Cash Application Specialist

Job Description

ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

Position Summary

Cash Application Specialist will be responsible for ensuring that payments are accurately and efficiently applied to patient accounts. This position requires attention to detail, accuracy, and a solid understanding of billing processes and insurance guidelines. Cash Application Specialist ensures the timely posting of payments, contributing to the financial health and operational efficiency of the healthcare facility.

Responsibilities

1-Accurately post all payments, adjustments, and denials from insurance companies, patients, and third-party payers to the appropriate patient accounts in the billing system.

2-Ensure that all transactions are recorded promptly and correctly to maintain up-to-date account balances.

3-Reconcile daily deposits, electronic funds transfers (EFTs), and lockbox payments with the corresponding remittance advice and explanation of benefits (EOBs).

4-Ensure that all posted payments match the deposited amounts, identifying and resolving any discrepancies.

5-Post and categorize denials accurately, documenting reasons for denials in the patient accounts.

6-Apply necessary adjustments and write-offs according to established guidelines and authorization protocols.

7-Ensure that adjustments are appropriately documented and justified.

8-Ensure that all documentation complies with internal policies and external regulatory requirements.

9-Work with the customer service team to address patient inquiries and resolve payment-related issues.

10-Provide clear and concise explanations of payment postings and account activity.

11-Ensure all payment posting activities comply with federal, state, and local regulations, as well as internal policies and procedures.

12-Adhere to HIPAA guidelines to protect patient confidentiality and data security.

13-Participate in training and professional development opportunities to maintain expertise in payment posting practices.

Minimum Requirements

• High School graduate with two (2) or more years experience in a similarly related cash posting and reconciliation position. 
• High level of accuracy and attention to detail in handling financial transactions and patient account information.
• Strong analytical and problem-solving skills to identify and resolve discrepancies.
• Proficiency in using billing software, electronic health records (EHR), and Microsoft Office applications, particularly Excel.
• Ability to navigate multiple systems with limited instructions.

Other Information

We have 3 openings for this position.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.