Cash Posting Supervisor – Hospital Revenue Cycle

Guidehouse

. Oversee daily hospital cash posting and payment reconciliation functions .

Posted 11/11/2026full-timeRemote • United StatesMid-LevelSenior💰 $68,000 - $113,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in hospital cash posting, payment reconciliation, and revenue cycle management, with strong analytical and problem-solving skills to resolve discrepancies and optimize workflows. Proficient in supervising teams and ensuring compliance with financial procedures while maintaining confidentiality.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementCash Posting SupervisionPayment ReconciliationEpic Patient Accounting SystemsMicrosoft Excel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Cash PostingPayment ReconciliationFinancial AnalysisVariance InvestigationKPI MonitoringWorkflow OptimizationAudit Trail MaintenancePayment Discrepancy ResolutionTrend AnalysisRoot Cause Identification

Soft Skills

Analytical ThinkingProblem-SolvingOrganizational SkillsTeam LeadershipCommunication Skills

Tools & Technologies

EpicMEDITECH MagicMEDITECH 6.x/ExpanseMicrosoft ExcelStandard Business Applications

Industry Keywords

Hospital Cash PostingPatient Financial ServicesInsurance Payment PostingComplianceInternal Controls

About the role

Key responsibilities & impact

Oversee daily hospital cash posting and payment reconciliation functions
Supervise cash posting activities involving insurance, patient, electronic, and manual payments
Ensure payments, adjustments, denials, recoupments, refunds, and other transactions are posted accurately and timely
Monitor ERA, EFT, lockbox, credit card, and manual payment workflows
Research and resolve unapplied, unidentified, misapplied cash, posting exceptions, and complex accounts
Oversee daily balancing of posted payments against bank deposits, remittance documentation, lockbox activity, and system totals
Perform and/or review daily, weekly, and monthly cash reconciliations
Investigate and resolve variances across bank deposits, payment files, and patient accounting systems
Maintain documentation and audit trails for posted and reconciled transactions
Provide direct supervision, coaching, training, and development for Cash Posting staff
Assign workloads and adjust staffing based on payment volumes, backlogs, and priorities
Monitor productivity, quality, attendance, performance, KPIs, aging, and outstanding exceptions
Prepare and communicate daily, weekly, and monthly performance reports
Analyze trends, identify root causes, and develop corrective action plans
Partner with Finance, Revenue Cycle, Patient Financial Services, IT, and operational leadership
Assist with system testing, upgrades, workflow changes, implementations, automation, and workflow optimization
Ensure procedures, internal controls, compliance, and escalation processes are followed

Requirements

What you’ll need

Bachelor’s Degree & 5 Years of Relevant Experience OR High School Diploma/GED & 9 Years of Relevant Experience in lieu of higher education
5 years of healthcare revenue cycle, hospital cash posting, payment posting, or related patient financial services experience
2+ years of supervisory or team-lead experience
Prior experience with cash balancing and reconciliation
Demonstrated understanding of insurance and patient payment posting processes
Strong analytical, critical-thinking, and problem-solving abilities
Strong organizational skills with the ability to manage competing priorities and deadlines
Ability to research and resolve payment discrepancies independently
Proficiency with Microsoft Excel and other standard business applications
Experience with hospital patient accounting systems, including Epic, MEDITECH Magic, and MEDITECH 6.x/Expanse environments
Ability to maintain confidentiality and appropriately handle sensitive financial and patient information
Travel required: up to 10%
Clearance required: none

Benefits

Comp & perks

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Flexible benefits package
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 work arrangement