Payment Processing Lead - Reconciliation & Cashier

South Texas Radiology Group, P.A.; San Antonio (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

South Texas Radiology Group, P.A. seeks a Lead, Payment Processing - Reconciliation and Cashier to oversee cashiering, EOB processing, and payer enrollments, ensuring accuracy and timely completion while guiding staff and maintaining compliance.

This role requires medical billing experience, including reading EOBs, bank deposits, and reconciliations; proficiency with Word and Excel, fast data entry, attention to detail, and the ability to train and supervise teammates.

Qualifications

• Minimum two years medical billing experience, preferably in radiology.
• Experience in cashiering, processing bank deposits, balancing cash receipts, and reconciling financial transactions.
• Leadership experience preferred and ability to train staff.

Responsibilities

• Lead daily cashiering operations and backup coverage.
• Lead and coordinate daily EOB workflows and reconciliations.
• Oversee bank reconciliation processes and resolve discrepancies.
• Coordinate payer enrollment and ERA setup, maintain centralized remittance records.
• Provide guidance and training to cashiering staff; support Supervisor.

Skills

Medical billing

EOB reading

Cashiering

Leadership

Communication

Typing 40 wpm

10-key 140

Insurance websites

CPT/ICD-10

Staff training

Education

High School Diploma or GED

Tools

Microsoft Word

Microsoft Excel

Job description

Job Title: Lead, Payment Processing - Reconciliation and Cashier

Department: Payment Processing

Reports To: Supervisor, Payment Processing

FLSA Status: Non-exempt

Summary of Position

The Lead, Payment Processing - Reconciliation and Cashier is responsible for performing and overseeing daily cashiering, EOB processing, payer enrollments, and reconciliation activities to ensure accuracy and timely completion. Provides guidance and support to staff, assists with resolving discrepancies, provides backup coverage (PTO/vacancies) as needed, and ensures daily operations are completed efficiently and in accordance with established procedures.

Job Responsibilities

• Lead daily cashiering operations, providing oversight, hands-on support, and backup coverage to ensure all cash handling, deposit preparation, and bank deposits are completed accurately and timely.
• Lead and coordinate daily EOB workflows, ensuring all transactions are converted, balanced, and reconciled within established timeframes
• Take the lead on bank reconciliation processes, ensuring reconciliations are completed accurately and within established deadlines. Research, identify, and assist in resolving discrepancies or outstanding items.
• Coordinate the enrollment and setup with payers to receive claims and electronic remittance advice (ERA). Maintain and organize a centralized electronic repository of remittance information for all payers, ensuring records are accessible to authorized team members and kept current for reference and reconciliation purposes.
• Projects as assigned by Supervisor
• Daily balancing reports
• Provide guidance, support, and training to cashiering staff as needed to ensure consistent processes, accuracy, and adherence to established procedures.
• Serve as the primary resource for cashiering and reconciliation-related questions and assist the Supervisor with maintaining continuity and efficiency of daily operations.
• Conduct training for new hires and provides on-going training for staff in department
• Troubleshoot with staff, peers, and other departments regarding billing and insurance issues
• Provide input on employee competency and performance reviews
• Assist supervisor in developing, writing, and updating department policies and procedures
• Perform other duties as required

Supervisory Responsibilities

None

Experience / Skill Requirements

• Minimum two years medical billing experience, preferably in radiology, with working knowledge of reading EOBs and cash applications
• Experience in cashiering, processing bank deposits, balancing cash receipts, and reconciling financial transactions.
• Experience leading and monitoring daily EOB conversion and reconciliation processes to ensure timely completion, accuracy, productivity, and compliance with established procedures
• Leadership experience preferred
• Ability to set a tone in the department that focuses on efficiency, production, and success for the team and each individual
• Proficient with Word and Excel, and general office equipment.
• Required type 40 wpm and 140 10-key
• Excellent verbal/written communications skills
• Familiar with insurance websites
• Working knowledge of insurance contracts/payer fee schedules, CPT and ICD-10
• Must be accurate and detail oriented
• Experience collaborating with multiple departments and introducing workflow process improvements

Education

High School Diploma or GED

Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include "light duty" work or allow unpredictable or unrestricted absences.