Role Description The Cash Application Specialist is responsible for accurately entering and efficiently posting and reconciling all incoming payments within the revenue cycle management department (RCM). This role focuses heavily on Workers’ Compensation reimbursement but will also handle Commercial and Medicare payment posting. The specialist will ensure timely cash posting, payment reconciliation, accuracy of payer adjustments, and resolution of payment variances to support clean financial reporting, optimized AR performance, and a smooth billing-to-cash workflow. This is a remote role. We are only hiring in the following states: - AZ - CA - NM - NV - OR - TX - WA What you will do: - Accurately post all payments, including checks, EFT/ERA transactions, virtual credit cards, and manual payments. - Process Workers’ Compensation payments from multiple TPAs, carriers, and state programs, with attention to detail regarding expected allowable amounts. - Ensure correct application of contractual adjustments, write-offs, and denial codes according to payer rules and internal policies. - Reconcile daily deposits, bank statements, lockbox files, and ERAs to ensure all cash is posted and balanced. - Maintain and monitor unapplied cash, ensuring timely resolution and accurate allocation. - Identify payment discrepancies, underpayments, and overpayments, routing issues to AR Follow-Up or Denial Prevention teams as appropriate for timely resolution. - Process refunds, and take backs in accordance with compliance and internal policies. - Work collaboratively with AR (internal and external vendor) and billing teams to research missing payments, misapplied cash, payer posting errors, and incorrect remittance details. - Maintain audit-ready documentation for posted batches, reconciliations, and resolved variances. - Assumes other responsibilities as appropriate to the position and organizational needs. Qualifications - High school diploma or GED required, associate degree in accounting, finance, or related field preferred. - 2+ years of experience in healthcare cash posting, preferably within an RCM environment. - Strong experience with Workers’ Compensation payments (TPA/carrier payments, fee schedule interpretation, rehab billing, EOR review). - Understanding of EOBs/ERAs, denial codes, payment posting methodologies, and basic accounting principles. - Ability to work in a fast-paced environment, meet daily deadlines, and collaborate with cross-functional RCM teams. - Experience with multiple EHR/Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar). - Basic understanding of NCCI edits and payer-specific billing guidelines. - Accuracy and attention to detail, analytical thinking and problem solving, and high integrity and compliance focus. - Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications. Requirements - Compensation Range: $25.00 to $30.00 Hourly. - All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations. Benefits - Amazing work/life balance. - Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO). - 401(K) Plan with Employer Matching. - License & Tuition Reimbursements. - Paid Time Off. - Holiday Pay & Floating Holiday. - Employee Perks and Discount Programs. - Supportive environment to help you grow and succeed.

SUMMARY: The Receivables Management Analyst plays a critical role in managing and optimizing Hospital Receivables operations. The role involves advanced data analysis, process improvement, and collaboration across departments to support financial performance and revenue integrity. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Assists the Supervisors, Managers and Claim Director in compiling any necessary statistics needed for follow-up activities. Advanced Excel modeling (pivot tables) Continually evaluates workflow and identifies opportunities to improve process for full and complete payment for all hospital services rendered to patients. Ensures accuracy, efficiency and integrity of all information systems pertaining to Government payers as well as Blue Cross and Worker’s compensation. Responds to requests from various hospital personnel related to Medicare or Medicaid regulations as it applies to hospital and professional billing and reimbursement providing supporting resource information. Ensures Medicare and Medicaid 838 and 3 day overlap reports are accurately completed as required by federal regulation to ensure no interruption to Medicare and Medicaid monies paid to each affiliate. Creates month end aging reports and summaries Ensures all shared interdepartmental accounts receivable related files are completed accurately and referred to the appropriate department to ensure timely claims processing. Creates, generates and maintains ad hoc reports as requested by Supervisor or Director to assist in the daily operation of the department. Coordinates all assigned activities between Lifespan and its Contracted Billing Agency for Out of State Medicaid billing and accounts receivable. Participates in staff meetings, councils, quality improvement teams and other such meetings and committees as required. Develops and maintains working relationships with Lifespan affiliate departments as needed to ensure fully data exchange. Responsible for completing spreadsheets needed to respond to internal and external audits. Maintains up to date knowledge of changes in regulations that impact claims processing Performs other duties as necessary. WORK LOCATIONS/EXPECTIONS: After orientation at the Corporate facilities, work is performed based on the following options approved by management and with adherence to a signed telecommuting work agreement and Patient Financial Services Remote Access Policy and Procedure. Full time schedule worked in office Full time schedule worked in a dedicated space in the home Part time schedule in office and in a dedicated space within the home Schedules must be approved in advance by management who will allow for flexibility that does not interfere with the ability to accomplish all job functions within the said schedule. Staff are required to participate in scheduled meetings and be available to management throughout their scheduled hours. Staff must be signed into Microsoft Teams during their entire shift and communicate with Supervisor as directed. MINIMUM QUALIFICATIONS: After orientation at the corporate facilities, work is performed based on the following options approved by management and with adherence to a signed telecommuting work agreement and Patient Financial Services Remote Access Policy and Procedure.. - Full time schedule worked in office - Full time schedule worked in a dedicated space in the home - Part time schedule in office and in a dedicated space within the home Schedules must be approved in advance by management who will allow for flexibility that does not interfere with the ability to accomplish all job functions within the said schedule. Staff are required to participate in scheduled meetings and be available to management throughout their scheduled hours. Staff must be signed into Microsoft Teams during their entire shift and communicate with Supervisor as directed. MINIMUM QUALIFICATIONS: Education: Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field preferred. EXPERIENCE: 5+ years in hospital billing or revenue cycle management. Strong knowledge of UB-04 & 1500, CPT/ICD coding, DRG, and payer reimbursement methodologies. Strong knowledge of hospital and professional billing workflows. Skills: Advanced proficiency in hospital billing systems (Epic, SSI) and MS Excel. Strong knowledge of hospital and professional billing workflows. Strong analytical, leadership, and communication skills. Experience with EHR systems (Epic certification preferred). INDEPENDENT ACTION: Incumbent functions independently within scope of department policies and practices; refers specific problems to supervisor only when clarification of departmental policies and procedures may be required. SUPERVISORY RESPONSIBILITIES: None. Pay Range: $67,724.80-$111,716.80 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903Work Type: M-F 7:00am-3:30pmWork Shift: DayDaily Hours: 8 hoursDriving Required: No

