Payment Posting & ERA Operations Manager

• Manage and oversee daily ERA download and posting operations across all payers.
• Ensure accurate and timely posting of payments, adjustments, and denials into the billing system
• Monitor ERA file transmissions and resolve failed, missing, or rejected files promptly
• Establish and enforce standard operating procedures for ERA workflows
• Partner with IT and clearinghouse vendors to troubleshoot EDI/835 transaction issues
• Analyze posting trends, error rates, and payer discrepancies to drive continuous process improvements
• Collaborate with billing, coding, and denial management teams to ensure seamless revenue cycle flow
• Develop and present performance metrics and operational reports to senior leadership
• Maintain compliance with payer contracts, HIPAA regulations, and internal audit standards

• 5+ years of experience in healthcare revenue cycle, with a focus on ERA/payment posting operations
• 2+ years in a leadership or management capacity, preferably managing remote or overseas teams
• Demonstrated ability to manage, develop, and optimize the performance of distributed teams
• Proficiency with Health Information Billing Software (e.g., Epic, Meditech, Athenahealth, AdvancedMD)
• Strong knowledge of EDI 835 transaction sets and clearinghouse platforms
• Familiarity with payer portals, ERA enrollment, and ERA reconciliation processes
• Experience managing cross-timezone operations and remote team communication tools

• Bachelor's degree in Healthcare Administration, Business, or related field
• Experience managing offshore or Business Process Outsourcing (BPO) teams
• Experience with large-scale or multi-facility billing environments
• Knowledge of denial management and appeals workflows

• Strong leadership skills with the ability to manage and motivate remote, cross-cultural teams
• Excellent analytical and problem-solving abilities with a focus on accuracy and quality control
• Proven ability to optimize team workflows and improve operational efficiency
• Effective communication skills across all levels, including overseas staff and senior leadership
• Ability to manage competing priorities and deadlines in a fast-paced, high-volume environment
• Detail-oriented with a strong commitment to compliance, accuracy, and process integrity

This position plays a critical role in maintaining the financial integrity of the organization's revenue cycle operations while driving excellence across a global operations team.

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance.

We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.