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Key skills for this role
Oversee and perform accurate posting of insurance, patient, electronic, and manual payments to patient accounts.
Ensure payments, adjustments, recoupments, and denials are posted accurately and to the appropriate accounts.
Monitor daily cash posting activity to ensure timely and accurate application of cash.
Perform daily and monthly cash balancing and reconciliation between bank deposits, remittance files, clearinghouse activity, and the patient accounting system.
Research and resolve posting discrepancies, unidentified payments, and out-of-balance conditions.
Monitor unapplied and unidentified cash and ensure timely resolution.
Lead the credit balance review process, identifying accounts with potential overpayments or credit balances.
Research credit balances to determine the appropriate resolution, including transfers, corrections, refunds, or recoupments.
Coordinate with other RCM departments to resolve account issues contributing to credit balances.
Monitor credit balance aging and ensure timely resolution in accordance with organizational policies and payer requirements.
Own and maintain cash posting rules, ensuring they accurately reflect payer remittance and contractual requirements.
Identify opportunities to automate posting and reduce manual intervention.
Partner with IT, billing, and system vendors to troubleshoot and implement cash posting rule changes.
Test new or modified posting rules and validate results.
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Monitor rule performance and identify trends that may result in incorrect posting .
Serve as a subject matter expert and escalation point for the Cash Posting team.
Provide guidance, training, and support to team members on complex posting and reconciliation issues.
Review work for accuracy and identify opportunities for additional training or process improvement.
Monitor team productivity, quality, and turnaround-time metrics.
Assist with workload prioritization and resource allocation to meet department goals.
Develop and monitor key performance indicators related to cash posting, including posting turnaround time, accuracy, unapplied cash, credit balances, and reconciliation variances.
Identify trends and root causes impacting cash application and revenue cycle performance.
Recommend and implement process improvements that increase efficiency, accuracy, and cash visibility.
Maintain and update SOPs, workflows, and cash posting policies.
Support system implementations, payer changes, acquisitions, and other RCM initiatives impacting cash posting.
Assist with the identification, investigation, and resolution of payments issued to incorrect providers, addresses, or banking information, coordinating corrective actions with payors and internal stakeholders.
Ensure compliance with HIPAA transaction standards, CMS requirements, and applicable federal and state regulations governing electronic healthcare transactions.
Performs other related duties as assigned.
High school diploma or GED required.
3–5+ years of healthcare revenue cycle or cash posting experience.
Prior experience in a lead, senior, or supervisory role.
Experience with automated cash posting, 835/ERA processing, and posting-rule configuration.
Experience with credit balance management and payer reconciliation.
Physician-owned hospital services company providing emergency and hospital medicine to partner hospitals and health systems.
Visit company websiteJobs and hiring trendsFull-time
Mid · 3+ years experience
Hybrid
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