Manager, Posting and Credits

This is a fully remote position, open to applicants in United States.

📋 Description

• Supervise the prompt and precise application of insurance and patient payments through channels such as ERA, EFT, ACH, lockbox, credit card, check, and more.

• Oversee posting workflows, interfaces, and electronic remittances.

• Co-manage the reconciliation of posted payments with bank deposits, remittance data, and general ledger activities alongside Finance and Accounting.

• Ensure adherence to HIPAA regulations, payer requirements, government regulations, audit standards, and financial controls.

• Drive the identification and resolution of patient and payer credit balances, overpayments, duplicate payments, and misapplied transactions.

• Handle refund processes and resolve issues related to unapplied cash, posting errors, payment discrepancies, and missing remittance activities.

• Guarantee accurate posting to global, professional, and technical billing components.

• Establish and track KPIs related to productivity, service quality, and standards.

• Supervise posting quality assurance and control initiatives.

• Formulate departmental strategies, workflows, policies, and performance benchmarks.

• Generate reports on posting performance, auto-posting rates, unapplied cash, credit balances, refund activities, and financial discrepancies.

• Analyze patterns, posting exceptions, and quality insights to pinpoint risks and propose corrective measures.

• Spearhead process improvement and automation efforts for ERA/EFT posting, focusing on accuracy, scalability, cash visibility, and controls.

• Collaborate with Accounts Receivable, Billing, Denials, Finance, Accounting, payers, banking partners, vendors, IT, and offshore teams.

• Assist in system implementations, integrations, revenue cycle transformation projects, and onboarding for acquired sites.

• Lead, mentor, and nurture team members.

• Provide constructive feedback and address performance challenges.

• Evaluate staffing requirements and collaborate with HR for recruitment, hiring, and onboarding processes.

• Authorize refunds, adjustments, and write-offs within assigned authority.

• Maintain a clear segregation of duties across payment posting, refund preparation, and approval processes.

• Direct operational, budgetary, and financial activities, including managing offshore vendor headcount and costs.

• Oversee the performance of offshore and vendor partners, ensuring service levels, quality audits, and training are met.

• Propel automation efforts to minimize manual tasks and reduce vendor FTEs over time.

⛳️ Requirements

• High School Diploma or an equivalent qualification is required.

• A Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or a related field is preferred.

• A minimum of ten (10) years of experience in healthcare revenue cycle is required.

• At least three (3) years of progressive leadership experience in managing revenue cycle operations is required.

• Experience in managing payment posting, cash application, credit balance, and refund operations is essential.

• Previous experience in high-volume healthcare environments, such as physician practices or outpatient clinics, is preferred.

• Experience overseeing offshore teams, vendors, or multi-site operations, as well as leading automation or productivity initiatives in posting operations, is preferred.

• Advanced knowledge of healthcare payment posting, cash application, and revenue cycle operations, including ERA/EFT processing, EOB interpretation, lockbox operations, contractual adjustments, and electronic remittances.

• Strong understanding of Medicare, Medicaid, commercial and managed care reimbursement, along with payer contracts.

• Familiarity with credit balance, overpayment, and refund requirements, including payer recoupment processes and state unclaimed property regulations.

• Ability to analyze complex financial and operational data and transform findings into actionable recommendations.

• Knowledge of auditing, risk assessment, compliance, and quality management principles.

• Strong leadership, strategic planning, vendor management, and organizational development capabilities.

• Ability to manage both onshore and offshore teams, and prioritize projects in a fast-paced environment.

• Excellent communication, presentation, and relationship management skills, including the ability to collaborate across departments.

• Advanced proficiency in Microsoft Excel and familiarity with healthcare billing, practice management, and reporting systems.

• Experience with posting automation and workflow tools is beneficial.

🏝️ Benefits

• Salary exempt status.

• Remote work arrangement.