Revenue Cycle Cash Reconciliation Specialist

The Revenue Cycle Cash Reconciliation Specialist is responsible for the accurate, timely posting of payments, adjustments, and denials received from payers, patients, and other sources within the health system's hospital billing system. This role ensures that electronic and manual remittances are reconciled correctly, discrepancies are identified and resolved, and cash applications support accurate account balances and downstream follow-up work.

The ideal candidate has hands-on experience with cash posting workflows, ERA/EOB processing, and account reconciliation, and brings strong attention to detail to a high-volume, deadline-driven environment. SPECIFIC SKILLS NEEDED

• Hands-on experience posting cash within a hospital billing system (e.g., Epic, Cerner/Oracle Health, Meditech, CPSI, or similar).
• Working knowledge of ERA/835 files, EOBs, and payer remittance processes.
• Understanding of basic revenue cycle concepts, including account structure, contractual adjustments, denial codes, and credit balance resolution.
• Strong attention to detail and accuracy in a high-volume transactional environment.
• Basic proficiency in Microsoft Excel for reconciliation and reporting purposes. EDUCATION/EXPERIENCE/TRAINING Required:
• High school diploma required
• Minimum of 1–2 years of experience in healthcare cash posting, payment processing, or medical billing/collections. Preferred:
• Associate degree in Accounting, Healthcare Administration, or related field preferred.
• Experience with Epic Resolute Hospital Billing and/or Professional Billing, including Epic cash posting work queues (e.g., Unapplied Cash WQ, Credit Balance WQ).
• Familiarity with lockbox processing, payment portals, and electronic payment reconciliation tools.
• Prior experience supporting month-end close or cash reconciliation reporting.
• Certification such as CRCR (Certified Revenue Cycle Representative) or similar.
• Experience in a multi-facility or health system environment.