Cash Posting Specialist

Healthcare Nursing Center; Charleston (IL); On-site; USD 52,000 - 68,000; Full time

Job summary

Healthcare Nursing Center in Charleston, IL is seeking a detail-oriented Cash Posting Specialist to ensure accurate posting of payments and timely AR updates. This on-site role emphasizes posting various payment types and reconciling to remittance advice.

Ideal candidates have 2–4+ years of healthcare cash posting experience, familiarity with Medicare/Medicaid, and proficiency with PCC. Strong attention to detail and the ability to handle high-volume work are essential.

Qualifications

• 2–4+ years of cash posting or payment posting experience in healthcare.
• Familiarity with Medicare, Medicaid, and insurance remittance processes.
• Strong attention to detail and accuracy.
• Ability to manage high-volume work efficiently.

Responsibilities

• Post all payments accurately (Medicare, Medicaid, managed care, private pay).
• Ensure daily posting of cash, checks, EFTs, and lockbox payments.
• Reconcile payments to remittance advice (EOBs/ERAs).
• Identify and resolve payment discrepancies; maintain clean AR balances.
• Support month-end close and provide insights on trends.

Skills

Healthcare payments

Cash posting

Accounts receivable

Tools

PointClickCare (PCC)

Job description

Cash Posting Specialist

Location: Charleston, Illinois (on-site)
Reports To: Billing Director

About the Opportunity

The Cash Posting Specialist plays a critical role in ensuring all payments are accurately and timely applied, directly impacting AR accuracy and overall collections performance. This individual must be detail-oriented, efficient, and experienced in skilled nursing payment workflows.

Key Responsibilities

Payment Posting

• Accurately post all payments, including Medicare, Medicaid, managed care, and private pay

• Ensure daily posting of cash, checks, EFTs, and lockbox payments

• Reconcile payments to remittance advice (EOBs/ERAs)

Accuracy & Reconciliation

• Identify and resolve discrepancies between payments and billed amounts

• Ensure all payments are applied to the correct accounts and service dates

• Maintain clean and accurate AR balances

Denials & Adjustments

• Post contractual adjustments appropriately

• Flag underpayments, denials, and discrepancies for follow-up

• Work closely with AR and billing teams to resolve issues

Reporting & Support

• Assist in maintaining accurate AR reports

• Support month-end close processes related to cash posting

• Provide insight into trends or recurring payment issues

Systems

• Utilize PointClickCare (PCC) for posting and reconciliation

• Ensure proper documentation and audit trails are maintained

Qualifications

• SNF experience preferred (strongly encouraged)

• 2–4+ years of cash posting or payment posting experience in healthcare

• Familiarity with Medicare, Medicaid, and insurance remittance processes

• Experience with PointClickCare (PCC) preferred

• Strong attention to detail and accuracy

• Ability to manage high-volume work efficiently