Payment Posting & ERA Operations Manager

Alteva RCM; Boca Raton, New York (FL, NY); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) with employer match

Paid family leave

Short-term disability

Life insurance

Job summary

Alteva RCM in Boca Raton, FL seeks a Payment Posting & ERA Operations Manager to lead the end-to-end processing of ERAs and manage an overseas team, ensuring accurate posting and timely reconciliation within the health information billing system.

You will drive performance, establish SOPs, collaborate with IT and vendors, and ensure compliance with HIPAA and contracts while optimizing revenue cycle operations at a global scale.

Qualifications

• 5+ years in healthcare revenue cycle, focusing on ERA/payment posting operations
• 2+ years in a leadership/management capacity, preferably remote/overseas teams
• Proficiency with Health Information Billing Software (Epic, Meditech, Athenahealth, AdvancedMD)
• Strong knowledge of EDI 835 transaction sets and clearinghouse platforms
• Familiarity with payer portals, ERA enrollment, and ERA reconciliation processes
• Experience managing cross-timezone operations and remote team communication tools

Responsibilities

• Directly manage and oversee a remote overseas ERA operations team
• Establish clear performance expectations, workflows, and quality standards
• Monitor performance metrics and provide coaching and development
• Coordinate across time zones for seamless operations
• Oversee daily ERA download and posting across all payers
• Ensure accurate posting of payments, adjustments, and denials
• Troubleshoot ERA file transmissions and resolve issues
• Develop and present performance metrics to senior leadership
• Maintain compliance with HIPAA and internal audits

Skills

ERA operations

Remote leadership

Healthcare RCM

EDI 835

Payer portals

Cross-timezone ops

Health IT systems

Education

Bachelor's degree in Healthcare Administration

Tools

Epic

Meditech

Athenahealth

AdvancedMD

Job description

Payment Posting & ERA Operations Manager

Boca Raton, Florida, United States; Queens, New York, United States

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Position Summary

The Manager of ERA Operations is responsible for overseeing the end-to-end management of Electronic Remittance Advice processing, including the timely downloading, reconciliation, and posting of ERAs into the organization's Health Information Billing System. A key component of this role is the leadership and management of an overseas operations team, ensuring work is completed accurately, efficiently, and in alignment with organizational standards. This manager will drive performance optimization across all team members while maintaining compliance and supporting seamless revenue cycle operations.

Key Responsibilities

Overseas Team Management:

• Directly manage and oversee a remote overseas ERA operations team, ensuring daily accountability and productivity
• Establish clear performance expectations, workflows, and quality standards for all offshore team members
• Monitor individual and team performance metrics, providing regular feedback, coaching, and development
• Optimize workload distribution across team members to maximize efficiency and minimize processing backlogs
• Conduct regular team meetings, one-on-ones, and performance reviews to maintain engagement and alignment
• Identify skill gaps and coordinate training to ensure team proficiency in ERA processes and billing systems
• Serve as the primary escalation point for overseas team issues, disputes, and operational challenges
• Coordinate across time zones to maintain seamless communication and continuity of operations

ERA Operations:

• Manage and oversee daily ERA download and posting operations across all payers.
• Ensure accurate and timely posting of payments, adjustments, and denials into the billing system
• Monitor ERA file transmissions and resolve failed, missing, or rejected files promptly
• Establish and enforce standard operating procedures for ERA workflows
• Partner with IT and clearinghouse vendors to troubleshoot EDI/835 transaction issues
• Analyze posting trends, error rates, and payer discrepancies to drive continuous process improvements
• Collaborate with billing, coding, and denial management teams to ensure seamless revenue cycle flow
• Develop and present performance metrics and operational reports to senior leadership
• Maintain compliance with payer contracts, HIPAA regulations, and internal audit standards

Qualifications

Required:

• 5+ years of experience in healthcare revenue cycle, with a focus on ERA/payment posting operations
• 2+ years in a leadership or management capacity, preferably managing remote or overseas teams
• Demonstrated ability to manage, develop, and optimize the performance of distributed teams
• Proficiency with Health Information Billing Software (e.g., Epic, Meditech, Athenahealth, AdvancedMD)
• Strong knowledge of EDI 835 transaction sets and clearinghouse platforms
• Familiarity with payer portals, ERA enrollment, and ERA reconciliation processes
• Experience managing cross-timezone operations and remote team communication tools

Preferred:

• Bachelor's degree in Healthcare Administration, Business, or related field
• Experience managing offshore or Business Process Outsourcing (BPO) teams
• Experience with large-scale or multi-facility billing environments
• Knowledge of denial management and appeals workflows
• Strong leadership skills with the ability to manage and motivate remote, cross-cultural teams
• Excellent analytical and problem-solving abilities with a focus on accuracy and quality control
• Proven ability to optimize team workflows and improve operational efficiency
• Effective communication skills across all levels, including overseas staff and senior leadership
• Ability to manage competing priorities and deadlines in a fast-paced, high-volume environment
• Detail-oriented with a strong commitment to compliance, accuracy, and process integrity

This position plays a critical role in maintaining the financial integrity of the organization's revenue cycle operations while driving excellence across a global operations team.

Pay Range

$90,000 - $130,000 USD

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.