Cash Specialist I (REMOTE)

Shared Services Center - Nashville; Franklin (TN); Remote; USD 25,000 - 39,000; Full time

Job summary

Community Health Systems in Nashville seeks a Cash Specialist I to post payments, reconcile cash, and adjust patient accounts, ensuring accurate application of insurance and patient payments. This role supports daily cash activity, bank deposits, and financial reporting.

You will collaborate with finance teams, resolve discrepancies, maintain HIPAA compliance, and help maintain timely and accurate revenue cycle processes in a busy shared services environment.

Qualifications

• HS Diploma or GED required.
• Associate degree in accounting, finance, business administration or related field preferred.
• 0-1 years of experience in cash posting, accounts receivable, banking, or healthcare revenue cycle operations required.
• Experience with electronic health records (EHR) systems, payment processing, or insurance reimbursement preferred.

Responsibilities

• Post insurance and patient payments, resolving edits and balancing payment files to checks or EFTs.
• Review EOBs to determine application of payments and contractual adjustments.
• Prepare bank deposits and financial reports, ensuring timely submission and accuracy.

Skills

Cash posting

Accounts receivable

Healthcare revenue cycle

Banking reconciliation

HIPAA

Excel

Financial reporting

Education

HS Diploma or GED

Associate Degree in Accounting/Finance

Tools

EHR systems

Payment processing software

Financial software

Job description

Benefits

• Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy.
• Future Security: 401(k) with matching
• Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future.
• Educational Tuition Assistance
• Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication.

Job Summary
The Cash Specialist I is responsible for posting payments, reconciling cash receipts, and processing adjustments to patient accounts. This role ensures accurate application of insurance and patient payments, monitors daily cash transactions, and supports bank deposit and financial reporting activities. The Cash Specialist I collaborates with internal teams to resolve discrepancies, ensure compliance with company policies, and maintain financial accuracy.
Essential Functions

• Reviews health insurance explanation of benefits (EOBs) to determine appropriate application of payments and contractual adjustments.
• Posts insurance and patient payments, resolving edits, manually matching invoices, and balancing payment files to checks or electronic funds transfers (EFTs).
• Verifies and logs all fund transfers, lockbox deposits, and over-the-counter payments, ensuring accurate financial records.
• Reconciles daily cash transactions, identifying and resolving discrepancies in accordance with established guidelines.
• Analyzes payer reimbursements, comparing payments received against contract fee schedules to determine patient responsibility.
• Processes debit entries for approved refunds, auditing transactions for accuracy and compliance with company policies.
• Researches and transfers unidentified payments, ensuring timely resolution and proper account allocation.
• Balances daily cash reconciliation reports, including direct deposit reconciliation and variance resolution, preparing necessary reports for Finance.
• Prepares bank deposits and financial reports, ensuring timely submission and accuracy in financial reporting.Ensures confidentiality of patient financial records, maintaining compliance with HIPAA and company security policies.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in Accounting, Finance, Business Administration, or a related field preferred
• 0-1 years of experience in cash posting, accounts receivable, banking, or healthcare revenue cycle operations required
• Experience working with electronic health records (EHR) systems, payment processing, or insurance reimbursement preferred

Knowledge, Skills and Abilities

• Basic understanding of cash posting, payment reconciliation, and financial reporting.
• Knowledge of insurance remittance, contractual adjustments, and refund processing.
• Proficiency in Microsoft Excel, banking reconciliation tools, and financial software.
• Strong problem-solving skills, with the ability to analyze and resolve payment discrepancies.
• Excellent attention to detail, organizational skills, and ability to meet deadlines.
• Strong verbal and written communication skills, with the ability to interact with finance teams, payers, and internal departments.
• Knowledge of HIPAA and financial security regulations related to patient accounts and payment processing.

The Shared Services Center - Nashville at Community Health Systems provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment.

Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 36 distinct markets across 14 states, CHS operates 69 affiliated hospitals with more than 10,000 beds and approximately 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.