Remote Cash Receivable Supervisor: Lead & Optimize Payments

Signature Performance, Inc.; Baltimore (MD); Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health insurance

Fully Paid Life Insurance

Fully Paid Short- & Long-Term Disabil

Paid Vacation

Paid Sick Leave

Paid Holidays

Tuition Assistance Program

401(k) Program with Employer Match

Job summary

Signature Performance, Inc. is seeking a Cash Receivable Supervisor to lead daily cash posting operations and ensure accurate, timely reconciliation. You will supervise staff, coach performance, monitor KPIs, and coordinate with payers and internal teams to resolve complex posting issues.

The role emphasizes process improvement, adherence to policies, and effective internal controls. Remote nationwide work arrangement is available, with a focus on maintaining high standards of accuracy and

Qualifications

• Minimum of 5 years of progressive experience in healthcare cash posting, payment processing, reconciliation, or related revenue cycle operations.
• Minimum of 2 years of supervisory, team leadership, or demonstrated experience overseeing staff, workflows, productivity, and operational performance preferred.
• Comprehensive knowledge of healthcare cash posting processes, including insurance and patient payments, ERA, EOB, and reconciliation procedures.
• Strong understanding of Medicare, Medicaid, commercial insurance, and other government payer reimbursement methodologies and payment processing requirements.
• Working knowledge of CPT/HCPCS codes, insurance billing practices, contractual adjustments, and payer adjudication processes.
• Demonstrated ability to supervise, coach, train, and develop employees while maintaining accountability for productivity, quality, and performance expectations.
• Experience monitoring KPIs, identifying operational trends, resolving discrepancies, and implementing process improvements.
• Strong analytical, problem-solving, and mathematical skills with the ability to investigate complex payment posting and reconciliation issues.
• Proficiency in Microsoft Office applications, including Excel, Word, and Outlook, with the ability to analyze data, prepare reports, and monitor operational performance.
• Experience working with electronic health records (EHR), patient accounting systems, and healthcare revenue cycle management applications.

Responsibilities

• Supervise daily cash posting, payment processing, adjustment posting, and reconciliation activities to ensure accuracy, timeliness, and compliance with established policies and procedures.
• Provide direct supervision, coaching, training, and performance management of assigned cash posting staff, ensuring accountability for individual and departmental performance expectations.
• Monitor daily productivity, quality, accuracy, and turnaround times, identifying performance gaps and implementing corrective actions as necessary.
• Ensure timely and accurate posting of payments, contractual adjustments, denials, and other account transactions in client and company systems.
• Oversee daily reconciliation processes to ensure payments received are accurately posted, balanced, and reconciled to appropriate financial records, including identification and resolution of discrepancies.
• Review and interpret Explanation of Benefits (EOBs), Remittance Advice (RAs), and other payer documentation to ensure appropriate payment posting and adjustment processing.
• Monitor and resolve unapplied cash, unidentified payments, posting errors, and reconciliation discrepancies, escalating unresolved issues to management as appropriate.
• Coordinate with insurance payers, government entities, internal departments, and client representatives to research and resolve payment posting and reconciliation issues.
• Identify trends in payer reimbursement, claims adjudication, payment variances, and posting discrepancies, providing findings and recommendations to management.
• Establish and maintain effective workflows, standard operating procedures, and internal controls to support operational efficiency, financial accuracy, and continuous process improvement.
• Provide ongoing training, cross-training, and re-education to team members to ensure consistent application of cash posting procedures and operational best practices.
• Conduct routine quality assurance reviews and audits to identify errors, ensure compliance, and implement corrective actions to prevent recurring issues.
• Prepare, review, and communicate operational reports, including productivity, cash posting volumes, reconciliation status, outstanding discrepancies, and other key performance indicators.
• Collaborate with Patient Financial Services leadership and other revenue cycle departments to address operational concerns, improve workflows, and support organizational financial objectives.
• Maintain working knowledge of multiple client systems, payer requirements, and cash processing workflows to effectively support staff and operational needs.
• Ensure staff provide excellent internal and external customer service consistent with Signature Performance's standards and organizational values.
• Assist with staffing needs, workload distribution, employee evaluations, attendance monitoring, and other supervisory responsibilities in accordance with company policies.
• Perform cash posting and reconciliation functions as needed to support operational demands, staffing shortages, or resolution of complex account issues.
• Oversee ERA and EFT enrollment processes, maintenance, payer updates, and issue resolution to ensure uninterrupted payment receipt and electronic remittance processing.
• Coordinate with banking institutions, treasury departments, and vendors to resolve deposit discrepancies and payment transmission issues.
• Vendor/clearinghouse management: lockbox vendors, payment processors, and payer representatives to resolve cash application and remittance issues.
• Perform other related duties as assigned.

Skills

Cash posting supervision

Team leadership

Process improvement

Attention to detail

Problem solving

Tools

Microsoft Excel

EHR systems

Patient accounting systems

Job description

Signature Performance, Inc. is seeking a Cash Receivable Supervisor to lead daily cash posting operations and ensure accurate, timely reconciliation. You will supervise staff, coach performance, monitor KPIs, and coordinate with payers and internal teams to resolve complex posting issues.

The role emphasizes process improvement, adherence to policies, and effective internal controls. Remote nationwide work arrangement is available, with a focus on maintaining high standards of accuracy and