Associate Director- Cash Posting

Guidehouse • San Antonio, TX

23h

About The Position

The Cash Posting Associate Director oversees the team or teams responsible for daily cash posting and payment reconciliation for hospital and healthcare revenue cycle operations. The role ensures patient and payer payments, adjustments, denials, and other financial transactions are posted accurately, promptly, and in accordance with established policies, procedures, and internal controls. It calls for a hands-on leader with cash posting and reconciliation experience, strong critical-thinking skills, and experience with hospital patient accounting systems, including Epic and MEDITECH Magic and 6.x/Expanse environments.

The position leads staff and supports training, billing, cash posting, collections, compliance, and reporting. It manages cash and accounts receivable resolution, payer follow-up and escalations, reimbursement variance management, account adjustments, reporting, productivity, and process improvement. The Associate Director also supports compliance with applicable regulations and organizational requirements, and serves as a technical resource for Medicare regulations and reimbursement.

Requirements

• Bachelor’s degree and at least 10 years of prior relevant experience; relevant experience may substitute for formal education or an advanced degree.
• At least five years of healthcare revenue cycle, hospital cash posting, and payment posting experience.
• Experience with Epic, MEDITECH Magic, and/or MEDITECH 6.x/Expanse.
• At least four years of people management experience within the required 10 years of relevant experience.

Nice To Haves

• Solid understanding of healthcare revenue cycle.
• Demonstrated ability to work effectively in teams and communicate with all levels.

Responsibilities

• Lead employees in a manner that builds trust and teamwork, maintains open communication, seeks staff input on relevant policies and procedures, and provides feedback to staff and management.
• Ensure employees understand applicable State and Federal rules and regulations and have the tools needed to meet department goals; support employee development through appropriate seminars.
• Drive cash and accounts receivable resolution, work with payers on resolution and escalation, and manage expected reimbursement variances.
• Coordinate with departments to ensure accurate CPT4, HCPCS, and Revenue Codes, and provide updates on Medicare and other payer coverage, notices, and changes affecting billing and reimbursement.
• Review processes and systems to maintain effective methods for meeting departmental and facility goals; work with IT to implement changes that maintain billing accuracy.
• Ensure electronic bill holds meet established goals and work with electronic billing vendors and payers to resolve billing and cash-posting issues.
• Identify and resolve patient accounts receivable process problems, initiating changes when appropriate to address payer issues, underpayments, and denials.
• Review and approve account credit arrangements, refunds, write-offs, and adjustments, ensuring applicable signature-level policies are followed.
• Manage employees following up on third-party and self-pay accounts after initial billing.
• Prepare, distribute, and present required daily, weekly, and monthly reporting packages; monitor department performance and productivity and ensure reports are completed on time.
• Serve as a technical resource for Medicare regulations and reimbursement; ensure Medicare Bad Debt Log components and supporting documentation are complete and oversee Bad Debt vendor reconciliation.
• Inform management of compliance issues and communicate compliance concerns to the Manager; educate staff about compliance and procedures for reporting issues, including State, Federal, and HIPAA matters.
• Review and maintain JACHO requirements for billing, cash posting, and collections; attend relevant seminars and share information with staff and appropriate departments.
• Complete assigned special projects within specified time frames and document each worked account in the patient accounting system.
• Ensure established goals are met; develop and execute projects to reduce aged accounts receivable and improve collections.
• Understand and manage client service-level metrics and revenue-cycle performance indicators, and develop and follow methods for KPI improvement.
• Prepare weekly Key Indicator Reports, provide Patient Accounting and Billing Scrubber reports to departments daily, maintain departmental claim-on-hold logs, produce daily electronic and paper claim reports, and provide other reports requested by management.

Benefits

• Medical, prescription, dental, and vision insurance
• Personal and family sick time
• Company-paid holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental leave
• 401(k) retirement plan
• Basic life and supplemental life insurance
• Health Savings Account
• Dental/vision and dependent care Flexible Spending Accounts
• Short-term and long-term disability
• Tuition reimbursement
• Personal development and learning opportunities
• Skills development and certifications
• Employee referral program
• Corporate-sponsored events and community outreach
• Emergency back-up childcare program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior