Job Description

Essential Duties and Responsibilities:

The Cash Applications Specialist I is responsible for posting payments for various payers.  Verifying and processing refunds, payment research and payment transfers.

  • Perform electronic posting of commercial insurance and AHCCCS.
  • Perform manual posting of various commercial insurance and AHCCCS-- posting from EOBS and edits of electronic remits.
  • Perform manual posting of self pay and patient responsibility payments.
  • Responsible for posting denials from EOBS
  • Responsible for posting contractual adjustments and transfer requests from customer service and collections/management.
  • Perform special posting for - Ability to Pay Program (ATPP) payments, Ryan White Payments, Well Woman payments, Inspiris Payments
  • Must maintain daily average of 600+ daily transactions.
  • Accurately post payments and appropriately document the system so that all staff can understand and can be used as legal documentation if necessary.
  • Identify when errors are occurring in internal processes and by payers.
  • Efficiently and effectively navigate IDX, Impower, Microsoft Excel and Patient Collections Database
  • Maintain client and patient confidentiality.
  • Work credit balance reports.
  • Review unidentified payments and transfer to appropriate account invoices.
  • Perform related duties as assigned by supervisor.
  • Maintain compliance with all company policies and procedures.


  • 2 + years medical payment posting experience preferred
  • Prior experience with IDX, EPIC, Microsoft Access & Excel preferred.


  • High school diploma or equivalent


  • Knowledge of medical payment posting practices.
  • General health care knowledge.
  • General understanding of accounting debits and credits.
  • Knowledge of denial codes.
  • Understanding/compliance of HIPAA laws and regulations.
  • Computer proficiency (MS Office – Word, Excel and Outlook)
  • Ability to problem solve and analyze
  • Excellent verbal and written communication skills.
  • Ability to read, understand and follow oral and written instructions.
  • Must be well organized, detail oriented and demonstrate exceptional accuracy.
  • Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices.
  • Able to work in a team environment.
  • Ability to operate standard office machines and equipment, including telephones, computers, copy machines, fax machines, calculators, scanners and shredders.
  • Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
  • Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
  • Proficient in 10 key by touch.

Physical Requirements:

  • Requires sitting and standing associated with a normal office environment.
  • Manual dexterity needed for using a ten key calculator and computer keyboard.
  • Specific vision abilities include close vision, distance vision, depth perception and the ability to adjust focus.

Environmental Working Conditions:

  • Normal office environment.
  • The noise level of the work environment is usually moderate.
  • Occasional overtime maybe required and/or hours may be shortened as business needs dictate.

*The job holder must demonstrate current competencies applicable to the position.