Payment Posting Supervisor - High Dollar Revenue Cycle

Position Summary:

The Payment Posting Supervisor is responsible for overseeing the daily operations of the payment posting team with an emphasis on high-dollar revenue accounts. This role ensures the accurate, timely, and compliant posting of insurance and patient payments, adjustments, and denials across multiple payers and service lines. The supervisor will monitor staff productivity, resolve escalated posting discrepancies, support cash reconciliation, and partner with leadership to ensure optimal cash flow and revenue recognition.

Key Responsibilities:

Operational Oversight

• Supervise daily payment posting activities for insurance and patient payments, focusing on high-dollar transactions and specialty accounts.
• Ensure accuracy in payment posting, adjustments, write-offs, and denial codes to prevent revenue leakage.
• Oversee reconciliation of deposits from bank, EFT/ERA, and credit card transactions.
• Monitor and resolve unapplied cash, unidentified payments, and posting errors in a timely manner.

Team Leadership & Performance

• Lead, train, and mentor a team of payment posters, including high-dollar account specialists.
• Monitor workload distribution and productivity benchmarks, ensuring compliance with department standards.
• Provide performance feedback, coaching, and conduct annual evaluations.
• Develop and implement training programs for new hires and cross-training within the team.

Compliance & Quality Assurance

• Ensure payment posting adheres to internal policies, payer contracts, and federal/state regulations.
• Partner with compliance and revenue integrity teams to resolve audit findings and minimize risk.
• Maintain a high standard of data integrity and accuracy in posting practices.

Collaboration & Reporting

• Collaborate with AR, denial management, and contracting teams to resolve discrepancies and underpayments.
• Provide leadership with reporting on cash posting performance, high-dollar trends, and operational metrics.
• Identify process improvement opportunities to increase efficiency and reduce posting errors.

Performance Metrics:

• Accuracy of payment posting (% of error-free transactions).
• Timeliness of posting (meeting daily/weekly reconciliation deadlines).
• Resolution rate of unapplied/unidentified cash.
• Team productivity compared to benchmarks.
• High-dollar revenue accounts posted and reconciled within required timeframes.

Qualifications:

• Education: Associate’s or Bachelor’s degree in Healthcare Administration, Accounting, Business, or related field preferred. Equivalent experience accepted.
• Experience:
• 3–5+ years of experience in healthcare revenue cycle management, specifically in payment posting.
• At least 2 years of supervisory or team lead experience in a high-volume or high-dollar environment.
• Strong knowledge of insurance reimbursement, EOBs, ERAs, and payer contracts.
• Skills:
• Proficiency in practice management/EHR systems and electronic payment posting tools.
• Strong analytical, problem-solving, and reconciliation skills.
• Excellent communication, leadership, and team-building abilities.
• Attention to detail with the ability to manage competing priorities.

Why Join Us?

• Mission-driven organization making a real impact in mental healthcare.
• High-level influence in a fast-growing, innovative environment.
• Competitive compensation and benefits.
• Opportunities for growth, leadership, and professional development in a creatively driven role.