Healthcare Cash Posting Lead

US104 Guidehouse Managed Services LLC

San Antonio (TX)

On-site

USD 85,000 - 110,000

Full time

3 days ago

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Benefits offered by this job

Medical, Rx, Dental & Vision Insurance

Paid Holidays

401(k) Retirement Plan

Life Insurance

Tuition Reimbursement

Job summary

Guidehouse is seeking a Cash Posting Supervisor for our San Antonio, TX office. You will oversee daily cash posting, posting accuracy, and reconciliation within hospital revenue cycle operations, leading a hands-on team and partnering with Finance and Revenue Cycle leadership.

The role requires 5+ years in healthcare revenue cycle and 2+ years of supervision, with experience in Epic or MEDITECH environments.

Qualifications

Bachelor’s Degree and 5 years of relevant healthcare revenue cycle experience.
5 years of healthcare revenue cycle, hospital cash posting, payment posting, or related patient financial services experience.
2+ years of supervisory or team-lead experience in healthcare revenue cycle operations.
Prior experience with cash balancing and reconciliation.
Proficiency with Microsoft Excel and other standard business applications.
Strong analytical, critical-thinking, and problem-solving abilities.

Responsibilities

Supervise daily hospital cash posting activities involving insurance, patient, electronic, and manual payments.
Ensure payments, contractual adjustments, denials, recoupments, refunds, and other transactions are posted accurately and timely.
Monitor Electronic Remittance Advice (ERA), Electronic Funds Transfer (EFT), lockbox, credit card, and manual payment workflows.
Ensure unapplied, unidentified, and misapplied cash is researched and resolved promptly.
Review posting exceptions and complex accounts requiring additional research or escalation.
Ensure deposits and payment batches are processed according to established departmental procedures and deadlines.
Identify opportunities to improve cash posting accuracy, efficiency, and automation.
Oversee daily balancing of posted payments against bank deposits, remittance documentation, lockbox activity, and system totals.
Perform and/or review daily, weekly, and monthly cash reconciliations.
Investigate variances between bank deposits, payment files, and patient accounting system transactions.
Ensure discrepancies are appropriately documented, researched, corrected, and escalated when necessary.
Monitor outstanding reconciliation items and ensure timely resolution.
Maintain appropriate documentation and audit trails supporting posted and reconciled transactions.
Partner with Finance and Revenue Cycle leadership to resolve complex reconciliation issues.
Provide direct supervision, coaching, training, and development for Cash Posting staff.
Assign daily workloads and adjust staffing based on payment volumes, backlogs, and operational priorities.
Monitor individual and team productivity, quality, attendance, and performance.
Establish clear performance expectations and provide regular feedback to employees.
Conduct quality reviews to identify errors, process gaps, and training opportunities.
Support onboarding and ongoing training of new and existing employees.
Address performance concerns and implement corrective action plans when appropriate.
Promote accountability, teamwork, accuracy, and continuous improvement within the department.
Monitor key performance indicators related to cash posting productivity, accuracy, reconciliation, aging, and outstanding exceptions.
Prepare and communicate daily, weekly, and monthly performance reports.
Analyze trends and identify root causes of posting errors, reconciliation issues, or workflow delays.
Develop corrective action plans when performance or quality falls below established standards.
Work with leadership to establish productivity and quality benchmarks.
Ensure departmental procedures remain current and consistently followed.