Cash Applications Specialist

Job Title: Cash Applications Specialist

Location: Charlotte,  Hybrid; Work onsite 2 days, Work remote up to 3 days 
Job Type: Full Time/Hourly

SUMMARY: The Cash Applications Specialist plays a critical role in the healthcare revenue cycle by ensuring accurate and timely posting, reconciliation, and balancing of insurance and patient payments. This position researches unidentified payments, remittances, posting discrepancies, and account variances to maintain the integrity of financial transactions and patient accounts. The specialist reviews account activity to identify credit balances, refund opportunities, and insurance recoupments while resolving payment-related issues that impact reimbursement and cash flow. 

Working closely with billing, denial management, payer, and operational teams, the Cash Applications Specialist helps ensure payment accuracy, identify system or payer-related trends, and support revenue integrity efforts. Success in this role requires knowledge of healthcare reimbursement processes, EOBs and ERAs, payment posting, account reconciliation, and healthcare billing systems, as well as strong analytical skills, attention to detail, and a commitment to compliance, accuracy, and exceptional customer service.

Essential Duties and Responsibilities

Duties include but are not limited to:

• Complete daily assigned tasks based on deadline.
• Posts insurance payments including all bill types and corresponding contractual adjustments to patient accounts.
• Research unidentified payments, missing information requests, and insurance recoupments to ensure accuracy of transactions.
• Review account transactional history to determine credit balances for patients and/or insurance to request refund.
• Provide coverage for tasks assigned by management.
• Identifies and resolves posting discrepancies; reviews, approves, and prepares adjustments and/or refunds as necessary.
• Identifies system and/or carrier issues, reports them to management for review, and follows up on escalated issues.
• Ensure compliance with all Health Insurance Portability and Accountability Act (HIPAA) standards.
• Performs other duties as required or assigned within the scope of responsibility.

Minimum Qualifications 

Education: High school diploma required. Associates degree preferred.

Experience: Two (2) to three (3) years of experience in healthcare cash applications, insurance payment posting, medical billing, patient accounts receivable, or healthcare reimbursement required. Experience with EOB/ERA processing, payment reconciliation, credit balance review, payment variance research, payment discrepancy resolution, and working knowledge of healthcare revenue cycle accounts receivable processes, including insurance reimbursement, claim resolution, and patient account management strongly preferred.

Communication Skills: Demonstrated ability to communicate professionally and effectively, both verbally and in writing, with internal and external stakeholders.

Technical Skills: Experience in using healthcare billing, claims, and payment posting systems is required. Strong proficiency in Microsoft Excel, including data reconciliation, sorting, filtering, and spreadsheet management, is required. Experience with EOBs, ERAs, payer portals, and electronic remittance processing is required. Proficiency in Microsoft Outlook, Word, Teams, and other Microsoft Office applications is required.

Reasoning Ability: Ability to analyze and interpret payment, reimbursement, and account information to identify discrepancies, resolve posting issues, and ensure the accuracy of financial transactions. Ability to research unidentified payments, payment variances, credit balances, and account exceptions by reviewing EOBs, ERAs, payer communications, and billing records. Ability to prioritize workload, exercise sound judgment, and make informed decisions while adhering to established policies, procedures, and regulatory requirements. Ability to identify trends, recognize potential payer or system-related issues, and communicate findings effectively to management and internal stakeholders. 

About Providence Anesthesiology Associates

Headquartered in Charlotte, North Carolina, Providence Anesthesiology Associates (PAA) is an independent physician owned practice compromised of over 150 anesthesiologists. Founded in 1991, PAA provides anesthesia and perioperative care at numerous healthcare facilities throughout North and South Carolina, serving more than 246,000 patients annually.

Why work for PAA?

• PAA continues to experience impressive growth and success. Our anesthesiologists are among the most elite in their field.
• Our physicians are committed to providing the best culture and experience to their employees. Awarded one of the Top Workplaces, PAA’s core values include commitment, accountability, performance, integrity, transparency, adaptability, and leadership. We do what’s right and don’t compromise.

What’s in it for you?

• Strong workplace culture. We care about each other as people. We build relationships and connections beyond the time spent on the job. We offer a supportive, highly team-oriented work environment.
• We provide competitive total rewards including salary, benefits – Day 1, retirement, profit sharing, life insurance, paid time off, holidays, education reimbursement, employee recognition for birthdays and anniversaries, fun team building events, and more.
• We want you to succeed and our employer to employee relationship is proven to help you reach your goals and the goals of PAA.

What else should you know?

• Providence Anesthesiology Associates is an equal opportunity employer and does not tolerate discrimination based on any protected status.
• PAA participates in E-Verify. E-Verify is an internet-based system that compares the information you provide on the Form I-9 with information from the Social Security Administration and Department of Homeland Security records.