Tennessee Orthopaedic Alliance

  • Cash Posting Specialist

    Job Locations US-TN-Nashville
    Posted Date 1 week ago(11/6/2018 10:30 AM)
    Job ID
    # of Openings
    Central Business Office
  • Overview

    The Cash Posting Specialist is responsible for receiving, posting, and balancing or adjusting daily payment transactions. 


    • Check the adjustment ledger report of all things posted the prior business day

    • Obtain payment batch information from the lockbox, EFT's, or payment navigator
    • Enter and/or complete payment batches within NextGen
    • Check emails or inbox for any posting corrections and bring them to resolution

    • Run an adjustment report of actual vs. expected payments received based on payer contracts or mandated fee schedules (i.e.: Medicare, Medicaid, and Work Comp)
    • Post payments from the MBX lockbox and/or ERA file
    • Run a transaction balance report at the end of the day to ensure that all cash posted is balanced
    • Payments and adjustments should be posted within a 24-48 hour turnaround time.

    • Payments received in a given month must be posted by the close of the month and at times this may require overtime and/or work hours that are outside of the normal assignment in order to ensure completion

    • Assist with a variety of projects and performs other duties as assigned


    • High school diploma required
    • Experience posting payments against physician accounts.
    • Ability to read and understand payer remittance advices.
    • Ability to differentiate between allowed charges, contractual adjustments, line item denials, patient responsibility (co-pay, co-insurance, and deductibles), bundled payments, etc.
    • Requires both speed and accuracy in performing data entry.
    • Ability to organize and prioritize day-to-day tasks in order to keep work assignments current.
    • Preferred if you are proficient in utilizing MS-Excel for using basic formulas, pivot tables, and charts.


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