Cash Posting Specialist (REMOTE)

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Posted May 22, 2026

Remote · US Full Time

Overview

The Cash Posting Specialist is a key member of a central Revenue Cycle team responsible for processing insurance payments, reconciling deposits, posting payments and recoupments, and managing patient accounts. This role ensures accurate posting of ANSI codes from remittances to facilitate proper work queue routing and billing data accuracy for payment and revenue reporting.

Note: This is a remote opportunity limited to specific states.

Responsibilities

  • Prepare and post insurance payments via 835 files, resolving any errors encountered.
  • Manually enter remittances when 835 files are unavailable or not applicable.
  • Register with necessary payer portals and submit required verification documents for access.
  • Retrieve and post remittances from payer websites when electronic remittances are not available.
  • Verify and add coverage for payments received on crossover payments not reflected on patient accounts.
  • Accurately post all payments within 72 hours.
  • Research unidentified payments and recoupments to determine appropriate resolution.
  • Update and maintain cash management logs and spreadsheets used for reconciliation.
  • Process insurance payments and prepare daily deposits as needed.
  • Prepare accounts payable paperwork for insurance refunds.
  • Post refund checks issued by accounts payable when necessary.
  • Review credit work queues to ensure accurate posting and validation of insurance credits or undistributed credits.
  • Follow up and report status of missing payments or remittances, both electronic and manual.
  • Identify and report patterns or trends indicating potential issues.
  • Assist in denials management as directed.
  • Participate in educational activities and attend monthly staff meetings.
  • Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
  • Perform other duties as needed to support organizational goals.

Requirements

  • High School Diploma or GED.
  • Minimum of 2 years experience in billing.
  • Knowledge of insurance ANSI/CAS codes.
  • Understanding of medical billing and collection practices.
  • Familiarity with Medicaid and commercial payers.
  • Experience with medical computer software, including Electronic Medical Records (EMR).
  • Basic knowledge of medical coding and third-party payer procedures.
  • Ability to operate computers, software programs, and basic office equipment including multi-line telephone systems.
  • Ability to read and comprehend CPT, ICD-10, and HCPCS manuals.
  • Strong organizational skills and attention to detail.
  • Ability to follow oral and written instructions and meet deadlines.
  • Excellent communication skills with attention to detail and timeliness.
  • Ability to establish and maintain effective working relationships with patients, employees, and management.
  • Cooperative work attitude and ability to promote a favorable image with physicians, patients, insurance companies, and the public.
  • Ability to make decisions and solve problems independently.
  • Maintain regular and predictable attendance.
  • Promptly identify issues and develop action plans for resolution with supervisor.
  • Use organizational resources appropriately and avoid wasteful practices.

Location

Remote position available only in specific states (details provided during the hiring process).