Cash Receivable Specialist - Remote/Nationwide

Signature Performance; Chicago (IL); Remote; USD 80,000 - 100,000; Full time

Benefits offered by this job

Health Insurance

Life Insurance (fully paid)

Disability Insurance (short/long-term)

Paid Vacation

Paid Sick Leave

Paid Holidays

Tuition Assistance

401(k) Match

Job summary

Signature Performance, Inc. is seeking a Cash Receivable Supervisor to lead the cash posting and reconciliation team from a remote location. You will oversee daily payment processing, posting, adjustments, and ensure compliance with policies while maintaining financial accuracy.

You will coach staff, monitor productivity, resolve posting issues, review payer documents, and drive process improvements. Strong analytical skills and experience with ERA/EOB are preferred; experience in healthcare

Qualifications

• Minimum of 5 years in healthcare cash posting or related revenue cycle operations.
• Minimum of 2 years supervising staff and workflows.
• Knowledge of ERA/EOB and payer documentation.
• Understanding of Medicare/Medicaid and other payers.

Responsibilities

• Supervise daily cash posting, payment processing, adjustments and reconciliation.
• Coach, train, and manage cash posting staff for accountability and performance.
• Monitor productivity, quality, and turnaround times; identify gaps and act.
• Review EOBs, RAs and payer docs to ensure correct posting and adjustments.
• Resolve unapplied cash, unidentified payments, and posting discrepancies.
• Coordinate with payers and internal teams to resolve issues.
• Identify payer reimbursement trends and report findings to management.
• Develop and maintain SOPs and internal controls for efficiency and accuracy.
• Provide ongoing staff training and cross-training on cash posting procedures.
• Prepare operational reports on productivity, volumes, and reconciliation status.

Skills

Cash posting supervision

Leadership

Process improvement

Analytical thinking

Team collaboration

Tools

Excel

EHR systems

Remittance software

MS Office

Job description

life insurance, paid holidays, sick time, tuition assistance, 401(k)

Oct 30, 2026

This is a remote based position. Applicants can be located nationwide Back Cash Receivable Supervisor #2974 United States Remote/Nationwide

About You

You are a person who enjoys leading teams, improving processes, and ensuring financial accuracy. We need someone who is a detail-oriented and collaborative leader with strong problem-solving skills and a passion for continuous process improvement. In the role of Cash Receivable Supervisor, you will maintain efficient workflows, resolve payment posting issues, and ensure compliance with established policies and procedures.

• Tell us about your experience with Cash Receivable Supervision.
• Are you a team player and a self-motivator?
• What is your experience with conducting business in a way that is credit to a company?
• We are counting on you to manage multiple projects using your problem-solving skills.
• We are looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.

About The Position

• Supervise and oversee daily cash posting, payment processing, adjustment posting, and reconciliation activities to ensure accuracy, timeliness, and compliance with established policies and procedures.
• Provide direct supervision, coaching, training, and performance management of assigned cash posting staff, ensuring accountability for individual and departmental performance expectations.
• Monitor daily productivity, quality, accuracy, and turnaround times, identifying performance gaps and implementing corrective actions as necessary.
• Ensure timely and accurate posting of payments, contractual adjustments, denials, and other account transactions in client and company systems.
• Oversee daily reconciliation processes to ensure payments received are accurately posted, balanced, and reconciled to appropriate financial records, including identification and resolution of discrepancies.
• Review and interpret Explanation of Benefits (EOBs), Remittance Advice (RAs), and other payer documentation to ensure appropriate payment posting and adjustment processing.
• Monitor and resolve unapplied cash, unidentified payments, posting errors, and reconciliation discrepancies, escalating unresolved issues to management as appropriate.
• Coordinate with insurance payers, government entities, internal departments, and client representatives to research and resolve payment posting and reconciliation issues.
• Identify trends in payer reimbursement, claims adjudication, payment variances, and posting discrepancies, providing findings and recommendations to management.
• Establish and maintain effective workflows, standard operating procedures, and internal controls to support operational efficiency, financial accuracy, and continuous process improvement.
• Provide ongoing training, cross-training, and re-education to team members to ensure consistent application of cash posting procedures and operational best practices.
• Conduct routine quality assurance reviews and audits to identify errors, ensure compliance, and implement corrective actions to prevent recurring issues.
• Prepare, review, and communicate operational reports, including productivity, cash posting volumes, reconciliation status, outstanding discrepancies, and other key performance indicators.
• Collaborate with Patient Financial Services leadership and other revenue cycle departments to address operational concerns, improve workflows, and support organizational financial objectives.
• Maintain working knowledge of multiple client systems, payer requirements, and cash processing workflows to effectively support staff and operational needs.
• Ensure staff provide excellent internal and external customer service consistent with Signature Performance's standards and organizational values.
• Assist with staffing needs, workload distribution, employee evaluations, attendance monitoring, and other supervisory responsibilities in accordance with company policies.
• Perform cash posting and reconciliation functions as needed to support operational demands, staffing shortages, or resolution of complex account issues.
• Oversee ERA and EFT enrollment processes, maintenance, payer updates, and issue resolution to ensure uninterrupted payment receipt and electronic remittance processing.
• Coordinate with banking institutions, treasury departments, and vendors to resolve deposit discrepancies and payment transmission issues.
• Vendor/clearinghouse management: lockbox vendors, payment processors, and payer representatives to resolve cash application and remittance issues.
• Perform other related duties as assigned.

