Cash Specialist II

About Tennova Healthcare- North Knoxville Medical Center

Tennova Healthcare- North Knoxville Medical Center is committed to providing exceptional care and fostering a supportive environment for both patients and employees. As part of Community Health Systems, we operate numerous healthcare facilities across multiple states, focusing on delivering high-quality healthcare services. We believe in creating a workplace where talent is recognized, professional development is encouraged, and contributions are valued.

Benefits

• Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy.
• Future Security: 401(k) with matching
• Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future.
• Educational Tuition Assistance
• Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication.
• Paid Time Off

Job Summary for Cash Specialist II

The Cash Specialist II is responsible for processing, reconciling, and balancing cash transactions to ensure accurate posting of payments and adjustments. This role involves analyzing payer reimbursements, resolving discrepancies, and maintaining compliance with company policies and regulatory requirements. The Cash Specialist II also reviews health insurance payments, manages fund transfers, and ensures accuracy in patient account transactions while supporting process improvements in financial operations.

Essential Functions

• Receives, reviews, and preps batches for daily posting, ensuring transactions are accurate and correctly applied.
• Posts insurance and non-insurance payments, including resolving edits, manually matching invoices, and balancing payment files against checks or electronic funds transfers (EFTs).
• Verifies and logs all fund transfers, lockbox deposits, and over-the-counter payments, ensuring proper reconciliation.
• Resolves discrepancies and balances daily postings, submitting necessary variances for corrections and ensuring timely completion.
• Analyzes payer reimbursements, comparing payments received against contract fee schedules to confirm appropriate adjustments and determine patient responsibility when applicable.
• Processes and posts debit entries for approved refunds, ensuring compliance with company policies and financial guidelines.
• Researches and transfers unidentified payments, applying established procedures to allocate funds correctly.
• Ensures account balances are accurate, reviewing posted transactions and preparing batches for scanning into document imaging systems.
• Maintains compliance with hospital policies, procedures, and regulatory requirements, ensuring adherence to HIPAA guidelines and financial controls.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in Accounting, Finance, Business Administration, or a related field preferred
• 2-4 years of experience in cash posting, accounts receivable, banking, or payment processing required
• Experience with healthcare revenue cycle, insurance reimbursement, or financial operations preferred

Knowledge, Skills And Abilities

• Strong understanding of cash reconciliation, payment posting, and financial transaction balancing.
• Experience with insurance remittance, contractual adjustments, and refund processing.
• Proficiency in Microsoft Excel, financial reconciliation tools, and cash management software.
• Ability to analyze and resolve discrepancies in financial transactions.
• Excellent attention to detail, organizational skills, and ability to work under deadlines.
• Strong verbal and written communication skills, with the ability to interact with finance teams, payers, and internal departments.
• Knowledge of HIPAA and financial security regulations related to payment transactions and patient accounts.

Key skills/competency

• Cash Reconciliation
• Payment Posting
• Accounts Receivable
• Financial Operations
• Discrepancy Resolution
• Insurance Reimbursement
• Fund Transfers
• HIPAA Compliance
• Microsoft Excel
• Financial Controls