Cash Posting Supervisor | Hospital Revenue Cycle

About the job

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Cash Posting Supervisor | Hospital Revenue Cycle based in the United States.

The Cash Posting Supervisor will oversee daily payment posting, cash management, and reconciliation activities within a hospital revenue cycle environment. This role is responsible for ensuring the accurate and timely processing of patient and insurance payments while maintaining strong financial controls and operational efficiency. You will lead and develop a team of cash posting professionals, monitor performance, and resolve complex payment discrepancies. Working closely with Finance, Patient Financial Services, Revenue Cycle, and other operational teams, you will help maintain reliable financial processes and reporting. The position combines hands-on operational expertise with people leadership, analytical problem-solving, and continuous process improvement. This is an excellent opportunity for an experienced healthcare revenue cycle professional to make a meaningful impact in a remote, high-volume environment.

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Accountabilities:

Oversee Cash Posting Operations: Supervise daily hospital payment posting activities, including insurance payments, patient payments, electronic transfers, manual payments, contractual adjustments, denials, recoupments, and refunds, ensuring accuracy and timely processing.

Manage Payment Workflows: Monitor Electronic Remittance Advice (ERA), Electronic Funds Transfer (EFT), lockbox, credit card, and manual payment processes. Ensure unapplied, unidentified, and misapplied cash is investigated and resolved promptly.

Lead Cash Reconciliation: Oversee daily, weekly, and monthly reconciliation activities, ensuring payment postings balance against bank deposits, remittance documentation, lockbox transactions, and patient accounting system records.

Resolve Financial Discrepancies: Investigate variances, posting exceptions, and complex payment issues across multiple systems and facilities. Ensure discrepancies are documented, corrected, and escalated when necessary.

Manage and Develop Employees: Provide direct supervision, coaching, training, and performance management for cash posting staff. Assign workloads, manage staffing levels, establish performance expectations, and support employee development.

Monitor Productivity and Quality: Track key performance indicators related to posting accuracy, cash reconciliation, outstanding exceptions, productivity, aging, and backlog management. Prepare regular performance reports and implement corrective action plans when needed.

Drive Process Improvements: Identify recurring operational challenges, analyze root causes, and recommend improvements to enhance accuracy, efficiency, automation, and overall cash posting performance.

Maintain Compliance and Internal Controls: Ensure all payment transactions follow established policies, procedures, documentation standards, confidentiality requirements, and financial controls. Maintain appropriate audit trails and support compliance-related activities.

Manage Systems and Technology: Utilize hospital patient accounting and revenue cycle applications, including Epic and MEDITECH platforms. Support system upgrades, testing, workflow changes, and technology implementations affecting cash posting.

Collaborate Across Departments: Partner with Revenue Cycle leadership, Finance, Patient Financial Services, IT, and operational stakeholders to resolve reconciliation issues and improve financial workflows.

Requirements:

Education and Experience: Bachelor's degree with at least 5 years of relevant experience, or a high school diploma/GED with at least 9 years of relevant experience in lieu of higher education.

Healthcare Revenue Cycle Expertise: At least 5 years of experience in healthcare revenue cycle operations, hospital cash posting, payment posting, or patient financial services.

Leadership Experience: Minimum of 2 years of supervisory or team-lead experience, including employee coaching, workload management, performance monitoring, and quality oversight.

Cash Management and Reconciliation: Demonstrated experience managing cash posting, balancing deposits, reconciling payment transactions, and resolving discrepancies across financial and patient accounting systems.

Healthcare Payment Knowledge: Strong understanding of insurance and patient payment processes, third-party payer remittances, contractual adjustments, refunds, denials, and electronic payment workflows.

Technical Proficiency: Experience with Microsoft Excel and standard business applications. Familiarity with hospital patient accounting systems, particularly Epic, MEDITECH Magic, and MEDITECH 6.x/Expanse, is highly desirable.

Payment Technology: Knowledge of ERA/EFT files, lockbox platforms, payer portals, banking applications, and automated cash posting solutions.

Analytical and Problem-Solving Skills: Strong critical-thinking abilities, attention to detail, and the capacity to investigate complex payment discrepancies, identify trends, and implement appropriate solutions.

Organizational Skills: Ability to manage competing priorities, meet strict deadlines, oversee high-volume workflows, and maintain productivity and quality standards.

Communication and Collaboration: Excellent written and verbal communication skills, with the ability to work effectively with employees, management, Finance, IT, and other operational departments.

Leadership and Accountability: Strong interpersonal skills, sound judgment, and the ability to motivate teams while fostering accuracy, accountability, collaboration, and continuous improvement.

Confidentiality and Compliance: Ability to handle sensitive patient and financial information responsibly while maintaining compliance with established procedures and internal controls.

Preferred Qualifications: An associate's or bachelor's degree in Business, Finance, Accounting, Healthcare Administration, or a related discipline is an advantage. Experience in multi-facility hospital environments and high-volume cash posting operations is also preferred.

Benefits:

Competitive Salary: Annual compensation ranging from $68,000 to $113,000, depending on experience, qualifications, skills, and other relevant factors.

Performance Incentives: Potential eligibility for a discretionary variable incentive bonus.

Healthcare Coverage: Medical, prescription drug, dental, and vision insurance.

Retirement Savings: 401(k) retirement plan.

Life Insurance: Basic life and supplemental life insurance coverage.

Disability Protection: Short-term and long-term disability benefits.

Flexible Spending Accounts: Health Savings Account (HSA), healthcare-related spending accounts, dental and vision accounts, and dependent care FSA options.

Paid Leave: Personal and family sick time, company-paid holidays, and parental leave.

Professional Development: Tuition reimbursement, learning opportunities, skills development programs, and professional certifications.

Employee Referral Program: Opportunities to benefit from referring qualified professionals.

Family Support: Access to an emergency backup childcare program.

Corporate Culture: Participation in company-sponsored events and community outreach initiatives.

Remote Work: Fully remote position open to candidates located anywhere in the United States.

Travel: Travel requirements of up to 10%.

\nHow Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether?

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