Job Title

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities. Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life's challenges. We offer behavioral healthcare services - psychiatry, addiction recovery, mental disorder treatment, etc. - that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being. Summary The Cash Posting Specialist is responsible for the accurate and timely posting of payments, reconciliation of accounts, and processing of remittance information to support the organization's revenue cycle operations. This role ensures proper application of insurance and patient payments, maintains compliance with internal financial controls, and supports overall accounts receivable accuracy. Essential Duties and Responsibilities • Post insurance, patient, and third-party payments accurately and in a timely manner. • Download and process electronic remittance advice (ERA) files and online remittance information. • Research and resolve electronic posting exceptions and payment discrepancies. • Complete daily and monthly cash reconciliation reports for assigned centers or programs. • Analyze payments to ensure appropriate reimbursement in accordance with payer contracts and fee schedules. • Process contractual adjustments and move balances to secondary or patient responsibility as appropriate. • Review and process account adjustments following company policy and internal control standards. • Maintain awareness of current payer contracts, reimbursement methodologies, and updates. • Assist with month-end reporting and reconciliation of posted cash. • Identify and notify leadership of issues related to billing, pricing discrepancies, or payment variances. • Maintain strict adherence to internal control procedures and revenue cycle policies. • Maintain confidentiality of financial, patient, and company information at all times. • Open, sort, and distribute incoming mail in the office related to payments, remittances, correspondence, and billing documentation. • Communicate effectively with billing, accounts receivable, and other revenue cycle team members to resolve posting-related questions. • Must exercise discretion and maintain confidentiality with regard to all company information. • Completion of all required trainings as designated by the company and applicable regulatory bodies. • Other duties as assigned. Supervisory Responsibilities None Required Qualifications Licensure, Education, & Experience • High school diploma or equivalent required. • Minimum of one (1) year of experience in medical cash posting, payment reconciliation, or accounts receivable preferred. • Experience working with electronic remittance advice (ERA) and explanation of benefits (EOB) processing preferred. • Experience in a healthcare or behavioral health billing environment, preferred. • Familiarity with electronic health record (EHR) and billing systems, preferred. Job Knowledge, Skills, and Abilities To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Knowledge of medical payment posting and reimbursement processes • Ability to understand and apply payer reimbursement guidelines • Strong attention to detail and accuracy with financial data • Ability to identify discrepancies and follow established procedures for resolution • Strong organizational and time-management skills • Effective written and verbal communication skills • Ability to maintain confidentiality and handle sensitive financial and patient information • Proficiency with Microsoft Office, especially Excel • Ability to work independently and as part of a team • Basic analytical and problem-solving skills Physical Demands While performing the duties of this job, the employee is frequently required to sit, talk, and hear. The employee is regularly required to use hands to type, handle, or feel, and reach with hands and arms. The employee may occasionally be required to stand, walk, bend, or lift up to 15 pounds. Specific vision abilities required include close vision, distance vision, and ability to adjust focus. Work Environment This position operates in a professional office environment. The noise level is typically moderate. The role requires regular use of computers, office equipment, and handling of physical mail and payment documents. Compensation This position may be subject to state or local wage transparency requirements. Where required by law, a compensation range will be provided. For candidates applying in jurisdictions with such requirements, the applicable range will be disclosed either in this posting or during the interview process. Please note that compensation may vary depending on factors such as geographic location, experience, qualifications, and internal equity. To inquire about the salary range for your specific location, please contact our recruitment team. Pyramid CORE Values: We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards. We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily. COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare's mission. Total Rewards for Full-Time Positions: Medical, Dental, and Vision Insurance Flexible Spending Accounts Life Insurance Paid Time Off 401(k) with Company Match Tuition Reimbursement Employee Recognition Programs Referral Bonus opportunities And More! Want to know more?To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.