursement.
• Knowledge of explanation of benefits (EOB) and electronic remittance advice (835) transactions.
• Knowledge of basic accounting and reconciliation principles.
• Strong analytical and problem-solving skills.
• Strong attention to detail and accuracy.
• Strong organizational and time-management abilities.
• Effective verbal and written communication skills.

Education and Experience Requirements

• Experience with healthcare billing systems and cash posting preferred.

Physical Requirements

• Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
• Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
• The employee may occasionally be required to lift and/or move up to 20 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
• Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion.
• Must be able to talk, listen and speak clearly on telephone.
• Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.

Travel Time

• Negligible

NOTE: The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.