Cash Application Representative at Children's National Hospital

The Cash Application Rep II will be responsible to post payments and make adjustments to patient accounts. H/She will maintain records in filing system, document activities and contacts in system. Will develop understanding of assigned managed care contractor and payor requirements.

Minimum Education

High School Diploma or GED (Required)

Minimum Work Experience

2 years Related experience (Required)

3 Years Health Care Experience (Required) Or

1 year Business Operations Spec. I or II (Required)

Functional Accountabilities

Patient Accounts

• Receive electronic and hard copy payment batches from payers; review documents for proper authorizations prior to posting; allocate and post payments to correct accounts.
• Process prepared requests for contractual adjustments and denials based on codes.
• Process inter-company transfers.
• Re-establish reimbursement paid in error and accounts receivable; identify and correct credit balances resulting from double payments.
• Based on payer requirements and department practices, determine amount to bill from parent/ guarantor.
• Recommend write-off amounts to manager for decision-making.
  
  

Refunds

• Analyze overpayments and credit balances.
• Based on guidelines and contractual requirements, recommend refunds to manager for approval.
  
  

Record

• Record all check numbers received from the bank into an Excel spreadsheet daily.
• Reconcile batch amounts with posting process.
• Evaluate late charges for accuracy and enter late charges into an Excel spreadsheet daily.
  
  

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
  
  

Organizational Accountabilities

Organizational Accountabilities (Staff)

Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met
  
  

Teamwork/Communication

• Demonstrate collaborative and respectful behavior
• Partner with all team members to achieve goals
• Receptive to others’ ideas and opinions
  
  

Performance Improvement/Problem-solving

• Contribute to a positive work environment
• Demonstrate flexibility and willingness to change
• Identify opportunities to improve clinical and administrative processes
• Make appropriate decisions, using sound judgment
  
  

Cost Management/Financial Responsibility

• Use resources efficiently
• Search for less costly ways of doing things
  
  

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
  
  

Primary Location

Maryland-Silver Spring

Work Locations

Tech Hill

Job

Accounting & Finance

Organization

Finance

Position Status

R (Regular)

Shift

Day

Work Schedule

M-F

Job Posting

Oct 22, 2025, 6:38:39 PM

Full-Time Salary Range

37336