Manager, Payment Posting

Guidehouse•San Antonio, TX

2d•$70,000 - $116,000

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 timely, 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 platforms. The manager leads and develops staff, oversees billing, cash posting, collections, compliance, and reporting functions, and works with departments, payers, vendors, and IT to improve revenue cycle outcomes. The position monitors performance and productivity, supports accurate billing, resolves accounts receivable issues, and develops projects to reduce aged receivables and improve collections. The role also maintains compliance with applicable regulations and reporting requirements.

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 required 7 years of relevant experience.
Strong accounts receivable acumen and ability to exercise good judgment and make quick decisions.

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 fosters trust, teamwork, open communication, and employee input on process improvements.
Ensure employees understand applicable State and Federal rules and regulations, compliance requirements, and procedures for reporting compliance issues.
Provide staff with tools and opportunities, including relevant seminars, to support productivity and knowledge.
Drive cash and accounts receivable resolution, including working with payers to resolve and escalate issues.
Manage expected reimbursement variance and work with departments to ensure accuracy of CPT4, HCPCS, and revenue codes.
Communicate 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.
Coordinate with IT to ensure system changes preserve 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 appropriate changes to address payer issues, underpayments, and denials.
Review and approve credit arrangements, refunds, write-offs, and account adjustments while ensuring signature policies are followed.
Manage employees following up on third-party and self-pay accounts after initial billing.
Prepare, distribute, and present daily, weekly, and monthly reports; ensure reports are completed on time and monitor departmental performance and productivity.
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.
Communicate compliance issues to management and attend relevant internal and external seminars, sharing information with staff and other departments.
Review and maintain JACHO requirements for billing, cash posting, and collections.
Complete assigned special projects within specified time frames and document work on each account in the patient accounting system.
Ensure established goals are met and 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.
Prepare weekly Key Indicator Reports, daily Patient Accounting and Billing Scrubber reports, departmental claim-hold logs, and daily electronic and paper claim reports, as well as other requested reports.