The Patient Account Specialist provides cash posting operations to the billing team within the assigned function(s). The incumbent performs the timely and accurate posting of electronic and manual cash receipts, denials and adjustments to patient accounts in the EMR and researching and correcting data entry errors using eClinicalWorks. This position is in a primary care, psych and behavioral health social service setting with specialized LGBTQ+ care and services.

Primary Tasks/Responsibilities:

  • Position is contract to permanent based on performance.
  • Patient Account Specialist will work with insurance payers, remittance advice, payer portal portals, patient/clientele, finance, and billing to ensure correct posting of patient payments.
  • Will be responsible for reviewing the Cashing Posting Excel log from finance and pulling remittance advice/EOBs to correlate the payments to individual patient accounts.
  • Will need the ability to understand the reconsolidation experience, an understanding of cash posting, EFT knowledge, payer portal experience and ability to search for EOBs.
  • Post routine electronic and manual cash receipts, adjustments and denials.
  • Ensures reconciliation of all posted data.
  • Balance electronic and manual cash receipts through the generation and analysis of necessary reports.
  • Works Self-Pay Queue as assigned, this includes contacting patients for outstanding balances due to METRO.
  • Resolves outstanding variances, errors, and issues.
  • Ability to notice trends in non-payments, errors within the patient account system (eCW).
  • Posting zero payment EOBs and making necessary contractual or agency adjustments.
  • Perform all responsibilities in compliance with company policies and procedures.
  • Assist with various projects as assigned by direct supervisor.
  • Other duties as assigned.


  • High School Diploma Required.
  • Two years of cash posting, register reports, accounting clerk or related field, preferred.

Knowledge, Skills and Competencies Required:

  • Knowledge of EMR systems, preferably with eClinicalWorks helpful.
  • Ability to effectively utilize problem-solving and decision-making techniques.
  • Ability to make effective judgments and decisions based on objective criteria.
  • Attentive to detail and strong organizational skills.
  • Ability to tactfully interact with diverse personalities.
  • High comfort working in a busy environment with changing priorities.
  • Good computer skills with working knowledge of word processing spreadsheet and email applications.
  • Detail oriented with good analytical and organizational skills.
  • Good interpersonal skills with the ability to work cohesively within a team environment.
  • Excellent oral and written communication skills to effectively communicate with all levels of management.


  • Must possess and maintain valid Florida driver’s license and proof of insurance.
  • Must have reliable and accessible auto vehicle.
  • Must pass necessary fingerprinting, Level II background checks and employment eligibility verification through the U. S. Department of Homeland Security’s E-Verify system,

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