Cash Posting Specialist

Location: Charleston, Illinois (on-site)
Reports To: Billing Director

The Cash Posting Specialist plays a critical role in ensuring all payments are accurately and timely applied, directly impacting AR accuracy and overall collections performance. This individual must be detail-oriented, efficient, and experienced in skilled nursing payment workflows.

Payment Posting

• Accurately post all payments, including Medicare, Medicaid, managed care, and private pay

• Ensure daily posting of cash, checks, EFTs, and lockbox payments

• Reconcile payments to remittance advice (EOBs/ERAs)

Accuracy & Reconciliation

• Identify and resolve discrepancies between payments and billed amounts

• Ensure all payments are applied to the correct accounts and service dates

• Maintain clean and accurate AR balances

Denials & Adjustments

• Post contractual adjustments appropriately

• Flag underpayments, denials, and discrepancies for follow-up

• Work closely with AR and billing teams to resolve issues

Reporting & Support

• Assist in maintaining accurate AR reports

• Support month-end close processes related to cash posting

• Provide insight into trends or recurring payment issues

Systems

• Utilize PointClickCare (PCC) for posting and reconciliation

• Ensure proper documentation and audit trails are maintained

• SNF experience preferred (strongly encouraged)

• 2–4+ years of cash posting or payment posting experience in healthcare

• Familiarity with Medicare, Medicaid, and insurance remittance processes

• Experience with PointClickCare (PCC) preferred

• Strong attention to detail and accuracy

• Ability to manage high-volume work efficiently