Payment Posting Manager

Guidehouse

. Oversee daily cash posting and payment reconciliation for hospital and healthcare revenue cycle operations .

Posted 11/4/2026full-timeRemote • Texas • United StatesSeniorLead💰 $70,000 - $116,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in healthcare revenue cycle management, including cash posting, payment reconciliation, and compliance with Medicare and JACHO regulations. Proven ability to lead teams, manage accounts receivable, and enhance collections through effective reporting and process improvement.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementCash Posting and ReconciliationEpic and MEDITECH ExperiencePeople ManagementKnowledge of Medicare Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT4 CodingHCPCS CodingRevenue CodesAccounts Receivable ManagementPayment PostingFinancial Transaction ReconciliationCompliance DocumentationKPI DevelopmentCritical ThinkingProblem Resolution

Soft Skills

Team CollaborationEffective CommunicationLeadershipTraining and SupportAnalytical Thinking

Tools & Technologies

EpicMEDITECH MagicMEDITECH 6.x/ExpansePatient Accounting SystemBilling Scrubber

Industry Keywords

HealthcareRevenue Cycle OperationsPatient Accounts ReceivableCompliance ProceduresState and Federal RegulationsJACHO RequirementsMedicare Bad DebtFinancial ReportingCash ManagementDenial Management

About the role

Key responsibilities & impact

Oversee daily cash posting and payment reconciliation for hospital and healthcare revenue cycle operations
Ensure patient and payer payments, adjustments, denials and other financial transactions are posted accurately and timely
Lead, train and support cash posting, billing, collections and follow-up staff
Drive cash and accounts receivable resolution and work with payers on resolution and escalation
Manage expected reimbursement variance
Ensure accuracy of CPT4, HCPCS and Revenue Codes
Provide Medicare and payer updates, notices and coverage changes
Review processes and systems and work with IT and billing vendors to maintain billing accuracy
Ensure electronic bill holds meet established goals
Identify and resolve patient accounts receivable issues, payer issues, underpayments and denials
Review and approve credit arrangements, refunds, write-offs and account adjustments
Manage third-party and self-pay account follow-up
Prepare, distribute and present daily, weekly and monthly reporting packages
Monitor departmental performance and productivity and ensure reports are completed timely
Maintain Medicare Bad Debt Log documentation and oversee bad debt vendor reconciliation
Communicate compliance issues and educate employees on compliance procedures
Review and maintain JACHO billing, cash posting and collections requirements
Complete weekly Key Indicator Reports, daily Patient Accounting and Billing Scrubber reports, claim reports and other management reports
Document account activity in the patient accounting system
Develop and execute projects to reduce aged A/R and enhance collections
Manage client service-level metrics and revenue cycle KPIs and develop methods for KPI improvement
Complete assigned special projects within established time frames

Requirements

What you’ll need

Bachelor’s degree and a minimum 7 years of prior relevant experience; relevant experience may be substituted for formal education or advanced degree
5 years of healthcare revenue cycle, hospital cash posting, payment posting
Experience with Epic, MEDITECH Magic, and/or MEDITECH 6.x/Expanse
Minimum 2 years of people management experience within the required 7 years of relevant experience
Solid understanding of healthcare revenue cycle
Strong cash posting and reconciliation experience
Excellent critical-thinking skills
Strong AR acumen
Knowledge of State and Federal Rules and Regulations
Knowledge of Medicare regulations and reimbursement
Knowledge of HIPAA compliance and JACHO requirements
Ability to work with CPT4, HCPCS and Revenue Codes
Ability to manage expected reimbursement variance, payer issues, underpayments and denials
Demonstrated competency in working in teams and ability to effectively communicate with all levels
Ability to travel up to 25%

Benefits

Comp & perks

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
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
Travel required: Up to 25%