Payment Posting & ERA Operations Manager

Alteva RCM • Boca Raton, FL

4d

About The Position

The Manager of ERA Operations oversees end-to-end Electronic Remittance Advice processing, including timely downloading, reconciliation, and posting of ERAs into the organization's Health Information Billing System. The role leads an overseas operations team and ensures work is accurate, efficient, compliant, and aligned with organizational standards. The manager optimizes performance across the team while supporting seamless revenue cycle operations.

This position plays a critical role in maintaining the financial integrity of the organization's revenue cycle operations while driving excellence across a global operations team.

Requirements

• At least 5 years of experience in healthcare revenue cycle, focused on ERA/payment posting operations.
• At least 2 years in a leadership or management capacity, preferably managing remote or overseas teams.
• Demonstrated ability to manage, develop, and optimize distributed team performance.
• Proficiency with Health Information Billing Software, such as Epic, Meditech, Athenahealth, or AdvancedMD.
• Strong knowledge of EDI 835 transaction sets and clearinghouse platforms.
• Familiarity with payer portals, ERA enrollment, and ERA reconciliation processes.
• Experience managing cross-time-zone operations and remote team communication tools.
• Strong leadership skills and ability to manage and motivate remote, cross-cultural teams.
• Excellent analytical and problem-solving abilities, with a focus on accuracy and quality control.
• Proven ability to optimize team workflows and improve operational efficiency.
• Effective communication across all levels, including overseas staff and senior leadership.
• Ability to manage competing priorities and deadlines in a fast-paced, high-volume environment.
• Detail-oriented, with a strong commitment to compliance, accuracy, and process integrity.

Nice To Haves

• Bachelor's degree in Healthcare Administration, Business, or a related field.
• Experience managing offshore or Business Process Outsourcing (BPO) teams.
• Experience with large-scale or multi-facility billing environments.
• Knowledge of denial management and appeals workflows.

Responsibilities

• Directly manage and oversee a remote overseas ERA operations team, ensuring daily accountability and productivity.
• Establish performance expectations, workflows, and quality standards for offshore team members.
• Monitor individual and team performance metrics, and provide regular feedback, coaching, and development.
• Optimize workload distribution to maximize efficiency and minimize processing backlogs.
• Conduct team meetings, one-on-ones, and performance reviews to maintain engagement and alignment.
• Identify skill gaps and coordinate training to ensure proficiency in ERA processes and billing systems.
• Serve as the primary escalation point for overseas team issues, disputes, and operational challenges.
• Coordinate across time zones to maintain seamless communication and continuity of operations.
• Manage daily ERA download and posting operations across all payers.
• Ensure accurate and timely posting of payments, adjustments, and denials into the billing system.
• Monitor ERA file transmissions and promptly resolve failed, missing, or rejected files.
• Establish and enforce standard operating procedures for ERA workflows.
• Partner with IT and clearinghouse vendors to troubleshoot EDI/835 transaction issues.
• Analyze posting trends, error rates, and payer discrepancies to drive continuous process improvements.
• Collaborate with billing, coding, and denial management teams to support seamless revenue cycle flow.
• Develop and present performance metrics and operational reports to senior leadership.
• Maintain compliance with payer contracts, HIPAA regulations, and internal audit standards.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Employee assistance plan
• Paid family leave
• Short-term disability insurance
• Life insurance
• 401(k) plan with employer match
• Flexible spending accounts
• Employee discount program
• Employee referral program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed