Payment Posting Manager

atGuidehouseRemoteUS flagTexasFull-timeManagerSeniorLead$70k – $116k/year

Posted 3 days ago

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

📋 Description

• Supervise daily cash posting and payment reconciliation for hospital and healthcare revenue cycle operations.

• Ensure that patient and payer payments, adjustments, denials, and other financial transactions are posted accurately and in a timely manner.

• Lead, train, and support the cash posting, billing, collections, and follow-up teams.

• Drive cash and accounts receivable resolution while collaborating with payers on issue resolution and escalation.

• Manage anticipated reimbursement variances.

• Guarantee the accuracy of CPT4, HCPCS, and Revenue Codes.

• Provide updates, notices, and coverage changes related to Medicare and other payers.

• Review processes and systems, collaborating with IT and billing vendors to maintain billing accuracy.

• Ensure that electronic bill holds meet established objectives.

• Identify and resolve issues related to patient accounts receivable, payer concerns, underpayments, and denials.

• Review and authorize credit arrangements, refunds, write-offs, and account adjustments.

• Manage follow-up for third-party and self-pay accounts.

• Prepare, distribute, and present daily, weekly, and monthly reporting packages.

• Monitor departmental performance and productivity, ensuring timely completion of reports.

• Maintain documentation for the Medicare Bad Debt Log and oversee reconciliation with bad debt vendors.

• Communicate compliance issues and educate staff on compliance procedures.

• Review and uphold JACHO requirements for billing, cash posting, and collections.

• Complete weekly Key Indicator Reports, daily Patient Accounting and Billing Scrubber reports, claim reports, and other management reports.

• Document account activity in the patient accounting system.

• Develop and implement projects aimed at reducing aged accounts receivable and enhancing collections.

• Manage client service-level metrics and revenue cycle KPIs, developing strategies for KPI improvement.

• Complete special projects as assigned within specified time frames.


⛳️ Requirements

• Bachelor’s degree and at least 7 years of relevant experience; relevant experience may substitute for formal education or advanced degree.

• 5 years of experience in healthcare revenue cycle, specifically in hospital cash posting and payment posting.

• Proficient in Epic, MEDITECH Magic, and/or MEDITECH 6.x/Expanse.

• Minimum of 2 years of people management experience within the required 7 years of relevant experience.

• Strong understanding of the healthcare revenue cycle.

• Extensive experience in cash posting and reconciliation.

• Excellent critical thinking skills.

• Strong accounts receivable acumen.

• Knowledge of State and Federal Rules and Regulations.

• Familiarity with Medicare regulations and reimbursement processes.

• Understanding of HIPAA compliance and JACHO requirements.

• Ability to work with CPT4, HCPCS, and Revenue Codes.

• Capacity to manage expected reimbursement variances, payer issues, underpayments, and denials.

• Demonstrated ability to work in teams and communicate effectively across all levels.

• Willingness to travel up to 25%.


🏝️ Benefits

• Medical, Rx, Dental & Vision Insurance.

• Personal and Family Sick Time & Company Paid Holidays.

• Position may qualify for a discretionary variable incentive bonus.

• Parental Leave.

• 401(k) Retirement Plan.

• Basic Life & Supplemental Life Insurance.

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts.

• Short-Term & Long-Term Disability Insurance.

• Tuition Reimbursement, Personal Development & Learning Opportunities.

• Skills Development & Certifications.

• Employee Referral Program.

• Corporate Sponsored Events & Community Outreach.

• Emergency Back-Up Childcare Program.

• Flexible benefits package.

• Travel required: Up to 25%.

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