Manager, Payment Posting

Guidehouse•San Antonio, TX

About The Position

The Cash Posting Manager oversees daily cash posting and payment reconciliation 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 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 manager leads and develops staff, supports billing, cash posting, collections, and compliance activities, and monitors departmental performance and productivity. The role works across departments, with payers, vendors, and IT to resolve billing and payment issues, improve account resolution and collections, and meet facility goals. It also oversees reporting, Medicare-related processes, compliance communication, and assigned projects.

Requirements

Bachelor’s degree and at least 7 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 2 years of people-management experience within the 7 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 staff in a manner that builds trust and teamwork, maintains open communication, invites employee input on relevant procedures, and provides feedback to staff and management.
Ensure employees understand applicable state and federal rules and regulations and have the tools and training needed to meet department goals.
Drive cash and accounts receivable resolution, work with payers on resolution and escalation, and manage expected reimbursement variances.
Coordinate with departments to ensure CPT-4, HCPCS, and revenue-code accuracy, and share Medicare and other payer updates 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 support 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 and, when appropriate, initiate changes to address payer issues, underpayments, and denials.
Review and approve account credit arrangements, refunds, write-offs, and adjustments in accordance with departmental and medical-center approval policies.
Manage employees following up on third-party and self-pay accounts after initial billing.
Prepare, distribute, and present required daily, weekly, and monthly reports; monitor department performance and productivity and ensure reports are completed on time.
Serve as a technical resource on 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 educate staff on compliance requirements and procedures for reporting state, federal, and HIPAA issues.
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.
Complete weekly key indicator reports, daily Patient Accounting and Billing Scrubber reports, department claim-hold logs, daily electronic and paper claim reports, and other requested reports.
Document each worked account in the patient accounting system and ensure established goals are met.
Develop and execute projects to reduce aged accounts receivable and improve collections; manage client service-level metrics and revenue-cycle performance indicators and develop methods for KPI improvement.
Complete assigned special projects within established time frames.