Cash Posting Analyst - OKC at Pafford EMS in Oklahoma
- Company: Pafford EMS
- Location: Oklahoma
- Posted: Sep 18, 2026
- Type: Full-time
- Experience: 4+ years
Overview
Job Title: Cash Posting Analyst Work Location: Oklahoma City, OK Division/Department: PMBS The Cash Posting Analyst is responsible for accurately posting and reconciling payments received from Medicare, Medicaid, commercial insurance carriers, healthcare facilities, attorneys, and private pay patien…
Job description
- Job Title: Cash Posting Analyst
- Work Location: Oklahoma City, OK
- Division/Department: PMBS
- The Cash Posting Analyst is responsible for accurately posting and reconciling payments received from Medicare,
- Medicaid, commercial insurance carriers, healthcare facilities, attorneys, and private pay patients. This position performs detailed analysis of payment activity, researches posting discrepancies, resolves unapplied cash, and assists in maintaining the integrity of financial and billing records.
- The Cash Posting Analyst serves as a key contributor to revenue cycle operations by ensuring payments are accurately applied, variances are investigated, and account balances reflect proper reimbursement activity.
Responsibilities
- Cash Posting & Payment Processing
- Post electronic remittance advice (835) payments accurately and timely.
- Post EFT, lock-box, paper check, credit card, attorney, facility, and patient payments.
- Verify payments are applied to the correct accounts and service dates.
- Review and process contractual adjustments, write-offs, and payer adjustments.
- Monitor daily posting volumes and ensure established turnaround times are met.
- Identify and resolve posting exceptions and payment discrepancies.
- Payment Analysis & Reconciliation
- Research payment variances and posting discrepancies.
- Analyze remittance advice and explanation of benefits (EOB) information.
- Reconcile payment activity against remittance files and deposit records.
- Investigate unidentified or misapplied payments.
- Assist with daily, weekly, and monthly reconciliation activities.
- Identify trends impacting payment posting accuracy and efficiency.
- Unapplied Cash & Credit Balance Resolution
- Research unapplied cash and unidentified payment balances.
- Assist in resolving credit balances and overpayment situations.
- Review accounts for potential refund activity.
- Document research findings and account resolution efforts.
- Escalate unresolved issues to management as appropriate.
- Account Research & Resolution
- Review patient accounts to ensure accurate account balances.
- Research payer payment issues and discrepancies.
- Coordinate with billing, EDI, customer service, and follow-up teams to resolve account concerns.
- Assist with correction of posting errors and account adjustments.
- Maintain accurate documentation within the billing system.
- Reporting & Quality Assurance
- Monitor personal productivity and quality standards.
- Assist with preparation of payment posting reports and reconciliation summaries.
- Perform quality reviews to ensure posting accuracy.
- Identify process improvement opportunities and communicate recommendations.
- Maintain departmental performance expectations for accuracy and productivity.
- Compliance & Security
- Ensure compliance with HIPAA and all applicable federal and state regulations.
- Maintain confidentiality of protected health information and financial records.
- Follow departmental policies and internal financial controls.
- Support internal and external audit activities as requested.
- Participate in quality assurance and compliance initiatives.
- Team Collaboration
- Collaborate with billing, collections, customer service, EDI, and finance teams.
- Participate in staff meetings, training programs, and departmental projects.
- Assist with implementation of workflow improvements and system enhancements.
- Perform other duties as assigned.
Requirements
- Knowledge of healthcare billing and reimbursement processes.
- Knowledge of payment posting, remittance processing, and account reconciliation.
- Knowledge of Medicare, Medicaid, commercial insurance, and managed care reimbursement.
- Knowledge of explanation of benefits (EOB) and electronic remittance advice (835) transactions.
- Knowledge of basic accounting and reconciliation principles.
- Strong analytical and problem-solving skills.
- Strong attention to detail and accuracy.
- Strong organizational and time-management abilities.
- Effective verbal and written communication skills.
- Experience with healthcare billing systems and cash posting preferred.
Skills
Required
- Strong attention to detail and accuracy