Senior Payment Posting Representative

Senior Payment Posting Representative

Join Denova Collaborative Health as a Senior Payment Posting Representative, where your expertise in payment posting and revenue cycle operations helps ensure every payment is posted accurately, reconciled efficiently, and supports the financial health of our organization. In this advanced role, you will manage complex remittance posting, oversee unapplied cash resolution, perform bank reconciliations, and serve as a resource for the payment posting team. Your work plays a critical role in maintaining accurate financial records while supporting Denova's mission of delivering integrated, whole-person healthcare.

This position is non-exempt and will report to the RCM System & Solution Mgr.

What You Will Do:

Complex Payment Posting

• Post complex remittances, including split payments, interest payments, recoupments, refunds, reversals, and other advanced payment scenarios.
• Research and resolve posting discrepancies that exceed representative-level scope.
• Ensure payment activity accurately reflects patient accounts while supporting downstream Accounts Receivable and Denial Management processes

Unapplied Cash Management

• Take ownership of unapplied cash by researching and resolving outstanding balances, prioritizing the oldest items first.
• Monitor unapplied cash aging and provide regular updates on resolution progress.
• Work proactively to minimize outstanding unapplied cash and improve cash flow.

Bank & Financial Reconciliation

• Reconcile payment activity against bank deposits and resolve variances in collaboration with the Finance department.
• Support month-end close by resolving assigned reconciliation variances before financial close.
• Ensure posting activity is accurate, complete, and properly documented.

Team Support & Collaboration

• Serve as a subject matter expert for Payment Posting Representatives by providing guidance on complex remittance posting, reconciliation, and payment resolution.
• Support onboarding and mentor newer team members through informal coaching and knowledge sharing.
• Collaborate with Finance, Accounts Receivable, and Denial Management to improve payment accuracy and revenue cycle performance.

Additional Responsibilities

• Meet advanced productivity and quality standards while managing complex payment posting responsibilities.
• Participate in and help lead process improvement initiatives.
• Perform other related duties as assigned.

What We Need From You:

Education

• High School Diploma or GED required.
• Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field preferred.
• HFMA CRCR certification or other relevant healthcare revenue cycle certification is a plus.

Experience

• Three or more years of healthcare revenue cycle, payment posting, medical billing, or healthcare accounting experience with demonstrated accuracy and strong performance.
• Experience with Electronic Health Records (EHR) and practice management systems, preferably AMD.

Skills & Knowledge

• Advanced knowledge of healthcare payment posting, ERA processing, remittance advice, adjustments, reconciliations, and revenue cycle operations.
• Strong analytical and problem-solving skills with the ability to resolve complex payment discrepancies.
• Experience researching unapplied cash and bank reconciliation variances.
• Excellent organizational skills with strong attention to detail and financial accuracy.
• Ability to mentor team members while independently managing advanced assignments.
• Commitment to maintaining HIPAA compliance and protecting patient information.
• Must be located in Arizona

What Success Looks Like :

Our Senior Payment Posting Representatives lead by example through accuracy, accountability, and financial stewardship. Success in this role includes:

• Maintaining 99% line-level posting accuracy.
• Reducing unapplied cash monthly while ensuring no unapplied balances remain outstanding for more than 60 days.
• Reconciling 100% of payment activity before month-end close.
• Resolving reconciliation variances with Finance within established reporting cycles.
• Supporting the growth and success of the payment posting team through mentorship and continuous process improvement

Your Work Schedule:

• Monday to Friday, 8 AM - 4:30 PM (Flexible)
• Location: Denova Collaborative Health LLC - DHQ (Hybrid Work Model after 90 days)

Perks of Being Part of Denova:

• Comprehensive low-cost medical, dental, and vision insurance.
• Generous retirement plan with a 3.5% company match.
• Secure your future with both long and short-term disability options
• Enjoy holiday pay, PTO, and life insurance benefits.
• We offer an employee wellness program and fantastic discounts for all Denova team members.
• And there's so much more waiting for you!

Our Revenue Cycle Mission Our Revenue Cycle team removes friction from the financial side of healthcare so our clinicians can focus on care and our patients can focus on healing.

We succeed when claims go out clean the first time, payments are posted quickly and accurately, denials are prevented, patients understand their responsibility, and team members feel supported. At Denova, we believe: people first, process second, technology third.

Denova Collaborative Health LLC is an integrated primary care and behavioral health practice based in the Greater Phoenix metropolitan area. Our comprehensive virtual care services are available for residents throughout the entire state of Arizona.

We provide a "whole person" approach to health and promote collaboration among our team of primary care providers and specialists. Our unique service integration of primary care, behavioral health, addiction medicine, and wellness enables our team to provide better health outcomes.