Medical Cash Poster

Job Title: Cash Poster

Location: Chicago, IL

Compensation: $19 - $25 per hour depending on experience

Employment Type: Contract with Potential for Hire

Industry: Healthcare Revenue Cycle

Work Schedule: Monday-Friday, 8:00 AM-4:30 PM CST

Benefits: This job is eligible for Medical, Dental, Vision, and 401K benefits.

Job Description

Addison Group is hiring a Cash Poster on behalf of our client, a healthcare organization. This role focuses on payment posting, reconciliation, and ensuring accuracy across patient accounts. The Cash Poster is responsible for reviewing, reconciling, and applying payments from a variety of sources, including insurance carriers and patients. This position plays a key role in maintaining accurate financial records while supporting downstream billing and collection processes.

Key Responsibilities

• Accurately post payments received via electronic remittances, checks, and other payment methods to appropriate patient accounts
• Perform daily balancing of payment batches, including lockbox, EFT, and credit card transactions
• Review explanation of benefits (EOBs) to validate payment accuracy and identify discrepancies
• Apply or correct contractual adjustments based on payer agreements and reimbursement guidelines
• Transfer or allocate funds to appropriate internal entities when payments require redistribution
• Prepare and submit journal entries with proper documentation for accounting reconciliation
• Analyze accounts to determine next steps for outstanding balances and flag items requiring follow-up
• Reconcile bank activity and internal reports to ensure completeness and accuracy of posted transactions
• Process returned payments, including insufficient funds, and update accounts accordingly
• Maintain detailed and accurate documentation of all posting and adjustment activity

Qualifications

• Minimum 3 years of payment posting experience within EPIC (required), including both hospital and professional billing environments
• Required to interpret EOBs and identify payment or adjustment discrepancies
• Experience working with high-volume cash applications and maintaining accuracy under tight timelines required
• High school diploma required

Work Environment

• Onsite for initial training period (minimum 30 days), with potential for remote flexibility based on performance
• Professional office setting
• Access to public transportation recommended (parking available but limited)
• Company-provided equipment

Perks

• Exposure to a large, established healthcare revenue cycle operation
• Competitive hourly pay within market range

Addison Group is an Equal Opportunity Employer.

Addison Group provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or veteran status, in accordance with applicable federal, state, and local laws. Reasonable accommodation is available for qualified individuals with disabilities upon request.

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