Cash Posting Supervisor

Core Clinical Partners • Lafayette, LA

7d

About The Position

The Cash Posting Supervisor oversees day-to-day cash posting operations, ensuring payments are accurately and promptly posted, balanced, and reconciled in accordance with revenue cycle policies, payer requirements, and regulatory standards. The role supervises the Cash Posting team, establishes performance expectations, monitors productivity and quality, and safeguards the integrity of cash application and account balances. The Supervisor is a subject matter expert and escalation resource who drives process improvement and automation and collaborates across teams to improve cash application, financial accuracy, and revenue cycle performance.

The position also oversees credit balance investigation and resolution, maintains cash posting rules and system configurations, and leads team performance and development. It monitors operational metrics, addresses trends and root causes, maintains procedures and workflows, and supports system implementations, payer changes, acquisitions, and other revenue cycle initiatives. The role ensures compliance with HIPAA transaction standards, CMS requirements, and applicable federal and state regulations governing electronic healthcare transactions. Duties may change and other related duties may be assigned.

Requirements

• High school diploma or GED.
• 3–5+ years of healthcare revenue cycle or cash posting experience.
• Prior experience in a lead, senior, or supervisory role.
• Experience with automated cash posting, 835/ERA processing, and posting-rule configuration.
• Experience with credit balance management and payer reconciliation.
• Strong knowledge of healthcare revenue cycle management, cash posting, payment application, and account reconciliation.
• Working knowledge of hospital and physician billing, payer remittances, EOBs/ERAs, contractual adjustments, recoupments, and refunds.
• Ability to interpret 835/ERA transactions, EOBs, payment information, and payer-specific requirements.
• Understanding of cash reconciliation and balancing processes, including identifying and resolving variances.
• Knowledge of credit balance identification, research, resolution, and refund processes.
• Ability to develop, maintain, and troubleshoot cash posting rules and system configurations.
• Strong analytical and problem-solving skills, including researching discrepancies and identifying root causes.
• Ability to identify trends and opportunities to improve cash application accuracy, efficiency, and automation.
• Ability to manage multiple priorities and meet daily, monthly, and departmental deadlines.
• Ability to serve as a subject matter expert and escalation resource for complex cash posting issues.
• Strong communication and interpersonal skills and ability to work effectively with revenue cycle, billing, coding, IT, payers, and external vendors.
• Ability to train, coach, and provide constructive feedback while reinforcing quality standards and accountability.
• Proficiency with patient accounting or billing systems, clearinghouses, Microsoft Excel, and other revenue cycle technology.
• Ability to analyze operational reports and KPIs to identify performance trends and improvement opportunities.
• Ability to create and maintain SOPs, workflows, and process documentation.
• Strong organizational skills and ability to work independently while supporting a team.

Responsibilities

• Supervise daily cash posting operations to ensure insurance, patient, electronic, and manual payments are accurately, timely, and completely applied to patient accounts.
• Ensure payments, adjustments, recoupments, and denials are posted to the appropriate accounts in accordance with payer and organizational requirements.
• Monitor daily cash posting activity, set priorities, and meet departmental service levels and deadlines.
• Oversee daily and monthly cash balancing and reconciliation across bank deposits, remittance files, clearinghouse activity, and the patient accounting system.
• Research, resolve, and document posting discrepancies, unidentified payments, and out-of-balance conditions.
• Monitor unapplied and unidentified cash balances and ensure timely resolution.
• Maintain controls supporting cash integrity, accurate financial reporting, and audit readiness.
• Supervise credit balance reviews and investigations, and oversee resolution through transfers, corrections, refunds, or recoupments.
• Coordinate with other revenue cycle departments to resolve account issues contributing to credit balances; monitor aging and address recurring trends.
• Maintain cash posting rules that reflect payer remittance and contractual requirements; identify automation opportunities and partner with IT, billing, and vendors on rule changes.
• Test and validate new or modified posting rules and monitor their performance for potential incorrect posting.
• Supervise, coach, and develop team members; set expectations for productivity, accuracy, turnaround time, and accountability.
• Assign workloads, prioritize activities, and allocate resources to meet operational needs and objectives.
• Act as the primary escalation point for complex cash posting, reconciliation, and credit balance issues.
• Train team members, provide feedback, support cross-training, and promote knowledge sharing and continuous improvement.
• Monitor individual and team performance against KPIs, address gaps, conduct quality reviews and audits, and implement corrective action plans as appropriate.
• Develop and monitor cash posting KPIs, including turnaround time, accuracy, unapplied cash, credit balances, and reconciliation variances.
• Identify trends and root causes, and recommend and implement process improvements to increase efficiency, accuracy, and cash visibility.
• Maintain and update SOPs, workflows, and cash posting policies.
• Support system implementations, payer changes, acquisitions, and other revenue cycle initiatives that affect cash posting.
• Investigate payments issued to incorrect providers, addresses, or banking information, coordinating corrective actions with payors and internal stakeholders.
• Ensure compliance with HIPAA transaction standards, CMS requirements, and applicable federal and state regulations governing electronic healthcare transactions.
• Perform other related duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED