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Job Summary 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. As a Cash Specialist II at Community Health Systems (CHS) - SSC Nashville, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k. 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. 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 Experience in in interpreting Explanation of Benefits (EOBs), understanding offsets, and working with multiple payors is 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. We know it’s not just about finding a job. It’s about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible. The Shared Services Center - Nashville provides business office support functions like billing, insurance follow-up, call center customer service, data entry and more for hospitals and healthcare providers. But we're not only about work. We know employing a skilled and engaged team of professionals is vitally important to our success, so we make sure to offer competitive benefits, recognition programs, professional development opportunities and a fun and engaging team environment. Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.