Healthcare Cash Reconciliation Specialist

We care about the people we serve. And we care about the people they serve.

We pay attention to details.

We use technology to be more efficient.

We take pride in our results.

Join Accountable Revenue Cycle Solutions in Westerville, Ohio. Fabulous office environment and team. Strong, supportive management.

Accountable Revenue Cycle Solutions is seeking an experienced high performing Medical Cash Reconciliation Specialist that works in-office in Westerville, Ohio to join our organization. Experience in medical billing, cash reconciliation, and accounts receivable is a requirement, but we’re looking for people that can also offer more than that. If you share our passion for professional excellence, and our commitment to being the most effective billing partner a medical practice can choose, this is the job for you.

POSITION PURPOSE

The Medical Cash Reconciliation Specialist is responsible for ensuring the accurate reconciliation of all incoming payments within the revenue cycle. This role supports financial integrity by reconciling payments from insurance carriers, patients, and third-party sources to the general ledger and practice management systems. The position plays a critical role in identifying discrepancies, resolving variances, and supporting timely and accurate financial reporting.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Reconcile daily, weekly, and monthly cash postings to bank deposits and general ledger accounts
• Verify and balance payments from insurance carriers, patient payments, EFTs, checks, and lockbox deposits
• Investigate and resolve discrepancies between posted payments and bank activity
• Ensure accurate application of payments within practice management and billing systems
• Reconcile Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) postings
• Work closely with Accounts Receivable and Billing teams to resolve unapplied or misapplied payments
• Prepare and maintain reconciliation reports and supporting documentation for audit purposes
• Identify trends in payment discrepancies and escalate issues as appropriate
• Assist with month-end close activities related to cash and revenue accounts
• Maintain compliance with internal controls, policies, and healthcare regulations

ADDITIONAL DUTIES

This position description is not designed to cover every type of activity or work that may be required in this position. Duties and responsibilities may change, or new ones may be assigned to the employee at any time based on the needs of the company.

REQUIRED QUALIFICATIONS

Education, Training, Certification and Experience:

• High school diploma or equivalent required
• 2–4 years of experience in medical billing, accounts receivable, or cash reconciliation
• Experience working with healthcare revenue cycle processes
• Strong understanding of EOBs, ERAs, and payer remittance processes
• Proficiency in Microsoft Excel and financial systems
• Strong attention to detail and analytical skills
• Ability to manage multiple priorities and meet deadlines

Personal Attributes:

• Excellent attention to detail and data entry accuracy
• Ability to work collaboratively and effectively as part of a team
• Problem-solving mindset with the ability to investigate discrepancies
• Effective communication and collaboration skills
• Strong organizational and time management skills

Benefit Conditions:

• Waiting period may apply
• Only full-time employees eligible

Work Remotely

• In Person in our Westerville, Ohio Location / Not a Remote position

Job Type: Full-time

Pay: $22.00 - $26.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

People with a criminal record are encouraged to apply

Ability to Commute:

• Westerville, OH 43081 (Required)

Ability to Relocate:

• Westerville, OH 43081: Relocate before starting work (Required)

Work Location: In person