Cash Application ManagerLocation: Remote Department: BillingFLSA Status: ExemptSalary Range: $80,000 - $85,000Job Summary We are seeking an experienced and detail-oriented Cash Posting Manager to join our team. The Cash Posting Manager will play a pivotal role in our financial operations by overseeing the accurate and efficient processing of cash receipts, ensuring timely reconciliation, and collaborating closely with cross-functional teams to maintain the financial health of the organization.
Essential Functions - Oversee all daily cash posting operations for all payment sources, including patient collections.
- Manage posting of electronic remittance advice (ERA/835), electronic funds transfers (EFT), paper checks, lockbox payments, credit card payments, and patient payments.
- Ensure insurance payments are accurately applied to the appropriate claims and patient accounts.
- Oversee contractual adjustments, denials, patient responsibility, deductibles, co-insurance, and other payment adjustments.
- Ensure unapplied cash and unidentified payments are researched and resolved in a timely manner.
- Monitor payment posting turnaround times, outstanding cash batches, and department service levels.
- Ensure all cash received is accounted for and posted to the appropriate accounts.
- Establish standardized cash posting procedures and workflows across all teams.
- Serve as the subject matter expert for Brightree cash posting functionality and payment application processes.
- Oversee daily payment batches and work allocation to ensure all transactions are posted and closed accurately.
- Research and resolve payment discrepancies between Brightree transactions and payer remittance information.
- Partner with IT and Brightree Support to resolve system issues and implement workflow improvements.
- Oversee daily, weekly, and monthly cash reconciliation processes.
- Ensure all payments are accounted for and appropriately documented to support audit requirements.
- Work with Finance to resolve general ledger discrepancies and reconciliation variances.
- Maintain audit-ready documentation and reconciliation records.
- Directly manage Cash Posting Supervisors, Leads, and Cash Posting Specialists.
- Establish productivity, quality, and accuracy expectations for each position.
- Monitor daily and weekly posting volumes and staffing needs.
- Conduct regular one-on-one meetings with direct team members to review performance and development opportunities.
- Address performance concerns through coaching, corrective action, and performance improvement plans as necessary.
- Review lockbox and virtual credit card volumes and proactively transition payment sources to EFT and ERA enrollment whenever possible to improve efficiency and reduce costs.
- Perform other duties as assigned
Qualifications and requirements Required Qualifications- Minimum five years of healthcare revenue cycle, reimbursement, cash posting, or payment posting experience.
- Minimum three years of leadership experience managing teams.
- Working knowledge of Brightree billing and cash posting systems.
- Strong understanding of ERA/835 processing, EFT payments, lockbox operations, reconciliation practices, and revenue cycle workflows.
- Knowledge of Medicare, Medicaid, Commercial, and Managed Care reimbursement practices.
- Strong analytical and problem-solving skills with the ability to identify and resolve payment and reconciliation discrepancies.
- Excellent verbal and written communication skills with demonstrated coaching and team development abilities.
Preferred Qualifications- Bachelor's degree preferred; equivalent experience considered.
- Experience in DME/HME reimbursement operations preferred.
Competencies- Proven expertise in healthcare terminology, facilitating precise communication and understanding within the team.
- Strong grasp of Coordination of Benefits processes, including posting Primary, Secondary, and Tertiary payments, adjustments, and denials.
- Ability to interpret, comprehend, and calculate Payor Fee Schedules, Reimbursement Rates, and Payment Methodology.
- Exceptional critical thinking skills contributing to effective problem-solving and decision-making. Proficiency in Microsoft Office products (Excel, Word, Outlook, etc.) for documentation and communication.
- Excellent verbal communication and active listening skills, promoting effective communication across departments.
- Demonstrated skills in fostering collaboration, teamwork, and problem-solving to achieve organizational goals.
- Exceptional skills in providing excellent customer service to both customers and team members, fostering a positive work environment.
What We Offer- Medical, Dental, and Vision Insurance
- 401(k) with Company Match
- Paid Time Off and Paid Holidays
- Professional Development Opportunities
- Wellness Resources and Employee Support Programs
- Volunteer Time Off (VTO)
- Parental Leave
- Childbirth Leave
- Employee Recognition Programs
- Career Growth and Advancement Opportunities
Physical Requirements - Ability to work in a standard office environment.
- Routinely utilize standard office equipment, including computers, phones, printers, and video conferencing technology.
- Responsibilities require prolonged periods of sitting and working at a computer, frequent verbal and written communication, and the ability to manage multiple priorities in a fast-paced and evolving environment.
- Occasional travel may be required to support meetings, training initiatives, investigations, acquisitions, or operational support activities.
- The ability to occasionally stand, walk, bend, reach, and lift up to 15 pounds may be required.
Pay Range: $80,000 - $85,000 per year
