Cash Reconciliation Analyst

Overview

This role involves managing unapplied cash within the Occupational Medicine line of business by identifying, researching, and resolving payment discrepancies. The primary goal is to reduce unapplied and unidentified payment balances by accurately tracing remittances to the correct invoices, accounts, or employee records. The position requires collaboration with employer clients, billing, and enrollment teams to address root causes and ensure proper payment posting.

Responsibilities

• Manage daily and weekly unapplied cash queues for Occupational Medicine accounts, prioritizing by dollar value and aging.
• Investigate unapplied and unidentified payments (checks, ACH, wire, credit card, lockbox) to assign them to the correct employer account, invoice, or employee.
• Communicate directly with employers via phone or email to obtain missing remittance details or invoice references.
• Match payments to invoices when remittance advice is incomplete, mismatched, or outdated.
• Post or repost payments accurately and document resolution notes for audit purposes.
• Analyze root causes of unapplied payments, such as incorrect account payments, lockbox scanning errors, missing remittance details, invoice changes, or employee status changes.
• Escalate systemic issues related to lockbox setup, EDI mapping errors, or payment portal defaults to Billing or IT teams.
• Track recurring employer-specific issues and collaborate with Account Management to correct billing setups.
• Respond to employer inquiries regarding unapplied payments, invoice discrepancies, and payment statuses.
• Reconcile employer accounts to verify outstanding invoices, credit balances, and payment applications.
• Coordinate with Enrollment and Billing teams on unapplied cash related to headcount, eligibility, or rate discrepancies.
• Maintain and report unapplied cash aging categories (0-30, 31-60, 61-90+ days) specific to Occupational Medicine.
• Prepare monthly reports summarizing unapplied cash trends, resolution rates, and root causes.
• Support audits by documenting research and resolution processes for unapplied cash.
• Recommend process improvements to reduce unapplied cash, including remittance requirements and payment portal configurations.
• Develop and maintain standard operating procedures for unapplied cash research and resolution workflows.
• Collaborate with IT and systems teams on lockbox, EDI, or payment portal configuration issues.

Requirements

• Associate's or Bachelor's degree in Accounting, Finance, Business, or related field preferred; equivalent experience considered.
• Minimum 2 years of experience in cash applications, unapplied cash resolution, accounts receivable, or revenue cycle roles.
• Proven ability to research and resolve unapplied or unidentified payments using remittance details, bank records, or employer outreach.
• Proficiency in Excel, including pivot tables, VLOOKUP/XLOOKUP, and aging/variance analysis.
• Strong attention to detail with independent research and problem-solving skills.
• Experience with billing systems, ERP, or practice management software (e.g., Epic, Athenahealth, or similar).
• Excellent written and verbal communication skills for employer-facing interactions.
• Experience in occupational medicine, healthcare billing, or employer group billing.
• Familiarity with lockbox processing, EDI 835/820 remittance files, ACH payment systems, and related error impacts.
• Knowledge of general ledger reconciliation and basic accounting principles.
• Experience using ticketing or CRM systems to track employer support cases and resolution notes.

Compensation & Benefits

• Base salary range: $55,500 - $68,000 annually (actual pay may vary based on experience, performance, and qualifications).
• This is a remote position.
• Benefits include paid time off, health, dental, vision insurance, and a 401(k) savings plan with company match.

Location

• Remote position supporting Occupational Medicine accounts across multiple states including New York, Illinois, Indiana, Michigan, and Pennsylvania.

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