Payment Posting Manager

Your Role

• Lead the daily operations of the Payment Posting team, ensuring accuracy, productivity, and compliance.
• Oversee posting of insurance payments, patient payments, contractual adjustments, refunds, denials, and write-offs.
• Manage daily, weekly, and monthly cash reconciliation, ensuring posted payments align with deposits and bank activity.
• Investigate and resolve payment discrepancies, unapplied cash, posting variances, and reconciliation issues.
• Develop and implement payment posting automation strategies to improve efficiency and reduce manual processes.
• Optimize Electronic Remittance Advice (ERA), EFT, and lockbox payment workflows.
• Collaborate with Billing, Accounts Receivable, Finance, and IT teams to resolve revenue cycle challenges and improve operational performance.
• Monitor key performance indicators (KPIs) related to payment posting accuracy, turnaround times, reconciliation, and cash application.
• Establish and maintain departmental policies, procedures, and internal controls.
• Train, mentor, and develop Payment Posting team members while fostering a culture of accountability and continuous improvement.
• Support system implementations, upgrades, testing, and optimization initiatives related to payment posting and revenue cycle technology.
• Ensure compliance with HIPAA, payer regulations, and organizational policies.

Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field preferred; equivalent healthcare Revenue Cycle Management experience will be considered.
• Minimum of 8 years of healthcare Revenue Cycle Management (RCM) experience, including significant experience in payment posting and cash reconciliation.
• Previous leadership experience managing payment posting or revenue cycle teams.
• Raintree EMR experience strongly preferred.
• Strong knowledge of healthcare payment posting, cash reconciliation, ERA processing, EFTs, lockbox transactions, payer reimbursement methodologies, contractual adjustments, and revenue cycle operations.
• Experience working with healthcare clearinghouses and payer portals.
• Advanced proficiency with Microsoft Excel and reporting tools.
• Demonstrated success leading process improvement initiatives, workflow optimization, and operational change.
• Excellent analytical, organizational, communication, and problem-solving skills with exceptional attention to detail.

Why Join Us?

• Salary ranging from $50,000-$70,000 annually
• Medical, dental, and vision insurance
• Paid time off and paid holidays
• 401(k) with company match
• Company-paid life insurance
• Health Savings Account (HSA) and Flexible Spending Account (FSA)
• Employee Assistance Program (EAP)
• Tuition loan reimbursement
• Additional voluntary benefit options

Workplace Experience & Perks

• 100% remote position
• Monday-Friday schedule with standard business hours
• Opportunity to lead strategic payment posting and automation initiatives
• High-impact role supporting a national therapy organization
• Collaborative, people-first culture
• Strong administrative and leadership support
• Professional growth and leadership development opportunities
• Employee recognition programs
• Career advancement opportunities