Cash Reconciliation Specialist

Overview

Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.

With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world's leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world's deadliest diseases and make life beyond cancer a reality.

At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.

The Cash Reconciliation Specialist is a key member of the Revenue Cycle Department, responsible for accurate payment posting, credit balance review, and supporting daily operations. This role contributes directly to the work of Revenue Cycle Specialists, Refund Specialists, and Program Assistant II by performing essential financial and administrative tasks.

This is a full-time, hourly position.

Responsibilities

• Daily cash book maintenance including reconciling deposits from multiple sources including ACH, KeyBank, BNY Mellon, and Waystar.
• Post insurance payments using electronic remits and manual entries, applying correct AR codes and interpreting EOBs.
• Utilize payer web portals to retrieve remittance advise and payment information to help inform payment posting and credit resolution.
• Responsible for daily cash reconciliation activities, which include monitoring outstanding payments, preparing end-of-day balancing spreadsheets, and validating the accurate posting of payment adjustments and resolving credit balance accounts.
• Post GL adjustments and distribute backup documentation to relevant departments.
• Resolve payment and credit balance issues by contacting insurance companies and collaborating with internal teams.
• Investigate and process refunds for insurance and patient overpayments, ensuring correct reimbursement rates.
• Review and respond to insurance refund requests, forwarding government-related cases and audit letters appropriately.
• Collaborate with multiple teams and internal departments to designate accounts for payment posting and resolve credit balances.
• Monitor and manage credit balance workqueues in Epic to ensure timely processing of patient and insurance refunds.
• Handle daily correspondence including scanning EOBs, uploading zero batches, and managing mail distribution.
• Assist in maintaining internal communications by monitoring email boxes and coordinating with Accounts Payable for check issues.
• Provide support to the Program Assistant by ensuring timely and accurate completion of daily tasks, including scanning Explanation of Benefits (EOBs), uploading zero batches, and managing mail distribution.
• Track cash posting and credit trends and report findings, contributing to team discussions and continuous process improvement.
• Execute supplementary duties as directed by the management team, ensuring alignment with organizational goals.

Qualifications

Required:

• High School
• At least one year of related experience
• Proficiency with computer systems, including keyboard/mouse use and email.Strong attention to detail.
• Clear and concise verbal and written communication skills.
• Ability to identify, resolve, or escalate issues appropriately.
• Previous healthcare experience in Revenue Cycle.
• Proficiency in Microsoft Office Suite (Excel, Outlook, Word).

Preferred:

• Understanding of debits, credits, and accounting principles
• Epic HB knowledge