SUMMARY: The Receivables Management Analyst plays a critical role in managing and optimizing Hospital Receivables operations. The role involves advanced data analysis, process improvement, and collaboration across departments to support financial performance and revenue integrity. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Assists the Supervisors, Managers and Claim Director in compiling any necessary statistics needed for follow-up activities. Advanced Excel modeling (pivot tables) Continually evaluates workflow and identifies opportunities to improve process for full and complete payment for all hospital services rendered to patients. Ensures accuracy, efficiency and integrity of all information systems pertaining to Government payers as well as Blue Cross and Worker’s compensation. Responds to requests from various hospital personnel related to Medicare or Medicaid regulations as it applies to hospital and professional billing and reimbursement providing supporting resource information. Ensures Medicare and Medicaid 838 and 3 day overlap reports are accurately completed as required by federal regulation to ensure no interruption to Medicare and Medicaid monies paid to each affiliate. Creates month end aging reports and summaries Ensures all shared interdepartmental accounts receivable related files are completed accurately and referred to the appropriate department to ensure timely claims processing. Creates, generates and maintains ad hoc reports as requested by Supervisor or Director to assist in the daily operation of the department. Coordinates all assigned activities between Lifespan and its Contracted Billing Agency for Out of State Medicaid billing and accounts receivable. Participates in staff meetings, councils, quality improvement teams and other such meetings and committees as required. Develops and maintains working relationships with Lifespan affiliate departments as needed to ensure fully data exchange. Responsible for completing spreadsheets needed to respond to internal and external audits. Maintains up to date knowledge of changes in regulations that impact claims processing Performs other duties as necessary. WORK LOCATIONS/EXPECTIONS: After orientation at the Corporate facilities, work is performed based on the following options approved by management and with adherence to a signed telecommuting work agreement and Patient Financial Services Remote Access Policy and Procedure. Full time schedule worked in office Full time schedule worked in a dedicated space in the home Part time schedule in office and in a dedicated space within the home Schedules must be approved in advance by management who will allow for flexibility that does not interfere with the ability to accomplish all job functions within the said schedule. Staff are required to participate in scheduled meetings and be available to management throughout their scheduled hours. Staff must be signed into Microsoft Teams during their entire shift and communicate with Supervisor as directed. MINIMUM QUALIFICATIONS: After orientation at the corporate facilities, work is performed based on the following options approved by management and with adherence to a signed telecommuting work agreement and Patient Financial Services Remote Access Policy and Procedure.. - Full time schedule worked in office - Full time schedule worked in a dedicated space in the home - Part time schedule in office and in a dedicated space within the home Schedules must be approved in advance by management who will allow for flexibility that does not interfere with the ability to accomplish all job functions within the said schedule. Staff are required to participate in scheduled meetings and be available to management throughout their scheduled hours. Staff must be signed into Microsoft Teams during their entire shift and communicate with Supervisor as directed. MINIMUM QUALIFICATIONS: Education: Bachelor’s degree in finance, Accounting, Healthcare Administration, or related field preferred. EXPERIENCE: 5+ years in hospital billing or revenue cycle management. Strong knowledge of UB-04 & 1500, CPT/ICD coding, DRG, and payer reimbursement methodologies. Strong knowledge of hospital and professional billing workflows. Skills: Advanced proficiency in hospital billing systems (Epic, SSI) and MS Excel. Strong knowledge of hospital and professional billing workflows. Strong analytical, leadership, and communication skills. Experience with EHR systems (Epic certification preferred). INDEPENDENT ACTION: Incumbent functions independently within scope of department policies and practices; refers specific problems to supervisor only when clarification of departmental policies and procedures may be required. SUPERVISORY RESPONSIBILITIES: None. Pay Range: $67,724.80-$111,716.80 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903Work Type: M-F 7AM-330PMWork Shift: DayDaily Hours: 8 hoursDriving Required: No

• Managing end-to-end Accounts Payable and Accounts Receivable functions • Tracking and initiating vendor payments • Creating and processing customer invoices • Applying incoming payments • Reporting directly to the Controller and supporting the broader Accounting team • Ensuring accuracy, timeliness, and compliance in all financial transactions • Maintaining orderly filing systems for unmatched invoices, purchase orders, and credit memos • Matching invoices, purchase orders, and credit memos on a daily basis • Checking entered invoices for accuracy of data input • Preparing and submitting weekly reports on problem invoices to the Controller