Associate Director- Cash Posting

Guidehouse • San Antonio, TX

2d

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 strong cash posting and reconciliation experience, critical-thinking skills, and experience with hospital patient accounting systems such as Epic and MEDITECH Magic and 6.x/Expanse.

The Associate Director leads and develops staff, supports billing, cash posting, collections, and compliance processes, and monitors operational performance. The role works with payers, departments, IT, electronic billing vendors, and management to resolve account and billing issues, improve collections, maintain compliance, and meet revenue cycle goals. It also prepares and oversees reporting, including key indicator, patient accounting, billing scrubber, claims, and claim-hold reports.

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 5 years of healthcare revenue cycle, hospital cash posting, or payment posting experience.
• Experience with Epic, MEDITECH Magic, and/or MEDITECH 6.x/Expanse.
• At least 4 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 people at all levels.

Responsibilities

• Lead teams responsible for daily cash posting and payment reconciliation for hospital and healthcare revenue cycle operations.
• Foster trust, teamwork, open communication, employee input, and staff development; ensure employees have the tools and training needed to meet goals.
• Ensure employees understand applicable State and Federal rules and regulations, compliance requirements, and procedures for reporting compliance issues.
• Drive cash and accounts receivable resolution, work with payers on resolution and escalation, and manage expected reimbursement variances.
• Work with departments to ensure the accuracy of CPT4, HCPCS, and revenue codes, and communicate payer updates, notices, and coverage changes affecting billing and reimbursement.
• Review processes and systems to maintain effective methods for meeting departmental and facility goals; work with IT to ensure billing changes are accurate.
• 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 and initiate appropriate changes to address payer issues, underpayments, and denials.
• Review and approve credit arrangements, refunds, write-offs, and account adjustments in accordance with required signature levels and applicable policies.
• Manage employees responsible for third-party and self-pay account follow-up after initial billing.
• Prepare, distribute, and present required daily, weekly, and monthly reports; monitor departmental 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.
• Communicate compliance issues to management and attend pertinent internal and external seminars, sharing relevant information with staff and other departments.
• Review and maintain JACHO requirements for billing, cash posting, and collections.
• 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 A/R and improve collections.
• Understand and manage client service-level metrics and revenue cycle performance indicators, and develop and follow methods for KPI improvement.
• Produce weekly Key Indicator Reports, daily Patient Accounting and Billing Scrubber reports for departments, department claim-hold logs, daily electronic and paper claim reports, and other reports requested by management.

Benefits

• Medical, prescription, dental, and vision insurance.
• Personal and family sick time and company-paid holidays.
• May be eligible for a discretionary variable incentive bonus.
• Parental leave.
• 401(k) retirement plan.
• Basic life and supplemental life insurance.
• Health Savings Account and 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.
• Flexible benefits package.

What This Job Offers

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