Patients Accounts Specialist II - Greenville, NC

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Vidant Health

Full Time



About Vidant Medical Center

Vidant Medical Center is a fully accredited, 900+ bed regional referral facility encompassing a Level-1 Trauma Center and extensive inpatient and outpatient services including intensive and intermediate care, pediatrics, bariatrics, obstetrics, and gynecology, surgery, pain management and psychiatry.

Position Summary

The Cash Applications Specialist II (CAS II) is responsible for accurately and efficiently handling all electronic and paper payments and for ensuring that all payments received are posted to the appropriate account and deposited in a timely manner for all Vidant Hospitals and Vidant Surgicenter. The CAS II also handles the bank deposits for Vidant Health Management, AccessEast, Vidant Health Foundation, Children's Miracle Network, University Health Systems and East Carolina Health. This position is responsible for general ledger keying, research, and processing non-voucher related adjustments. The CAS II will utilize existing technologies to the fullest to ensure revenue optimization and operations are efficient (e.g., 835 remittances and lockbox technology).


  • Process electronic remittance files (835's) utilizing Epic's Remittance Module. Balances files to EFT or check deposits and to accounts receivable. Utilize payer and banking websites to obtain remittance advices and lockbox reports.

  • Manually post non-electronic remittance advices from third-party payers.

  • Utilize transaction audit and balancing reports to reconcile patient and non-patient cash with bank and general ledger.

  • Log spreadsheets to capture and summarize daily reconciliation. Research and resolve discrepancies daily.

  • Identify and properly allocate non-patient cash. Key non-patient cash and wire transfer funds to the appropriate general ledger account.

Minimum Requirements

  • High School degree plus 2 years or more education in Business, Accounting, Healthcare Management/Technology.

  • Knowledge of basic accounting and auditing controls, intermediate to advanced Excel skills required.

  • One year of related experience for one year of education up to two years.

  • 3 to 5 years experience in hospital or physician office cash applications. Third party experience. Patient Accounting, Insurance, banking or auditing experience.

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.


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