Lead Medical Payment Poster - Full-Time | Days

The Staff Pad; Manchester (NH); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Retirement Plans

PTO

Maternity/Disability Leave

Flexible Spending Account

Job summary

The Staff Pad is seeking a Lead Medical Payment Poster in Manchester, United States to oversee and perform accurate posting of payments, adjustments, denials, and other reimbursement transactions across Clinic Business Offices.

This leadership role supports training, workflow coordination, compliance with policies, payer requirements, and revenue cycle best practices, collaborating with billing, collections, and clinic leadership to resolve discrepancies and improve financial performance.

Qualifications

• High school diploma or GED required.
• Minimum of 3 years of medical payment posting experience.
• Leadership, mentoring, or training experience preferred.

Responsibilities

• Lead and oversee payment posting staff across Clinic Business Offices.
• Train, guide, and support team members; monitor daily workloads.
• Ensure posting productivity and accuracy; resolve posting errors and discrepancies.
• Maintain compliance with HIPAA and payer requirements; audit postings for accuracy.
• Collaborate with billing, collections, insurance follow-up, and clinic leadership to improve processes.
• Provide backup posting support as needed and support month-end close activities.

Skills

Medical payment posting

HIPAA compliance

Leadership

Education

High school diploma or GED

Job description

Lead Medical Payment Poster - Full-Time | Days

Manchester, United States | Posted on 10/22/2026

The Staff Pad has partnered with a leading healthcare organization in Manchester, TN and we are looking to hire an experienced Lead Payment/Cash Poster to oversee and perform the accurate and timely posting of payments, adjustments, denials, and other reimbursement transactions across multiple Clinic Business Offices.

This role serves as a key resource for payment posting staff, supports training and workflow coordination, and ensures compliance with organizational policies, payer requirements, and revenue cycle best practices.

The Lead Cash Poster collaborates with billing, collections, insurance follow-up, clinic leadership, and finance teams to resolve posting discrepancies promptly, streamline workflows, and support the clinics’ overall financial performance.

Schedule: Full-Time | Days

What You’ll Do

Leadership Responsibilities

• Serve as the primary contact for payment posting staff across both Clinic Business Offices
• Train, guide, and support team members
• Monitor daily workloads and prioritize tasks
• Ensure posting productivity and accuracy standards are met
• Identify workflow issues and recommend improvements
• Assist management with performance monitoring and quality assurance
• Guide staff on posting procedures, payer requirements, and system functionality

Payment Posting Responsibilities

• Accurately and promptly post insurance payments, patient payments, ERAs, and manual payments
• Review and reconcile payment batches, deposits, and posting reports
• Post contractual adjustments, denials, write-offs, refunds, and other financial transactions
• Research and resolve posting errors, payment discrepancies, and unapplied payments
• Ensure transactions have appropriate supporting documentation
• Maintain accurate patient account balances through proper posting
• Assist with TennCare, Medicare Bad Debt, AIR payment accuracy, and other financial or operational reports
• Maintain workflow rules, Practice Management (PM) schedules, and system tasks for operational efficiency
• Monitor electronic remittance files and investigate posting exceptions
• Provide backup posting support across both Clinic Business Offices as needed

Revenue Cycle Support

• Collaborate with billing and collections teams to resolve payment variances and reimbursement issues
• Identify payer trends, reimbursement concerns, and process improvement opportunities
• Review rejected or denied payments and coordinate corrective actions
• Monitor aging reports for unapplied cash and posting exceptions
• Support month-end and year-end closings and reconciliations
• Work with management to resolve revenue cycle issues affecting reimbursement

Compliance and Quality Assurance

• Maintain confidentiality in compliance with HIPAA regulations
• Follow organizational policies, procedures, and payer requirements
• Audit posted transactions for accuracy and compliance
• Help develop and maintain departmental procedures, workflows, and training materials
• Promote revenue cycle best practices and organizational standards

What We Are Looking For

Education and Experience

• High school diploma or GED required
• Minimum of 3 years of medical payment posting experience required
• Clinic, physician practice, or RHC billing experience preferred
• Leadership, mentoring, or training experience preferred

Knowledge, Skills, and Abilities

• Knowledge of medical billing, payment posting, EOBs, ERAs, and revenue cycle processes
• Understanding of Medicare, Medicaid, TennCare, commercial insurance, and managed care reimbursement
• Strong attention to detail and accuracy
• Analytical and problem-solving skills
• Ability to train, mentor, and support staff
• Strong verbal and written communication skills
• Proficiency in EMR systems, practice management software, Microsoft Excel and Office
• Ability to manage multiple priorities and meet deadlines

What You Can Expect

Exceptional patient care starts with a team that feels valued, supported, and empowered - backed by comprehensive compensation and benefits every step of the way

• Retirement Plans
• PTO, Leave of Absence
• Maternity/Disability Leave
• Flexible Spending Account