Manager, Payment Posting

Guidehouse•San Antonio, TX

About The Position

The Cash Posting Manager oversees daily cash posting and payment reconciliation functions for hospital and healthcare revenue cycle operations. The role ensures that patient and payer payments, adjustments, denials, and other financial transactions are posted accurately and on time, in accordance with established policies, procedures, and internal controls. The position calls for a hands-on leader with strong cash posting and reconciliation experience, critical-thinking skills, and experience with hospital patient accounting systems, including Epic and MEDITECH Magic and 6.x/Expanse environments. The manager leads and trains staff, supports billing, cash posting, collections, and compliance activities, and prepares and presents operational reporting. The position works with departments, payers, vendors, and IT to resolve billing and payment issues, improve collections and aged accounts receivable, and meet departmental and facility goals. The manager also monitors compliance, reporting, productivity, client service levels, and revenue cycle performance indicators.

Requirements

Bachelor’s degree and at least five years of prior relevant experience; relevant experience may substitute for formal education or an advanced degree.
Five years of healthcare revenue cycle and hospital cash posting/payment posting experience.
Experience with Epic, MEDITECH Magic, and/or MEDITECH 6.x/Expanse.
At least two of the five required years of relevant experience must include people management.
Strong accounts receivable acumen, good judgment, and the ability to make quick decisions.

Nice To Haves

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

Responsibilities

Lead staff in a manner that fosters trust and teamwork, maintains open communication, and supports employee input and development.
Ensure employees understand applicable state and federal rules and regulations and have the tools needed to meet department goals.
Drive cash and accounts receivable resolution, working with payers to resolve and escalate issues.
Manage expected reimbursement variances and work with departments to ensure accuracy of CPT4, HCPCS, and revenue codes.
Share Medicare and other 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 implement changes that maintain billing accuracy and with electronic billing vendors and payers to resolve billing and cash-posting issues.
Ensure electronic bill holds meet established goals and identify and resolve patient accounts receivable process problems, including payer issues, underpayments, and denials.
Review and approve credit arrangements, refunds, write-offs, and account adjustments in accordance with departmental and medical center signature policies.
Manage employees conducting follow-up on third-party and self-pay accounts after initial billing.
Prepare, distribute, and present required daily, weekly, and monthly reporting packages; monitor department 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 ensure assigned special projects are completed within given time frames.
Ensure each account worked is documented appropriately in the patient accounting system and that established goals are met.
Develop and execute projects to reduce aged accounts receivable and enhance collections; manage client service metrics and revenue cycle performance indicators and improve KPIs.
Communicate compliance issues to the Manager and educate staff on compliance and procedures for reporting state, federal, and HIPAA concerns.
Attend relevant internal and external seminars and share information with staff and appropriate departments.
Review and maintain JACHO requirements for billing, cash posting, and collections.
Produce weekly key indicator reports, daily patient accounting and billing scrubber reports for departments, departmental claims-on-hold logs, and daily electronic and paper claim reports, as well as other reports requested by management.

Benefits

Medical, prescription, dental, and vision insurance.
Personal and family sick time and 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 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.