Revenue Cycle Manager

Florida Orthopaedic Institute; Florida; On-site; USD 65,000 - 70,000; Full time

Job summary

Florida Orthopaedic Institute is seeking a Refunds and Payment Posting Manager to oversee payment posting, credit balance resolution, and refund processing across the revenue cycle. You will lead a team and ensure accurate posting and timely reconciliations.

This role collaborates with Finance, Patient Services, and Operational Leadership to maximize revenue integrity, minimize financial risk, and drive process improvements. You will develop dashboards, monitor KPIs, and ensure HIPAA compliance.

Qualifications

• Five years of progressive healthcare revenue cycle experience.
• Two to three years of supervisory or management experience.
• Strong knowledge of payment posting, refunds, reconciliations, and healthcare reimbursement.

Responsibilities

• Lead and develop Payment Posting and Refund Specialists.
• Oversee accurate posting of payments and refunds.
• Ensure reconciliations and internal controls are maintained.
• Develop dashboards and KPIs to monitor performance.
• Ensure CMS/HIPAA compliance and SOP adherence.

Skills

Healthcare revenue cycle

Supervisory experience

Payments posting

Job description

Pay or shift range: $65,000 USD to $70,000 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Description

Position Summary

The Refunds and Payment Posting Manager is responsible for overseeing all payment posting, credit balance resolution, refund processing, reconciliation, and quality assurance activities across the revenue cycle. This position ensures accurate and timely posting of payer and patient payments, compliance with contractual and regulatory requirements, proper resolution of unapplied cash and credit balances, and efficient processing of patient and insurance refunds. The Manager leads a team of payment posting and refund specialists, drives process improvement initiatives, and partners closely with Revenue Cycle, Finance, Patient Services, and Operational Leadership to maximize revenue integrity and minimize financial risk.

Leadership & Staff Management

• Directly supervise and develop Payment Posting and Refund Specialists.
• Establish productivity, quality, and service standards.
• Conduct audits of staff work and provide coaching and performance management.
• Manage recruiting, onboarding, and staff development.

Payment Posting Operations

• Oversee accurate posting of insurance, patient, EFT, ERA, lockbox, and manual payments.
• Investigate and resolve payment discrepancies and balancing issues.
• Ensure correct adjustments and contractual write-offs are posted.
• Oversee patient and insurance refund processing.
• Approve refunds exceeding established thresholds.
• Monitor aging credit balances and ensure timely resolution.

Revenue Integrity & Reconciliation

• Manage daily, weekly, and monthly reconciliations.
• Partner with Finance to resolve discrepancies.
• Support month-end close processes and maintain strong internal controls.

Reporting & Analytics

• Develop dashboards and KPIs.
• Monitor posting accuracy, refund turnaround times, unapplied cash, and productivity metrics.

Compliance & Process Improvement

• Ensure compliance with payer, CMS, HIPAA, and organizational requirements.
• Maintain SOPs and lead process improvement initiatives.

Minimum Qualifications

• Five years of progressive healthcare revenue cycle experience.
• Two to three years of supervisory or management experience.
• Strong knowledge of payment posting, refunds, reconciliations, and healthcare reimbursement.

Preferred Qualifications

Key Performance Indicators

• Refund Processing Turnaround Time ≤ 14 Days
• Credit Balance Aging >90 Days < 5%

Reporting Structure

• Reports To: Director of Revenue Cycle & Patient Services
• Direct Reports: Payment Posting Specialists and Refund Specialists

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.