Payment Posting Supervisor (73631)

About the role

Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100+ locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility.

Responsibilities

• Oversee, accuracy, productivity, and quality of all payment posting, reconciliation, and cash management functions Women’s Care.
• Lead the payment posting team and ensure the timely and accurate posting of insurance, patient, electronic, lockbox, EFT, ERA, and third-party payments while maintaining strict controls over cash reconciliation, balancing, and revenue integrity.
• Serve as the subject matter expert for payment posting workflows, remittance processing, credit balance creation, unapplied cash resolution, cash variance investigations, and month-end reconciliation activities.
• Partner closely with Patient Access, Billing, AR Follow-Up, Finance, and Practice Operations teams to ensure complete and accurate revenue cycle performance.
• Supervise daily payment posting activities
• Manage posting of: Electronic Remittance Advice (ERA), Electronic Funds Transfers (EFT), Lockbox payments, Paper insurance payments, Patient payments, Credit card payments, Payment plans, Refund reversals and recoupments
• Ensure payments are posted accurately and timely according to departmental service level agreements.
• Monitor payment posting queues and workload distribution to maximize productivity and minimize backlogs.
• Review and approve adjustments, write-offs, and payment correction requests within established authority limits.
• Ensure accurate posting of contractual adjustments according to payer agreements.
• Monitor unapplied cash and unidentified payments and ensure timely resolution.
• Oversee daily cash reconciliation processes for all payment sources.
• Ensure all deposits, EFTs, lockbox receipts, patient payments, and ERA transactions reconcile to practice management and bank records.
• Balance daily cash receipts against: Bank deposits, Lockbox reports, EFT reports, ERA files, Credit card settlements, Practice management system reports.
• Investigate and resolve cash variances, posting discrepancies, and balancing issues.
• Maintain reconciliation logs and supporting documentation for audit purposes.
• Partner with Finance and Accounting to ensure accurate revenue reporting and cash posting.
• Complete month-end cash balancing and reconciliation activities.
• Prepare and distribute reconciliation reports to leadership.
• Ensure compliance with all internal controls and cash handling procedures.
• Perform routine audits of payment posting accuracy.
• Monitor adjustment usage and identify trends that may indicate training, system, or compliance concerns.
• Review payer remittance activity for reimbursement anomalies and underpayments.
• Collaborate with AR Follow-Up and Denials teams to address posting-related issues impacting collections.
• Ensure proper handling of: Recoupments, Refunds, Credit balances, Take-backs, Reversals, Secondary insurance payments.
• Develop and maintain payment posting policies, procedures, and standard work documentation.

Qualifications

• High School Diploma required.
• Bachelor's degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field preferred.
• Minimum 5 years of healthcare revenue cycle experience.
• Minimum 2 years of supervisory experience in payment posting, cash management, or revenue cycle operations.
• Experience in a large multi-specialty or physician group practice preferred.
• OB/GYN specialty experience preferred.
• Extensive knowledge of: Payment posting workflows, ERA/EFT processing, Lockbox operations, Cash reconciliation, Revenue cycle management, Medical billing and collections, Contractual adjustments, Credit balance management, Strong understanding of Medicare, Medicaid, commercial insurance, and managed care reimbursement methodologies.
• Advanced proficiency in Excel and reporting tools.
• Experience with practice management and electronic health record systems.
• Excellent analytical, problem-solving, and organizational skills.
• Strong leadership and team development capabilities.
• Ability to manage multiple priorities in a fast-paced environment.