Cash Application Specialist

Responsible for daily payment, posting and reconciliation to ensure accurate receivable reporting.


  • Reconciles daily cash and completes deposit slips.
  • Balances deposit slips, check tape and reports on daily basis.
  • Daily posts, corrects and applies patient and insurance payments including all bill types and corresponding contractual adjustments to patient accounts.
  • Codes and posts insurance and patient payments and maintains required records, reports and files.
  • Flags any EOBS with a zero payment (denial), highlight the zero payments and pass on to clerical support for photocopying.
  • Flag any EOBS that will need a secondary claim and pass onto the clerical support for photocopying.
  • Flag any credits, patient and insurance refunds, for processing as per credit balance protocol.
  • Post NSF and interest charges.
  • Maintains required data bases and patients accounts, reports and files.
  • Lists unidentified payments to correct suspense account, documenting transactions to maintain adequate audit trail
  • Resolves misdirected payments and returns incorrect payments to sender.
  • Codes any zero payments (denial) to appropriate Patient Account Representative for
  • Corrects and posts debit/credit adjustments of misapplied payments to ensure accurate and timely reporting of accounts.
  • Audits, corrects and balances ERA transactions.
  • Answers patient inquiries regarding account balances.
  • Prepares/processes credits and patient and insurance refunds.
  • Participates in educational activities.
  • Maintains strictest confidentiality.
  • Performs other duties as assigned.


Minimum of two years cash application experience in a health care organization.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be computer literate and possess a working knowledge of insurance and third party payments, financial and statistical reports, Excel and Word processing software.
  • Must be skilled in the use of a calculator.
  • Must possess the ability to work well with physicians, patients, co-workers, vendors and must be able to clearly communicate with them all.
  •  Must possess knowledge of medical terminology.
  • Must be skilled in using computer programs and a calculator.
  • Must possess the ability to handle cash and to count money.


Normal office environment. Occasional overtime. Mandatory overtime at month end.


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