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 patient and payer payments, adjustments, denials, and other financial transactions are posted accurately and promptly in accordance with established 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, drives cash and accounts receivable resolution, and coordinates with departments, payers, vendors, and IT to maintain accurate billing and effective revenue-cycle processes. The position oversees compliance, reporting, account follow-up, productivity, and projects intended to reduce aged receivables and improve collections. Travel is required up to 10%; no clearance is required.

Requirements

Bachelor’s degree and at least five years of prior relevant experience; relevant experience may substitute for formal education or an advanced degree.
At least five years of healthcare revenue-cycle, hospital cash-posting, payment-posting, Epic, MEDITECH Magic, and/or MEDITECH 6.x/Expanse experience.
At least two years of people-management experience within the five years of required relevant experience.
Strong accounts-receivable acumen and ability to make sound judgments and quick decisions.
Ability to work with payers and resolve or escalate cash, accounts-receivable, billing, underpayment, and denial issues.
Travel up to 10%.

Nice To Haves

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

Responsibilities

Lead employees in a manner that builds trust and teamwork, supports communication and process-improvement input, and provides appropriate feedback and tools.
Ensure employees understand applicable state and federal rules and regulations, compliance requirements, and procedures for reporting compliance issues.
Provide training and development opportunities, including attendance at relevant seminars, and share pertinent information with staff and other departments.
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 provide updates on Medicare and other payer policies, 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 complete changes that maintain 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 initiate changes, when appropriate, to address payer issues, underpayments, and denials.
Review and approve credit arrangements, refunds, write-offs, and account 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 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.
Inform management of compliance issues and maintain applicable JACHO requirements for billing, cash posting, and collections.
Complete assigned special projects within required time frames and document account work in the patient accounting system.
Ensure established goals are met; develop and execute projects to reduce aged accounts receivable and enhance collections.
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.
Position may be eligible for a discretionary variable incentive bonus.
Parental leave.
401(k) retirement plan.
Basic 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.