Lead Cash Posting Specialist

Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.

UUP

The Department of Hospital Finance at SUNY Downstate Health Sciences University is seeking a full-time TH Financial Analyst / Lead Cash Posting Specialist. The successful candidate will:

• Ensure that all cash received is posted to the individual patient accounts within two days of receipt and reconcile cash posted daily to the printed batches.
• Reconcile electronic postings with cash received.
• Research and retrieve monies belonging to UHB facility from other Lock Box/ payees.
• Ensure that ail unidentified accounts have been researched and posted or transferred within the same posting batch and/or date.
• Responsible for application on account money to the respective reference number.
• Assist In training and retraining of employee in the Cash Posting unit.
• Maintain all vouchers and cash receipts in an orderly manner.
• Prepare monthly statistics of posted payments to reflect all posting for the month.
• Assist patients and other staff members with any account information If necessary.
• Responsible for researching and selecting electronic files for posting. Analyze and reconcile all electronic posting utilizing daily bank statement, 835 files and Lawson report.
• Post adjustments when necessary for inpatient and outpatient.
• Responsible for daily manual posting all aspects of cash via Eagle system from third party.
• Responsible for using the OC44 report to adjust accounts balances for co-payments and co-insurance.
• Prepare the breakdown of cash posted electronically and manually by insurance and the year of service for statistical purposes.
• Use excel file to prepare cash breakdown for monthly OPD transfer file and daily deposit.
• Post denials using DNY entry code and entering the appropriate denial codes.
• Responsible for application of on-account monies to the respective reference number.
• Identify over-payments by the same payer. identify, Investigate and prepare disbursement requests for patients' refunds of duplicate payments as needed.

• High School Diploma or equivalent.
• 5 to 7 years of cash posting experience in a hospital setting.
• Experience with Eagle registration and billing system.
• Or, a satisfactory equivalent combination of experience, education and training. 

Monday to Friday; 9:00am to 5:00pm (Full-Time)

Commensurate with experience and qualifications

Pursuant to Executive Order 161, no State entity, as defined by the Executive Order, is permitted to ask, or mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior compensation history, until such time as the applicant is extended a conditional offer of employment with compensation.  If such information has been requested from you before such time, please contact the Governor’s Office of Employee Relations at (518) 474-6988 or via email at info@goer.ny.gov.

SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.

Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.

If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at ada@downstate.edu

Advertised: June 12, 2026 Eastern Daylight Time
Applications close: June 17, 2026 Eastern Daylight Time

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