Payment Posting Supervisor (73631)

Women's Care

Tampa (FL)

On-site

USD 75,000 - 105,000

Full time

14 days+

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Benefits offered by this job

Health benefits

Dental benefits

Paid time off

401k plan

Career impact

Job summary

Women’s Care is seeking a Payment Posting Supervisor to oversee all payment posting, reconciliation, and cash management functions across a large multi-site revenue cycle. The role leads the posting team, ensuring timely and accurate posting of ERA, EFT, lockbox, and patient payments while maintaining controls over cash handling and reporting.

Collaborating with Patient Access, Billing, AR Follow-Up, Finance, and Practice Operations, you will drive the accuracy of remittance processing and

Qualifications

High School Diploma required.
Bachelor’s degree preferred in Healthcare Admin, Business Admin, Accounting, Finance, or related field.

Responsibilities

Supervise daily payment posting activities.
Manage posting of ERA, EFT, Lockbox, and other payment types.
Monitor queues and workload distribution to maximize productivity.
Review and approve adjustments, write-offs, and payment corrections.
Ensure accurate posting of contractual adjustments and cash reconciliation.
Develop and maintain payment posting policies and standard work documentation.

Skills

Excel proficiency

Revenue cycle management

Payment posting

Cash reconciliation

Supervisory experience

Education

High School Diploma

Bachelor’s degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field preferred

Tools

Practice management software

Electronic Health Records (EHR)

Job description

Job Details

Job Location: CSC_TPA_4030 W Boy Scout Blvd Ste 800 - Tampa, FL 33607

Position Type: Full Time

Job Category: Accounting / Finance / Revenue Cycle

Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100+ locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility.

Overview

The Payment Posting Supervisor is responsible for the oversight, accuracy, productivity, and quality of all payment posting, reconciliation, and cash management functions Women’s Care. This position leads the payment posting team and ensures the timely and accurate posting of insurance, patient, electronic, lockbox, EFT, ERA, and third-party payments while maintaining strict controls over cash reconciliation, balancing, and revenue integrity.

The Payment Posting Supervisor serves as the subject matter expert for payment posting workflows, remittance processing, credit balance creation, unapplied cash resolution, cash variance investigations, and month-end reconciliation activities. The role partners closely with Patient Access, Billing, AR Follow-Up, Finance, and Practice Operations teams to ensure complete and accurate revenue cycle performance.

Responsibilities

Supervise daily payment posting activities
Manage posting of:
- Electronic Remittance Advice (ERA)
- Electronic Funds Transfers (EFT)
- Lockbox payments
- Paper insurance payments
- Patient payments
- Credit card payments
- Payment plans
- Refund reversals and recoupments
Ensure payments are posted accurately and timely according to departmental service level agreements.
Monitor payment posting queues and workload distribution to maximize productivity and minimize backlogs.
Review and approve adjustments, write-offs, and payment correction requests within established authority limits.
Ensure accurate posting of contractual adjustments according to payer agreements.
Monitor unapplied cash and unidentified payments and ensure timely resolution.

Cash Reconciliation and Balancing

Oversee daily cash reconciliation processes for all payment sources.
Ensure all deposits, EFTs, lockbox receipts, patient payments, and ERA transactions reconcile to practice management and bank records.
Balance daily cash receipts against:
- Bank deposits
- Lockbox reports
- EFT reports
- ERA files
- Credit card settlements
- Practice management system reports
Investigate and resolve cash variances, posting discrepancies, and balancing issues.
Maintain reconciliation logs and supporting documentation for audit purposes.
Partner with Finance and Accounting to ensure accurate revenue reporting and cash posting.
Complete month-end cash balancing and reconciliation activities.
Prepare and distribute reconciliation reports to leadership.
Ensure compliance with all internal controls and cash handling procedures.

Revenue Integrity and Quality Assurance

Perform routine audits of payment posting accuracy.
Monitor adjustment usage and identify trends that may indicate training, system, or compliance concerns.
Review payer remittance activity for reimbursement anomalies and underpayments.
Collaborate with AR Follow-Up and Denials teams to address posting-related issues impacting collections.
Ensure proper handling of:
- Recoupments
- Refunds
- Credit balances
- Take-backs
- Reversals
- Secondary insurance payments
Develop and maintain payment posting policies, procedures, and standard work documentation.

Team Leadership

Supervise, train, coach, and develop payment posting staff.
Manage any vendor partners with payment posting/reconciliation responsibilities.
Conduct regular performance evaluations and productivity reviews.
Establish department productivity and quality benchmarks.
Other duties as assigned.

Qualifications

High School Diploma required.
Bachelor’s degree in Healthcare Administration, Business Administration, Accounting, Finance, or related field preferred.
Minimum 5 years of healthcare revenue cycle experience.
Minimum 2 years of supervisory experience in payment posting, cash management, or revenue cycle operations.
Experience in a large multi-specialty or physician group practice preferred.
OB/GYN specialty experience preferred.
Extensive knowledge of:
- Payment posting workflows
- ERA/EFT processing
- Lockbox operations
- Cash reconciliation
- Revenue cycle management
- Medical billing and collections
- Contractual adjustments
- Credit balance management
Strong understanding of Medicare, Medicaid, commercial insurance, and managed care reimbursement methodologies.
Advanced proficiency in Excel and reporting tools.
Experience with practice management and electronic health record systems.
Excellent analytical, problem-solving, and organizational skills.
Strong leadership and team development capabilities.
Ability to manage multiple priorities in a fast-paced environment.