Cash Posting Coordinator
Description Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery. The Cash Posting Coordinator is responsible for leading the day-to-day cash posting function and ensuring payments are accurately and timely posted, balanced, reconciled, and managed in accordance with revenue cycle policies and payer requirements.
This role serves as a key resource for the Cash Posting team, supporting operational performance, identifying process improvement opportunities, and maintaining the integrity of cash application and account balances. Essential Duties: Cash Posting & Reconciliation Oversee and perform accurate posting of insurance, patient, electronic, and manual payments to patient accounts. Ensure payments, adjustments, recoupments, and denials are posted accurately and to the appropriate accounts.
Monitor daily cash posting activity to ensure timely and accurate application of cash. Perform daily and monthly cash balancing and reconciliation between bank deposits, remittance files, clearinghouse activity, and the patient accounting system. Research and resolve posting discrepancies, unidentified payments, and out-of-balance conditions. Monitor unapplied and unidentified cash and ensure timely resolution.
Credit Balance Management Lead the credit balance review process, identifying accounts with potential overpayments or credit balances. Research credit balances to determine the appropriate resolution, including transfers, corrections, refunds, or recoupments. Coordinate with other RCM departments to resolve account issues contributing to credit balances. Monitor credit balance aging and ensure timely resolution in accordance with organizational policies and payer requirements.
Cash Posting Rules & System Management Own and maintain cash posting rules, ensuring they accurately reflect payer remittance and contractual requirements. Identify opportunities to automate posting and reduce manual intervention. Partner with IT, billing, and system vendors to troubleshoot and implement cash posting rule changes. Test new or modified posting rules and validate results. Monitor rule performance and identify trends that may result in incorrect posting .
Team Leadership & Quality Serve as a subject matter expert and escalation point for the Cash Posting team. Provide guidance, training, and support to team members on complex posting and reconciliation issues. Review work for accuracy and identify opportunities for additional training or process improvement. Monitor team productivity, quality, and turnaround-time metrics. Assist with workload prioritization and resource allocation to meet department goals.
Reporting & Process Improvement Develop and monitor key performance indicators related to cash posting, including posting turnaround time, accuracy, unapplied cash, credit balances, and reconciliation variances. Identify trends and root causes impacting cash application and revenue cycle performance. Recommend and implement process improvements that increase efficiency, accuracy, and cash visibility.
Maintain and update SOPs, workflows, and cash posting policies. Support system implementations, payer changes, acquisitions, and other RCM initiatives impacting cash posting. Assist with the identification, investigation, and resolution of payments issued to incorrect providers, addresses, or banking information, coordinating corrective actions with payors and internal stakeholders. Ensure compliance with HIPAA transaction standards, CMS requirements, and applicable federal and state regulations governing electronic healthcare transactions.
Performs other related duties as assigned. Skills, Knowledge, Abilities: Strong knowledge of healthcare revenue cy