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Cash Posting & Credit Balance Supervisor - Hospital - PFS - Revenue Cycle

Apply Job ID 32166 Date posted 09/15/2025

Job Family:

PFS General


Travel Required:

Up to 10%


Clearance Required:

None

What You Will Do

This position is classified as a Hybrid schedule consisting of two days working in the San Marcos, CA office and three days working from home.

Position Summary

The The Cash Posting & Credit Balance Supervisor is knowledgeable in all aspects of payment processing and is capable of independently executing responsibilities.  Also, is responsible for the on-line posting of all accounts receivable payments, balancing system, posting the daily deposit and preparing payment summary information for distribution to Accounting and Business Office Management.  This position is responsible for the supervision of cash application specialists, cash/adjustment posting systems and cash/adjustment processes. Performs any and all related job duties as assigned.

The Cash Posting & Credit Balance Supervisorwill also manage credit balance workloads and respond and follow-up on external and internal inquires in a timely manner. 

Essential Job Functions

  • Account Analyzing

  • Account Reconciliation

  • Cash Posting

  • Cash Reconciliation

  • Credit Balances

  • Balancing Daily Deposits and Control Logs

Duties and Responsibilities

  • Supervises and performs cash application functions relevant to patient financial services.

  • Accurately identifies and posts payment and adjustment transactions to patient accounts, client accounts, and to the general ledger.

  • Ensures correct contractual adjustment is posted to the patient’s or client’s account.

  • Receives, identifies, and batches all over the counter payments for posting.

  • Completes control log and balancing receipts for bank deposit.

  • Analyzes and accurately reconciles and corrects account postings through research and / or adjustment.

  • Balances control logs and daily deposits.

  • Posts electronic remits from third party payers to the patient accounting system.

  • Balances electronic funds transfer amount to electronic remit.

  • Ensures appropriate separation of duties and complies with established audit procedures.

  • Knowledgeable and complies with governmental regulations.

Client Responsibility

  • Verify accuracy of all correspondence prior to sending to the client.

  • Provide scheduled and requested reports.

  • Ensure aging of accounts falls within client and company guidelines.

  • Ensure compliance of all client policies and procedures by staff.

  • Research and respond to all client and patient inquiries received by telephone and mail.

  • Update patient demographic information and initiate account adjustments.

  • Try to resolve account balances to zero prior to accounts being forwarded to an outside    agency for collections.

  • Ensure daily files are being received and posted.

  • Ensure completion of client reconciliations to ensure account balance accuracy.

What You Will Need:

  • Requires a Bachelor's Degree and a minimum 5 years' or an Associates Degree and a minimum 7 years' of prior relevant experience. (Relevant experience may be substituted for formal education or advanced degree).

  • Previous experience within a healthcare provider, payor, insurance, professional business or an outsourcing company.

What Would Be Nice To Have

  • Multiple systems experience

  • Knowledge and utilization of desktop applications to include Word and Excel.

  • Ability to initiate and follow through on projects and work independently.

  • Strong written and verbal communication skills.

  • PC skills in a Windows environment.

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The annual salary range for this position is $74,000.00-$124,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.


What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance

  • Personal and Family Sick Time & Company Paid Holidays

  • Position may be eligible for a discretionary variable incentive bonus

  • Parental Leave

  • 401(k) Retirement Plan

  • Basic Life & Supplemental Life

  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

  • Short-Term & Long-Term Disability

  • Tuition Reimbursement, Personal Development & Learning Opportunities

  • Skills Development & Certifications

  • Employee Referral Program

  • Corporate Sponsored Events & Community Outreach

  • Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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