Cash Reconciliation Specialist

Job Title : Cash Reconciliation Specialist

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 position 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 Explanation of Benefits (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 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

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).

At least one year of related experience

Preferred :

Understanding of debits, credits, and accounting principles

Epic HB knowledge

The hourly pay range for this position is from $25.22 to $35.90 and pay offered will be based on experience and qualifications. Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical / vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).

Additional Information

We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance / and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.