Manager, Payment Posting

Guidehouse; Washington (District of Columbia); On-site; USD 70,000 - 116,000; Full time

Benefits offered by this job

Competitive compensation

Flexible benefits

401(k) Retirement Plan

Health Insurance

Job summary

Guidehouse is seeking a Cash Posting Manager to oversee daily cash posting and payment reconciliation for hospital and healthcare revenue cycle operations. You will ensure patient and payer payments, adjustments, denials and other financial transactions are posted accurately and timely in line with policies and internal controls.

The ideal candidate leads hands-on, has strong cash posting and AR reconciliation experience, and is familiar with Epic and MEDITECH environments.

Qualifications

• Requires a bachelor’s degree and a minimum 7 years of prior relevant experience.
• 5+ years of healthcare revenue cycle, hospital cash posting, and payment posting.
• Experience with Epic and MEDITECH environments is required or highly preferred.
• Ability to manage teams and provide training and guidance.

Responsibilities

• Acts and leads in a manner that will instill trust and foster team play.
• Oversees Billing/Cash Posting/Collections and AR account resolution.
• Prepares and presents daily, weekly, and monthly reporting packages.
• Ensures compliance with State/Federal regulations and HIPAA requirements.

Skills

Cash posting

Collections

Leadership

Communication

Revenue cycle knowledge

Education

Bachelor's degree

Tools

Epic

MEDITECH Magic

MEDITECH 6.x/Expanse

Job description

Job Family:PFS GeneralTravel Required:Up to 25%Clearance Required:NoneWhat You Will Do:The Cash Posting Manager is responsible for overseeing the daily cash posting and payment reconciliation functions for hospital and healthcare revenue cycle operations. This position ensures that patient and payer payments, adjustments, denials, and other financial transactions are posted accurately, timely, and in accordance with established policies, procedures, and internal controls.The ideal candidate is a hands-on leader with strong cash posting and reconciliation experience, excellent critical-thinking skills, and experience working within hospital patient accounting systems, including Epic, MEDITECH Magic, and MEDITECH 6.x/Expanse environments.Essential Job FunctionsLeadership / TrainingBilling / Cash Posting / CollectionsComplianceReportingDuties and ResponsibilitiesActs and leads in a manner that will instill trust and foster team play.Ensures that all employees know and understand all State and Federal Rules and Regulations.Ability to make good judgment and quick decisions, strong AR acumenProvide a working environment which allows employees to communicate ideas for improvement to department. Whenever possible request employee input on policies and procedures that may affect or impact the way their job is performed.Maintain open communications and provide appropriate feed back to PBA staff and management.Allow employees to attend seminars which will enhance productivity and knowledge.Ensures employees have all the tools necessary to achieve the goals set.Billing/Cash Posting/Collections:Experienced in driving cash and AR account resolution.Working with all payers for resolution and escalation.Experienced with expected reimbursement variance management.Works with all departments to ensure accuracy of CPT4, HCPCS and Revenue Codes.Provide departments with Medicare and other payer updates, notices and coverage changes which effect both billing and reimbursement.Reviews process and systems to ensure the most effective methods are maintained to meet all departmental and facility goals.Works with IT to ensure that all changes are completed to ensure accuracy of billing is maintained.Ensures bill hold in electronic systems meets established goal.Works with both electronic billing vendor and payers to resolve billing/cash posting issues.Identifies and resolves problems in the patient accounts receivable process and when appropriate initiate changes to rectify payer issues, underpayments and denials.Reviews and approves credit arrangements, refunds, write-offs and adjustments on accounts and insures departmental and medical center policy regarding signature levels are followed.Manages all employees providing follow-up on third party and self-pay accounts post initial billing.Prepares, distributes, and presents daily, weekly, and monthly reporting packages as required.Monitors overall performance and productivity in department.Ensures all reports are completed timely.Acts as a technical resource for Medicare regulations and reimbursement.Ensures that all components of the Medicare Bad Debt Log and supporting documentation are complete.Oversees Completion of Bad Debt vendor reconciliation.Informs management of all compliance issues.Assigned special projects will be completed within the time frames given.Appropriately documents each account worked in patient accounting system.Ensures all established goals are met.Develops and executes projects to reduce aged A/R and enhance collections.Understand and manages client service level metrics and key indicators of revenue cycle performance. Develop and adhere to methods of KPI improvement.Compliance:Communicates all compliance issues to Manager.Educates and ensures that all employees understand Compliance and appropriate procedure for reporting compliance issues for State, Federal and HIPAA.Attends pertinent seminars, internal and external and shares obtained information with staff and other appropriate departments.Reviews and maintain JACHO requirements for billing, cash posting and collections.Reporting:Responsible for the weekly Key Indictor ReportsPatient Accounting and Billing Scrubber reports to departments daily.Maintain logs by department for claims on hold status.Daily electronic and paper claim report.Other reports as requested by management.What You Will Need:Requires a bachelor’s degree and a minimum 7 years of prior relevant experience. (Relevant experience may be substituted for formal education or advanced degree.)5 years of healthcare revenue cycle, hospital cash posting, payment postingEpic, MEDITECH Magic, and/or MEDITECH 6.x/Expense experienceOf the seven years of relevant experience required, a minimum of two years must include people management experience.What Would Be Nice to Have:Solid understanding of healthcare revenue cycle.Demonstrated competency in working in teams and ability to effectively communicate with all levels.#IndeedSponsored#LI-DNIThe annual salary range for this position is $70,000.00-$116,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.What We Offer:Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:Medical, Rx, Dental & Vision InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramAbout GuidehouseGuidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [e-mail]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [e-mail]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.