RCM Payment Posting Supervisor

Monte Nido & Affiliates, LLC • UNAVAILABLE, UNAVAILABLE

7h • Remote

About The Position

The RCM Payment Posting Supervisor is responsible for overseeing daily payment posting operations, ensuring accurate and timely application of payments, adjustments, and denials in accordance with payer contracts and organizational policies. This role leads a team of payment posters, drives process improvements, and ensures compliance with regulatory and payer requirements to support optimal cash flow and revenue integrity.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred (Equivalent experience may be considered)
• 5+ years of healthcare revenue cycle experience
• 5+ years of Behavioral Health revenue Cycle experience
• 2+ years in a supervisory or lead role within payment posting or cash applications
• Strong knowledge of payment posting processes, EOBs/ERAs, and payer reimbursement methodologies
• Experience with EMR/PMS systems and clearinghouse platforms
• Strong analytical and problem-solving skills
• High attention to detail and accuracy
• Excellent leadership, communication, and organizational skills

Nice To Haves

• Knowledge of CPT, ICD-10, and modifiers

Responsibilities

• Supervise, train, and mentor payment posting staff.
• Monitor team productivity, accuracy, and quality metrics.
• Conduct regular performance reviews and provide coaching.
• Develop staffing plans to ensure timely processing of workload.
• Perform other duties as assigned.
• Oversee posting of all payments (electronic remittance advice (ERA), EFT, checks, credit cards).
• Ensure accurate application of payments, contractual adjustments, denials, and takebacks.
• Validate reconciliation of daily deposits to posted transactions.
• Ensure timely processing of payments in accordance with departmental KPIs.
• Ensure daily, weekly, and monthly reconciliation of payment batches and bank deposits.
• Investigate and resolve discrepancies between posted payments and bank deposits.
• Produce and analyze reports on posting volumes, accuracy, unapplied cash, and trends.
• Identify posting-related denial trends and root causes.
• Collaborate with denial management, coding, and billing teams to resolve issues.
• Ensure contractual adjustments are applied accurately per payer agreements.
• Ensure adherence to HIPAA, payer regulations, and internal controls.
• Support internal and external audits by providing documentation and reporting.
• Maintain standardized procedures and enforce documentation requirements.
• Evaluate workflows and implement process improvements to enhance efficiency and accuracy.
• Partner with IT/EMR teams to optimize payment posting systems and automation (e.g., ERA auto-posting).
• Reduce manual posting and improve first-pass accuracy.
• Work with clearinghouses, banks, and payers to resolve remittance issues.
• Ensure ERA enrollment and EFT setup are up to date.
• Address payer-specific posting requirements and exceptions.

Benefits

• Competitive compensation
• Medical, dental, and vision insurance coverage
• Retirement
• Company-paid life insurance, AD&D, and short-term disability
• Employee Assistance Program (EAP)
• Flexible Spending Account (FSA)
• Health Savings Account (HSA)
• Paid time off
• Professional development

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level