Cash Posting and Refunds Specialist

Cincinnati Children's Hospital Medical Center; Cincinnati (OH); On-site; USD 24,000 - 29,000; Full time

Job summary

Cincinnati Children's Hospital Medical Center is seeking a Cash Posting and Refund Specialist at the South Campus in the Cash Posting Operations team. This full-time, day-shift role supports accurate and timely financial activity across patient accounts, processing refunds, posting payments, and reconciling balances.

The position requires a high school diploma or equivalent. Starting pay ranges from $17.49 to $20.99 per hour, with eligibility for shift and weekend differentials and comprehensive

Qualifications

• High school diploma or equivalent required.

Responsibilities

• Process refunds for credits and ensure timely, accurate refunds to payers or patients.
• Post and balance electronic and manual payments and adjustments to patient accounts.
• Investigate unapplied payments and account discrepancies.
• Reconcile payments with balances and supporting documents.
• Maintain accurate records in departmental systems.
• Answer inquiries from patients, payers, and internal teams.
• Support quality checks and reporting on payments and refunds.
• Ensure compliance with hospital policies and financial controls.
• Collaborate with Finance and Revenue Cycle to resolve issues.
• Manage priorities to meet daily and month-end deadlines.

Education

High school diploma or equivalent

Job description

Primary LocationSouth CampusDepartmentCash Posting OperationsShiftDay (United States of America)ScheduleFull timeWeekly Hours40FTE1Employee StatusRegular*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.

Key Responsibilities

• 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 accurately 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.

JOB QUALIFICATIONS

• High school diploma or equivalent
• No directly related experience

About Us 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. Cincinnati Children's is: Recognized by U.S. News & World Report as atop 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'sAmerica's Most Innovative Companiesas noted by Fortune Consistently certified as great place to work A Leading Disability Employeras noted by theNational Organization on Disability Magnet® designated for the fourth consecutive time by theAmerican Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. 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, gender identity, disability or protected veteran status. EEO/Veteran/Disability