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Patient Accounts Cash/Refund Specialist

Southern Illinois Healthcare

System OfficeClosed

This posting closed on 2026-09-16. 265 other Southern Illinois Healthcare postings are live.

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub.

Position Summary

• Responsible for processing, posting and adjusting payments to GL and patient accounts

and monitoring credit balances, initiating and processing refunds.

Principal Accountabilities

• Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship,

Accountability, Quality

Education

• High School diploma plus 6 months specialized training

Licenses and Certification

• N/A

Experience and Skills

• Technical Experience: 1 year

• Billing and Account Follow-up Experience

• Computer proficiency and 10 Key

• Typing –minimum 40 wpm

• Mathematical computation skills

Physical Activities

• Intermittent hand manipulation required

• Intermittent lifting and carrying of 20 pounds

• Sit for extended periods of time

Role Specific Responsibilities

o Retrieves balances and posts all cash receipts, deposits, lockbox and electronic

payment files.

o Performs GL entries in the designated Cash Summary Log and ensures

reconciliation of balances to the totals on the deposit slip.

o Notifies Coordinator of any changes in reimbursement, missing remits, abnormal

remittances, incorrect batch calculations or other concerns in the daily posting

batch.

o Reviews, researches and completes unapplied cash accounts ensuring any cash

application issues are resolved.

o Utilizes basic mathematical concepts in daily work flow to resolve patient or

payor variances.

o Researches websites for missing EOB’s

o Identifies and edits rejection batches for electronic remits.

o Manages organization of electronic payment files and folders

o Creates and maintains excel logs as needed.

o Completes special projects as needed by Coordinator/Manager.

o Assist with Express Deposit posting and balancing procedures.

o Collaborates with accountants on balancing issues.

o Works assigned Epic work queues.

o Participates, presents and updates departments Gemba Board

o Monitors the Commercial Hospital Billing, Commercial and Government Professional Billing credit balance work queues and identifies trends

o Verifies documentation supports refunds

o Responds to complaints and initiate’s action

o Investigates refund requests, maintains knowledge on managed care contracts and seeks guidance or approval as applicable

o Ensures SIH accounting and internal control policies and procedures are followed for the processing of refund checks.

o Utilizes basic mathematical concepts in daily workflow to resolve patient or payer variances.

Compensation (Commensurate with experience):

$17.57

To

$26.36

To access our Benefits Guide/Plan Information, please click the link below:

http://www.sih.net/careers/benefits

Seen 16 days ago · Southern Illinois Healthcare postings close after a median of 29 days.

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