Cash Posting Coordinator

Core Clinical Partners; Lafayette (LA); Hybrid; USD 42,000 - 58,000; Full time

Job summary

Core Clinical Partners is hiring a Cash Posting Coordinator to lead daily cash posting, ensure accurate postings, and drive reconciliations in a patient-centric healthcare setting.

The role requires 3–5+ years in healthcare revenue cycle with supervisory experience; you will manage posting rules, investigate discrepancies, and mentor the cash posting team while ensuring compliance with HIPAA and payer requirements.

Qualifications

• 3–5+ years of healthcare revenue cycle or cash posting experience.
• Prior lead, senior, or supervisory experience.
• Experience with automated cash posting, 835/ERA processing, and posting-rule configuration.
• Experience with credit balance management and payer reconciliation.

Responsibilities

• Oversee accurate posting of insurance, patient, electronic, and manual payments to patient accounts.
• Perform daily and monthly cash balancing and reconciliation; resolve discrepancies.
• Lead credit balance review and determine proper resolution.
• Maintain cash posting rules and explore automation opportunities.
• Provide guidance and training to the Cash Posting team; monitor quality and productivity.
• Develop KPIs and monitor performance; support system implementations and process improvements.

Skills

Cash posting & reconciliation

Accounts receivable

HIPAA compliance

Analytical thinking

Problem solving

Team leadership

Communication

Attention to detail

Education

High school diploma or GED

Tools

Microsoft Excel

Clearinghouse systems

Billing systems

EMR/EHR systems

Job description

Description

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.

The Cash Posting Coordinator is responsible for leading the day-to-day cash posting function and ensuring payments are accurately and timely posted, balanced, reconciled, and managed in accordance with revenue cycle policies and payer requirements. This role serves as a key resource for the Cash Posting team, supporting operational performance, identifying process improvement opportunities, and maintaining the integrity of cash application and account balances.

Essential Duties:

Cash Posting & Reconciliation

• Oversee and perform accurate posting of insurance, patient, electronic, and manual payments to patient accounts.
• Ensure payments, adjustments, recoupments, and denials are posted accurately and to the appropriate accounts.
• Monitor daily cash posting activity to ensure timely and accurate application of cash.
• Perform daily and monthly cash balancing and reconciliation between bank deposits, remittance files, clearinghouse activity, and the patient accounting system.
• Research and resolve posting discrepancies, unidentified payments, and out-of-balance conditions.
• Monitor unapplied and unidentified cash and ensure timely resolution.

Credit Balance Management

• Lead the credit balance review process, identifying accounts with potential overpayments or credit balances.
• Research credit balances to determine the appropriate resolution, including transfers, corrections, refunds, or recoupments.
• Coordinate with other RCM departments to resolve account issues contributing to credit balances.
• Monitor credit balance aging and ensure timely resolution in accordance with organizational policies and payer requirements.

Cash Posting Rules & System Management

• Own and maintain cash posting rules, ensuring they accurately reflect payer remittance and contractual requirements.
• Identify opportunities to automate posting and reduce manual intervention.
• Partner with IT, billing, and system vendors to troubleshoot and implement cash posting rule changes.
• Test new or modified posting rules and validate results.
• Monitor rule performance and identify trends that may result in incorrect posting.

Team Leadership & Quality

• Serve as a subject matter expert and escalation point for the Cash Posting team.
• Provide guidance, training, and support to team members on complex posting and reconciliation issues.
• Review work for accuracy and identify opportunities for additional training or process improvement.
• Monitor team productivity, quality, and turnaround-time metrics.
• Assist with workload prioritization and resource allocation to meet department goals.

Reporting & Process Improvement

• Develop and monitor key performance indicators related to cash posting, including posting turnaround time, accuracy, unapplied cash, credit balances, and reconciliation variances.
• Identify trends and root causes impacting cash application and revenue cycle performance.
• Recommend and implement process improvements that increase efficiency, accuracy, and cash visibility.
• Maintain and update SOPs, workflows, and cash posting policies.
• Support system implementations, payer changes, acquisitions, and other RCM initiatives impacting cash posting.
• Assist with the identification, investigation, and resolution of payments issued to incorrect providers, addresses, or banking information, coordinating corrective actions with payors and internal stakeholders.
• Ensure compliance with HIPAA transaction standards, CMS requirements, and applicable federal and state regulations governing electronic healthcare transactions.
• Performs other related duties as assigned.

Skills, Knowledge, Abilities:

• Strong knowledge of healthcare revenue cycle management, cash posting, payment application, and account reconciliation.
• Working knowledge of hospital and physician billing, payer remittances, EOBs/ERAs, contractual adjustments, recoupments, and refunds.
• Ability to accurately interpret 835/ERA transactions, EOBs, payment information, and payer-specific requirements.
• Strong understanding of cash reconciliation and balancing processes, including identifying and resolving variances.
• Knowledge of credit balance identification, research, resolution, and refund processes.
• Ability to develop, maintain, and troubleshoot cash posting rules and system configurations.
• Strong analytical and problem-solving skills with the ability to research discrepancies and identify root causes.
• Ability to recognize trends and identify opportunities to improve cash application accuracy, efficiency, and automation.
• Strong attention to detail and commitment to data accuracy and financial integrity.
• Ability to manage multiple priorities and meet daily, monthly, and departmental deadlines.
• Demonstrated ability to serve as a subject matter expert and escalation resource for complex cash posting issues.
• Strong communication and interpersonal skills with the ability to work effectively with RCM, billing, coding, IT, payers, and external vendors.
• Ability to train and provide feedback to team members while promoting accountability and quality.
• Proficiency with patient accounting/billing systems, clearinghouses, Microsoft Excel, and other revenue cycle technology.
• Ability to analyze operational reports and KPIs to identify performance trends and improvement opportunities.
• Ability to create and maintain SOPs, workflows, and process documentation.
• Demonstrated ability to participate in system implementations, testing, process changes, and continuous improvement initiatives.
• Strong organizational skills with the ability to work independently while effectively supporting a team.

Core Clinical Partners is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Requirements

Education:

• High school diploma or GED required.

Experience:

• 3–5+ years of healthcare revenue cycle or cash posting experience.
• Prior experience in a lead, senior, or supervisory role.
• Experience with automated cash posting, 835/ERA processing, and posting-rule configuration.
• Experience with credit balance management and payer reconciliation.

Work Location:

• Hybrid, with a minimum of 3 days a week in office. When working remotely, the employee must have reliable access to internet.