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Senior Cash Posting Specialist

BrightSpring Health Services

United States, Tennessee, Nashville

Mar 24, 2026

Job Locations

US-TN-NASHVILLE

2026-184550

Line of Business

BrightSpring Health Services

Position Type

Full-Time

Our Company

BrightSpring Health Services

Overview

The Senior Cash Posting Specialist is responsible for ensuring accurate and efficient posting of payments, adjustments, and denials to patient accounts or other financial systems within BrightSpring Health. This role requires a high level of expertise in managing payment discrepancies, resolving escalated issues, and assisting with process improvement initiatives. The Senior Specialist will also mentor junior team members and serve as a point of contact for complex cash posting matters. Manages deduction process by performing research, resolving where possible. This position requires focus and dedication, strong attention to detail and strong customer service skills to develop and maintain relationships.

Responsibilities

* Payment Posting:

* Accurately post payments (e.g., checks, EFTs, credit cards) to patient accounts or organizational financial systems.

* Reconcile payment batches and ensure all payments are accounted for.

* Process adjustments, refunds, and write-offs in accordance with company policies.

* Denial and Discrepancy Resolution:

* Research and resolve payment discrepancies, misapplied payments, and under/overpayments.

* Work with contracting for any contractual adjustment discrepancies.

* Collaborate with AR Team to address unresolved payment issues.

* Handle and correct payment rejections and denials in coordination with the AR or billing team.

* Auditing and Quality Control:

* Perform routine audits of cash posting activities to ensure accuracy and compliance with organizational standards.

* Research misapplied cash and unidentified payments by working with the appropriate departments and/or payers.

* Identify trends or recurring issues and suggest process improvements to management.

* Team Support and Training:

* Serve as a subject matter expert (SME) for the cash posting team.

* Mentor and assist in training junior cash posters to enhance team performance.

* Act as a liaison between cash posting, billing, and AR departments to resolve complex issues.

* Reporting and Documentation:

* Prepare and review daily, weekly, and monthly payment reconciliation reports, as needed.

* Ensure proper documentation of all payment-related activities in compliance with company policies and regulations.

Qualifications

High school diploma or GED required.

Associate's or bachelor's degree in finance, accounting, or a related field preferred.
Three-five years of experience in cash posting, accounts receivable, or revenue cycle operations, preferably in healthcare or a similar industry.
Experience with payment reconciliation and denial management required.
Strong understanding of payment processes, including remittance advices (EOBs and ERAs).
Familiarity with financial systems and electronic payment tools (e.g., Epic, Cerner, or other billing software).
Exceptional attention to detail and accuracy.
Strong problem-solving and analytical skills.
Ability to work independently and handle complex or escalated cases.
Proficient in Microsoft Office Suite, especially Excel.
Travel up to 25%

About our Line of Business

BrightSpring Health Services provides complementary home- and community-based pharmacy and provider health solutions for complex populations in need of specialized and/or chronic care. Through the Company's service lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive and integrated care and clinical solutions in all 50 states to over 450,000 customers, clients and patients daily. BrightSpring has consistently demonstrated strong and industry-leading quality metrics across its services lines, while improving the quality of life and health for high-need individuals and reducing overall costs to the healthcare system. For more information, please visit www.brightspringhealth.com. Follow us on Facebook, LinkedIn, and X.