Cash Posting Specialist

Matrix Finance and Accounting; Redmond (WA); On-site; USD 52,000 - 75,000; Full time

Job summary

Matrix Finance and Accounting is seeking an onsite Healthcare Revenue Cycle Specialist in Redmond, WA, to ensure accurate payment posting, remittance review, and account maintenance. The role supports high-volume, detail-oriented workflows within the healthcare billing environment.

Ideal candidates have experience with cash posting, cash application, or healthcare A/R and are comfortable working in a fast-paced team. Onsite collaboration and strict privacy adherence are required.

Qualifications

• Experience in healthcare revenue cycle, medical billing, accounts receivable, cash posting, or a related area preferred.
• Effective organizational and time-management skills.
• Comfortable working with financial information and computer-based systems.

Responsibilities

• Apply insurance and other payer payments to patient accounts with accuracy and timeliness.
• Review remittance information and payment activity to ensure transactions are reflected correctly.
• Investigate and clear payments not initially matched to accounts or balances.
• Reconcile posted payments against remittance and deposits; address variances.
• Monitor payment activity for errors, unusual trends, or discrepancies and escalate as needed.
• Review patient account credit balances and coordinate refunds or corrections.
• Process account adjustments and contractual write-offs per guidelines.
• Investigate deposit and posting issues and coordinate with internal teams to fix discrepancies.
• Assist with period-end reconciliation and close activities.
• Maintain productivity and accuracy while handling a consistent volume of payment transactions.
• Follow healthcare billing requirements, payer guidelines, and patient privacy regulations.

Skills

Healthcare revenue cycle

Medical billing

Accounts receivable

Cash posting

Cash application

Detail-oriented

Education

High school diploma or GED

Tools

Billing software

Job description

This is a 100% onsite role supporting the healthcare revenue cycle through accurate payment posting, reconciliation, and account maintenance. The ideal candidate has experience with cash posting, cash application, or healthcare A/R and is comfortable working in a high-volume, detail-oriented environment.

Key Responsibilities:

• Apply insurance and other payer payments to the appropriate patient accounts with a high degree of accuracy and timeliness.
• Review remittance information and payment activity to ensure transactions are properly reflected in patient accounts.
• Investigate and clear payments that cannot initially be matched to a specific account or balance.
• Reconcile posted payments against remittance and deposit records and address any variances.
• Monitor payment activity for errors, unusual trends, or recurring discrepancies and escalate issues when needed.
• Review patient account credit balances and coordinate appropriate refunds or account corrections.
• Process account adjustments, contractual write-offs, and other payment-related changes in accordance with established guidelines.
• Investigate deposit and posting issues and work with internal teams to correct discrepancies.
• Assist the accounting and revenue cycle teams with period-end reconciliation and close activities.
• Maintain productivity and accuracy standards while managing a consistent volume of payment-related transactions.
• Work in accordance with healthcare billing requirements, payer guidelines, and patient privacy regulations.
• Protect confidential patient and financial information and follow applicable privacy and security procedures.

Qualifications:

• High school diploma or GED required.
• Experience in healthcare revenue cycle, medical billing, accounts receivable, cash posting, cash application, or a related area preferred.
• Familiarity with insurance payments, remittance documentation, patient accounts, and payment reconciliation.
• Effective organizational and time-management skills.
• Comfortable working with financial information and computer-based systems.
• Ability to handle sensitive patient and financial information with discretion.