Job Description

Job Description

Job Description

The Payment Posting Manager is responsible for overseeing cash posting, credit balance, and reconciliation activities for all customers within the revenue cycle department. This position ensures accurate and timely posting of all payments, adjustments, and denials received from insurance payers and patients. The role includes managing the daily operations of the team, identifying workflow inefficiencies, and ensuring compliance with company policies and industry regulations.

Responsibilities

• Supervise and Train : Oversee payment posting staff, ensuring adherence to goals and standards.
• Team and Client Meetings : Conduct regular meetings to address workflow challenges and updates.
• Performance Goals : Set and evaluate individual and team goals; provide feedback and annual evaluations.
• Accurate Posting : Ensure timely and accurate posting of payments, adjustments, and denials.
• Reconciliation : Monitor daily cash receipts and reports for accuracy.
• Collaboration : Work with billing and collections teams to resolve discrepancies.
• Compliance : Ensure adherence to HIPAA and regulatory standards.
• Reporting : Generate and analyze reports on payment activities and outcomes.
• Auditing : Audit processes for accuracy and compliance.
• Discrepancy Resolution : Address underpayments, overpayments, and denials.
• Process Improvement : Identify and implement workflow improvements.
• Quality Control : Maintain measures to minimize errors.
• Industry Updates : Stay current on industry changes and payer requirements.
• Month-End Close : Complete month-end close by the 10th day of the following month.
• Procedure Development : Assist in developing and implementing work procedures.
• Escalation Handling : Manage escalated concerns and questions for staff and client.
• Trend Analysis : Research and communicate payment discrepancies and trends.

Qualifications

• Experience : 5+ years in healthcare payment posting, billing, or AR management; 2+ years in a supervisory role.
• Technical Skills : Familiarity with electronic payment systems and medical billing software. (e.g., Epic, NextGen, Athena One, Greenway Intergy, ECW, Athena Practice).
• Delegation : Effective task delegation.
• Collaboration : Work well with management, clients, and other teams.
• Independence : Conduct research and resolve issues with minimal supervision.
• Accountability : Accept responsibility and seek solutions.
• Organization : Plan and organize to achieve productivity goals.
• Time Management : Excellent time management and organizational skills.
• Workload Management : Handle high workloads with accuracy.
• Prioritization : Prioritize tasks efficiently.
• Data Entry : Proficient in 10-key data entry.
• Adaptability : Work in a fast-paced, dynamic environment.
• Insurance Knowledge : Understand Medicare, Medicaid, MCOs, and commercial insurance.
• Problem-Solving : Strong mathematical and critical thinking skills.
• Communication : Excellent interpersonal communication skills.

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