Posting Clerk (Full Time) - Patient Financial Services

Staff Position Description

Position Title: Cash Posting Specialist Position Code: ClerkPst1-8115

Department: Patient Financial Services Safety Sensitive: ☐  Yes            ☒  No

Reports to: CBO Cash Applications Manager Exempt Status: ☐  Yes            ☒  No

Position Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

Specific Purpose: Cash Posting Specialist is responsible for prompt, accurate, and daily posting of transactions to KHI’s accounting systems/software to ensure that patient accounts are accurately valued based according to the patient’s specific insurance status.

Key Responsibilities

• Processing several batches per day from a daily batch transactions assignment worklist.
• Completing batches with transactions from a variety of payment sources such as governmental entities, commercial insurers, client businesses, and individuals from within the community served by KHI.
• Processing batches that have multiple transactions per batch, including multiple patient account systems.
• Validating that payments are received in the bank before posting and reviewing for duplications.
• Accurately posting all transactions exactly as they appear on supporting documentation such as an Explanation of Benefits (EOB).
• Consistently meeting productivity and quality standards.
• Balancing each batch to the penny before posting (making sure that the exact correct amounts are confirmed before completing the transaction).
• Performing peer review of batches completed by other team members.
• Post all payments received (regardless of payment method) with perfect balancing to deposit and remittance advices.
• Research overpayments, underpayments, recoupments, offsets, and other slightly complex transactions to ensure accurate transactions posting.
• Correctly posting miscellaneous transactions to the correct GL accounts (and ensuring that the transactions properly debited/credited an account).
• Independently research and resolve most moderately complex transactions with high degree of accuracy after research.
• Regularly offers process, technology, training, or other relevant improvement suggestions to management for evaluation.

• Performs other duties as assigned to support overall effectiveness of department and organization. 

Qualifications 

Education: High School Diploma or Equivalent

Skills and Knowledge:

• Computer and Software usage abilities including:
  • Web searching and website review
  • Spreadsheet software (Excel, OpenOffice, Google Office, or similar)
  • Word processing (Word, OpenOffice, Google Office, or similar)
  • Basic keyboarding skills
• Demonstrated ability to read and analyze an Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA)
• Familiarity with hospital billing (UB-04) and Physician billing (CMS-1500)
• Knowledge of commercial, Medicare, Medicaid, and managed care payer processes.
• Basic accounting principles for balancing and reconciling payments.
• Knowledge of general ledger postings and adjustments.
• Ability to work across multiple platforms and payer portals.

• Ability to identify discrepancies and resolve posting errors while completing fast, error-free posting of payments and adjustments.

Preferences 

Experience:

• One (1) or more years of experience posting transactions to an accounting system.
• One (1) or more years of experience in healthcare.

• Understanding of billing, collections, denials, and payment posting workflow.

Special Position Requirements 

Blood Borne Disease Exposure Category: Category III

Work Requirements 

Ability to sit at a computer terminal during working hours (excluding breaks and meals). Occasionally lifts and carries up to 35 pounds.

ACKNOWLEDGEMENT: 

This job description applies to all KHI facilities and is representative of the essential job duties this position will perform. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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Date Staff Position Description Created / Revised: 03/06/2019; 7/29/2026