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Job Title Cash Poster
Location San Leandro, CA
Department Billing
FLSA Status Non-Exempt
Reports to Billing Manager


Objective of the Position:  The objective of the Cash Posting position is to process daily posting including denials, bank reconciliation and the processing of all refunds for all private pay and Medicare overpayments occurring in the current month for Medicare, Medi-Cal and Office Ally (commercial Insurance).



  • Daily electronic billing extract and upload for all electronic billing payers
  • Process incoming mail
  • Pull daily electronic 835s from Ability, Office Ally, Clearinghouses for importing cash entry
  • Prepare and maintain the “Medicare Billed Monthly” Report
  • Post payments on appropriate patient accounts
  • Post contractual write-offs and revenue adjustments on appropriate patient accounts
  • Post denials or appropriate delegation of denial posting on an as needed basis, with the approval of management
  • Post documentation of in-bound correspondence in appropriate patient accounts
  • Process Medicare and private pay patient refunds which occur in the current month
  • Balance daily cash posted, maintain and update monthly bank statements and the Deposit Reconciliation Report, to include weekly and month end reconciliation to the billing system
  • Maintain compliance with all required HIPPA rules, regulations and guidelines
  • Communicate effectively with the Billing Department and Director of Business Administration, keeping everyone informed and up to date on issues, trends and any relevant information
  • Demonstrate and support Royal’s Mission, Values and Quality Standards


Skills / Requirements:

  • High-school diploma or equivalent
  • Excellent customer service skills
  • Strong math skills
  • Book-keeping experience
  • Good problem solving ability with sound reasoning and analysis of options
  • Equally able to work independently as well as within a team
  • Must be able to learn and interact with more technical computer applications in addition to knowledge of basic computer skills (Word, Excel, Outlook)
  • Can handle multiple requests and interruptions throughout the day as well as changing priorities and deadlines
  • Excellent multi-tasking skills
  • Extremely organized, detail oriented and focused
  • Can anticipate needs and potential problems and actively seek opportunities and propose solutions
  • Dependable with good communication skills
  • Ability to handle confidential information

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