Cash Application Team Lead

NEUROMONITORING ASSOCIATES LLC•McKinney, TX

3d•Remote

About The Position

The Cash Application Team Lead is an operational owner of payment posting, cash application, and daily cash reconciliation for Neuromonitoring Associates. This is a hands-on leadership role that will be deeply involved in finalizing and testing our new revenue cycle platform ahead of go-live, then will lead a small team of posting specialists in utilizing the new platform. The role demands someone equally strong in three areas: reconciliation – ensuring revenue across multiple bank accounts is tracked daily and posting balances perfectly back to the bank; automation – comfortably working with and optimizing automated posting processes rather than relying on manual entry; and leadership – guiding and developing a team while establishing more efficient, scalable processes. Given recent investments in automation, this role shifts the team’s focus from manual data entry to automation oversight, exception resolution, quality assurance, and accurate reconciliation. The Team Lead serves as the team’s subject-matter expert on our new revenue cycle platform and a key partner in its testing, launch, and ongoing optimization. This position reports directly to the VP of Revenue Cycle. Note: This role is being hired into a build-and-transition phase ahead of the new platform's go-live date; testing and validation responsibilities are weighted heavily through launch and continue as automation oversight thereafter.

Requirements

5+ years of healthcare cash application / payment posting experience, including ERA / 835 and EOB processing.
Extensive, demonstrable reconciliation experience, including daily cash reconciliation and balancing posted activity to bank accounts with precision.
Strong comfort with automated financial / posting processes and a clear preference for automation and continuous improvement over manual workarounds.
2+ years in a lead, supervisory, or senior capacity, with the ability to lead a team confidently through significant operational change.
Experience tracking revenue across multiple bank accounts.
Proficiency with revenue cycle / billing systems and strong Excel skills (reconciliation, pivot tables, lookups).
Proven ability to manage multiple customer accounts, prioritize tasks, and maintain high levels of customer satisfaction.
Strong interpersonal and communication skills with a customer-first mindset.
Ability to handle sensitive situations with professionalism and discretion.
Demonstrated ability to manage all administrative aspects of the patient encounter lifecycle, including scheduling, documentation, billing, and collections.
Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and experience with medical billing software and EHR systems.
High level of accuracy and attention to detail in data entry, documentation, and financial transactions.
Ability to work effectively in a cross-functional team environment and contribute to shared goals.

Nice To Haves

Associate’s or Bachelor’s Degree in Healthcare Administration, Business, or related field preferred
Certified Medical Reimbursement Specialist (CMRS) or Certified Professional Biller (CPB) desired.
Finance or accounting automation experience, especially posting or reconciliation preferred.
Revenue cycle management experience, including billing, coding, A/R, or payer enrollment preferred.
RCM or financial system implementation experience, including UAT and go-live preferred.
Familiarity with intraoperative neuromonitoring or facility/professional billing preferred.
Experience working with distributed teams preferred.

Responsibilities

Partner directly with the VP of Revenue Cycle, IT, and the implementation / vendor team to help finalize the build of the new platform’s cash application and posting functionality.
Lead and execute user acceptance testing (UAT): design and run test scenarios, validate that automated posting produces accurate, expected results, and verify that posted activity reconciles correctly to bank accounts.
Identify, document, and track defects and edge cases; partner with the build team on resolution and re-testing.
Support parallel-run and cutover activities, comparing output against current-state results to confirm accuracy before go-live.
Build and maintain standard operating procedures, posting rules documentation, and training materials for the post-launch operating model.
Own daily tracking of all incoming revenue across multiple bank accounts, ensuring every payment is accounted for and posted accurately.
Reconcile posted payments to each bank account daily, identifying and resolving any variance so that posting ties back to the bank precisely – daily balancing to zero is the expectation, not the exception.
Own month-end reconciliation and close activities for cash application, including credit balances, unapplied / unidentified cash, and refund processing.
Maintain clear audit trails and documentation supporting all reconciliation activity.
Monitor automated posting for accuracy and completeness; review and resolve items routed to exception and error queues.
Maintain and refine posting rules, payer mappings, and matching logic to maximize automation and minimize manual intervention over time.
Analyze recurring exceptions and recommend process or automation improvements; act as the team’s go-to expert for how posting automation works and where it can be improved
Oversee daily posting of all payment types – ERA/835 electronic remittances, EFT, lockbox and paper checks, EOBs, and patient payments.
Personally handle complex, high-dollar, or unmatched transactions, including partial payments, takebacks, and recoupments.
Ensure correct application of contractual adjustments, denials (CARC / RARC), write-offs, and patient responsibility balances.
Lead, train, and assign daily work for a team of posting specialists; serve as first-line escalation for complex accounts and questions.
Guide the team through the operational change from the current manual model to the more streamlined model, building confidence and capability on the new platform.
Monitor team productivity and quality against established metrics; coach team members and provide performance input to the VP of Revenue Cycle.
Perform quality audits of automated and manual postings to ensure accuracy and adherence to policy.
Produce and review posting, exception, and reconciliation reporting; report surface trends and risks to the VP of Revenue Cycle.
Ensure all activity complies with HIPAA, payer requirements, and internal financial controls.