SBO Cash Specialist

Beth Israel Lahey Health

When you join the growing BILH team, youre not just taking a job, you’re making a difference in people’s lives.

Job Type:


Scheduled Hours:


Work Shift:

Day (United States of America)

Under general supervision of the Manager of Professional and Hospital Cash, and within regulatory requirements, the Single Billing Office Cash Specialist is responsible for processing electronic and manual charge and cash revenue transactions into the electronic medical record. The Single Billing Office Cash Specialist provides a vital role to the patients, family members, Finance, and Revenue Cycle for the Lahey Health Enterprise System. This position is responsible for supporting the Customer service department, posting of self pay payments, credit balances, cash balancing, reconciliation and depositing cash for all Lahey health sites, as well as the patient window inquiries at LHMC. Position is required to meet stringent quality, productivity and time sensitive standards The primary role of the SBO Cash Specialist is to act as a liaison to our customers, departments and physician practices on all matters regarding cash.

Job Description:

Essential Duties & Responsibilities including but not limited to:

Timely verification and reconciliation of electronically received charge or remittance revenue transactions originating from a variety of charge capture and specialty driven computer systems and health insurers.

Assists customers with statement, bill and copay issues to ensure a high level of customer satisfaction

Works with all the LH hospitals, off sites practices, and departments (LHMC) throughout the organization to ensure the daily cash bag is balanced and everything is documented on cash sheet as appropriate

Working in a SBO (Single Billing Office), environment the SBO Cash Specialist will need to have knowledge in Hospital and Professional Billing in order to assist the customer on questions related to their bills and statements received from insurance companies.

Resolves unapplied cash, payment plans and cosmetic services · Resolves self pay credits and refunds to patient as necessary

Posting of self pay payments to the patient’s account · Responsible for the disbursement and documentation of Petty cash for LHMC

Prepares and reconciles bank deposits · Monitors the Deposit tool to ensure timely deposits from off-sites · Investigates debits and credits for Finance department

Maintains appropriate audit results or achieves exemplary audit results. Meet productivity standards or consistently exceeds productivity standards.

Provides and promotes ideas geared toward process improvements within the Central Billing Office.

Assists the Cash Manager with the resolution of complex credits and self pay accounts Completes projects and research as assigned.

Organizational Requirements:

Maintain strict adherence to the Lahey Health Confidentiality policy. Incorporate Lahey Health Standards of Behavior and Guiding Principles into daily activities Comply with all Lahey Health Policies.

Comply with behavioral expectations of the department and Lahey Hospital and Medical Center. Maintain courteous and effective interactions with colleagues and patients.

Demonstrate an understanding of the job description, performance expectations, and competency assessment.

Demonstrate a commitment toward meeting and exceeding the needs of our internal and external customers and consistently adheres to Customer Service standards.

Participate in departmental and/or interdepartmental quality improvement activities. Participate in and successfully completes Mandatory Education. Perform all other duties as needed or directed to meet the needs of the department.

Minimum Qualifications:

Education: High School Diploma required, bachelor’s degree preferred

Licensure, Certification & Registration: Billing Certification preferred

Experience: 2 years of experience in cash management and customer service or related fields

Skills, Knowledge & Abilities:

1. Understanding and ability to utilize various electronic, web based and manual coding resources

2. Ability to perform transactions in a patient accounting system

3. Proficient data entry computer skills

4. Demonstrated ability to utilize word processing, spreadsheets and work files in performing work tasks

5. Demonstrated attention to detail and accuracy

6. Skillful ability to use calculators to reconcile amounts

7. Strong communication skills including verbal in person, telephone and written

8. Demonstrated ability in being a cooperative and productive member of team

9. Ability to troubleshoot problems

10. Ability to continue to learn skills and expand knowledge

11. Strong multitasking skills

FLSA Status:


As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more ( about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled