Payment Posting Manager (100% Work from Home)
Position Summary
The Payment Posting Manager leads daily payment posting operations to ensure insurance and patient payments, adjustments, denials, credit balances, and reconciliation activities are completed accurately, timely, and in alignment with established standards.
This role drives posting accuracy, reconciliation integrity, staff performance, supervisor readiness, and workflow improvement by setting clear expectations, monitoring results, resolving issues, and escalating to the Zone Manager when risks may affect financial accuracy, compliance, or customer delivery.
Qualifications
Required
- 5+ years in healthcare payment posting, billing, or A/R management, including 2+ years in a supervisory role
- Familiarity with electronic payment systems and medical billing platforms such as Epic, NextGen, Athena, Intergy, or eCW
- Experience supervising, training, and coaching staff against quality, productivity, and documentation standards
- Experience developing supervisors, leads, or senior staff through coaching, delegation, and follow-through
- Ability to monitor posting activity and reconciliation results to identify errors, delays, and trends
- Ability to apply quality controls for posting accuracy, documentation, and compliance
- Ability to research and resolve underpayments, overpayments, and denials
- Ability to use trends, audit findings, and reconciliation issues to improve workflows and reduce repeat errors
- Strong organization, prioritization, follow-through, and accuracy in deadline-driven work
Preferred
- Experience analyzing payment posting, reconciliation, productivity, quality, or trend reports
- Experience partnering with billing, collections, finance, revenue support, or operations to resolve posting discrepancies
- Experience developing or reinforcing procedures, standard work, or quality controls
Key Responsibilities and Expected Performance Outcomes
Key Responsibilities
- Lead, coach, and train payment posting supervisors, leads, and staff to meet quality, productivity, documentation, and service expectations
- Conduct supervisor, team, and operational touchpoints to review priorities, address workflow barriers, and align staff on expectations
- Set and evaluate individual, team, and supervisor performance goals; provide timely feedback and annual performance input
- Develop supervisor and lead readiness by clarifying authority levels, reinforcing decision boundaries, and coaching follow-through on team-owned issues
- Ensure payments, adjustments, denials, credit balances, and exceptions are posted accurately and timely
- Monitor receipts, posting activity, reconciliation reports, and work status to identify errors, delays, and risks
- Maintain HIPAA, regulatory, documentation, and confidentiality standards in daily posting operations
- Generate and analyze reports on posting activity, reconciliation status, productivity, quality, discrepancies, and trends
- Review posting activity, audit findings, and quality trends to correct errors and prevent recurrence
- Research and resolve underpayments, overpayments, denials, unapplied cash, credit balances, and escalated posting concerns
- Implement and sustain workflow improvements, procedure updates, and quality controls that reduce errors and improve consistency
- Stay current on payer requirements, industry changes, and internal process updates that affect posting accuracy or workflow
- Ensure completion of month-end close by the 10th day of the following month
- Communicate payment discrepancy trends, risks, corrective actions, and escalation needs to the Zone Manager with impact, evidence, options, and recommended next steps
- Own customer-impacting posting issues by ensuring they are visible, coordinated, and resolved before they disrupt customer outcomes or downstream revenue cycle work
Expected Performance Outcomes
- Posting outcomes (accuracy, timeliness, and reconciliation integrity) are predictable and stable
- Recurring posting defects decline through prevention and workflow improvement rather than repeated rework
- Escalations are surfaced early with impact, evidence, options, and recommended next steps rather than discovered through surprise
- Customer-impacting posting risks are identified, communicated, and resolved before they create downstream disruption or avoidable escalation
- Supervisor, lead, and team capability increases over time through coaching and clear standards, reducing dependence on manager intervention
- Compliance and documentation discipline hold under pressure, without silent exceptions or workaround normalization
Core Competencies
- Critical Thinking: Prioritizes posting risks, exceptions, and escalations by financial impact, compliance exposure, and reconciliation integrity.
- Interpersonal Skills: Communicates expectations clearly, supports de-escalation, and reinforces standards with staff and cross-functional partners.
- Organizing and Planning: Structures staffing, workflows, controls, and close timelines to sustain accurate posting and reliable month-end performance.
- Production: Maintains timely, accurate posting output through repeatable processes, quality controls, and reduced rework.
- Dependability: Owns posting outcomes, honors commitments, and surfaces risks early.
- Coaching: Builds team capability through coaching, feedback, and clear standards that increase decision ownership.
- Project Management: Leads posting-related improvements by defining ownership, timelines, success criteria, and follow-through.
- Quality Focus: Maintains posting accuracy, compliance, and documentation discipline while addressing root causes and preventing repeat issues.