Minimum Requirements

• Minimum of 5 years of progressive experience in healthcare cash posting, payment processing, reconciliation, or related revenue cycle operations.
• Minimum of 2 years of supervisory, team leadership, or demonstrated experience overseeing staff, workflows, productivity, and operational performance preferred.
• Comprehensive knowledge of healthcare cash posting processes, including insurance and patient payments, contractual adjustments, electronic remittance advice (ERA), Explanation of Benefits (EOB), and reconciliation procedures.
• Strong understanding of Medicare, Medicaid, commercial insurance, and other government payer reimbursement methodologies and payment processing requirements.
• Working knowledge of CPT/HCPCS codes, insurance billing practices, contractual adjustments, and payer adjudication processes.
• Demonstrated ability to supervise, coach, train, and develop employees while maintaining accountability for productivity, quality, and performance expectations.
• Experience monitoring key performance indicators (KPIs), identifying operational trends, resolving discrepancies, and implementing process improvements.
• Strong analytical, problem-solving, and mathematical skills with the ability to investigate complex payment posting and reconciliation issues.
• Proficiency in Microsoft Office applications, including Excel, Word, and Outlook, with the ability to analyze data, prepare reports, and monitor operational performance.
• Experience working with electronic health records (EHR), patient accounting systems, and healthcare revenue cycle management applications.
• Ability to prioritize competing demands, effectively manage workloads, and meet operational deadlines in a fast-paced environment.
• Strong organizational, interpersonal, and written and verbal communication skills, with the ability to collaborate effectively with staff, leadership, clients, and other departments.
• Demonstrated ability to work independently, exercise sound judgment, make operational decisions, and upscale issues appropriately.
• Strong commitment to accuracy, accountability, continuous improvement, customer service, and achieving departmental and organizational goals.
• Demonstrated professionalism, integrity, initiative, adaptability, teamwork, and commitment to employee development and organizational success.
• Experience working with Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and rural healthcare organizations preferred.

About Us

You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.

About the Benefits

When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives.

• Health Insurance
• Fully Paid Life Insurance
• Fully Paid Short- & Long-Term Disability
• Paid Vacation
• Paid Sick Leave
• Paid Holidays
• Professional Development and Tuition Assistance Program
• 401(k) Program with Employer Match

Security Requirements

• U.S. Citizenship or naturalized citizenship is required for this position.
• All work on all positions at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.
• Signature Performance requires candidates to participate in interviews with their camera enabled. Interviews may be recorded for evaluation, training, quality assurance, and hiring purposes. Candidates will be provided the opportunity to consent during the application process and notified before recording begins. These requirements are applied consistently to all applicants and are a condition of participation in the selection process. Failure to meet these requirements may result in removal from consideration. Candidates who have questions, concerns or require accommodation regarding recording should notify the Talent Attraction & Strategy team before proceeding.