Cash Posting & Credit Balance Manager – Physician PFS

Guidehouse

. Oversee cash application and credit balance operations .

Posted 11/12/2026full-timeRemote • United StatesSeniorLead💰 $77,000 - $129,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in overseeing cash application and credit balance operations within a healthcare environment, ensuring accurate posting and reconciliation of accounts receivable. Proven ability to manage teams effectively while maintaining compliance with audit procedures and governmental regulations.

Highest-signal resume keywords

Cash Application ManagementCredit Balance ResolutionPeople Management ExperienceAccounts ReconciliationHealthcare Industry Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Accounts Receivable ManagementPayment PostingAdjustment ProcessingElectronic Remittance PostingData AnalysisKPI ManagementSLA MaintenanceControl Log CompletionPayment Summary PreparationTrend Identification

Soft Skills

Strong Written CommunicationStrong Verbal CommunicationProject InitiationIndependent Work

Tools & Technologies

Microsoft WordMicrosoft ExcelWindows EnvironmentMultiple Systems Experience

Industry Keywords

Healthcare ProviderPayorInsuranceOutsourcing CompanyAudit ProceduresGovernmental Regulations

About the role

Key responsibilities & impact

Oversee cash application and credit balance operations
Supervise Cash Application Specialists and Credit Balance Specialists
Ensure accurate and timely posting of accounts receivable payments and adjustments
Reconcile accounts and daily deposits
Resolve credit balances and unidentified payments
Process internal and external refund requests
Oversee cash and adjustment posting systems, processes, and workloads
Prepare payment summary information for Accounting and Business Office Management
Ensure timely responses to patient, client, and internal inquiries
Analyze and reconcile accounts and correct posting errors and accounting discrepancies
Receive, identify, and batch over-the-counter payments
Complete control logs, balance receipts and daily bank deposits, and prepare payment summaries
Post electronic remittances from third-party payers and reconcile electronic funds transfers
Maintain account notes and supporting information
Update patient demographic information and initiate appropriate account adjustments
Identify trends in credit balances and account discrepancies and escalate issues
Resolve account balances to zero before referral to an outside collection agency
Maintain separation of duties and comply with audit procedures and governmental regulations
Collaborate with onshore and offshore leadership
Manage teams to meet and maintain KPI and SLA targets
Perform other related duties as assigned

Requirements

What you’ll need

Bachelor's Degree and a minimum 7 years' of prior relevant experience, or an Associates Degree and a minimum 9 years' of prior relevant experience
Relevant experience may be substituted for formal education or advanced degree
Previous experience within a healthcare provider, payor, insurance, professional business or an outsourcing company
Of the required relevant experience, a minimum of two years must include people management experience
3+ years cash//credit/adjustment experience with a healthcare provider or an outsourcing company
Multiple systems experience
Knowledge and utilization of desktop applications including Word and Excel
Ability to initiate and follow through on projects and work independently
Strong written and verbal communication skills
PC skills in a Windows environment
Ability to work remotely from any location in the United States
Up to 10% travel
No clearance required

Benefits

Comp & perks

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Discretionary variable incentive bonus may be available
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account
Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement
Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Flexible benefits package