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# Cash Application Specialist

- **Company:** ECU Health
- **Location:** Greenville, NC, United States
- **Experience:** Experienced
- **Salary:** $37,461.0 - $54,600.0
- **Contract:** Permanent contract
- **Skills:** Microsoft Excel, Data Security, Microsoft Office, Electronic Medical Records, Eobs
- **Published:** July 26, 2026
- **Apply:** https://www.indeed.com/viewjob?jk=39598c8d17ffa299

## About the Role

* High School graduate or higher 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.

## Description

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

 * Accurately post all payments, adjustments, and denials from insurance companies, patients, and third-party payers to the appropriate patient accounts in the billing system.
 * Ensure that all transactions are recorded promptly and correctly to maintain up-to-date account balances.
 * Reconcile daily deposits, electronic funds transfers (EFTs), and lockbox payments with the corresponding remittance advice and explanation of benefits (EOBs).
 * Ensure that all posted payments match the deposited amounts, identifying and resolving any discrepancies.
 * Post and categorize denials accurately, documenting reasons for denials in the patient accounts.
 * Apply necessary adjustments and write-offs according to established guidelines and authorization protocols.
 * Ensure that adjustments are appropriately documented and justified.
 * Ensure that all documentation complies with internal policies and external regulatory requirements.
 * Work with the customer service team to address patient inquiries and resolve payment-related issues.
 * Provide clear and concise explanations of payment postings and account activity.
 * Ensure all payment posting activities comply with federal, state, and local regulations, as well as internal policies and procedures.
 * Adhere to HIPAA guidelines to protect patient confidentiality and data security.
 * Participate in training and professional development opportunities to maintain expertise in payment posting practices.


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