Cash Posting Supervisor | Hospital Revenue Cycle

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Cash Posting Supervisor | Hospital Revenue Cycle based in the United States . The Cash Posting Supervisor will oversee daily payment posting, cash management, and reconciliation activities within a hospital revenue cycle environment. This role is responsible for ensuring the accurate and timely processing of patient and insurance payments while maintaining strong financial controls and operational efficiency. You will lead and develop a team of cash posting professionals, monitor performance, and resolve complex payment discrepancies. Working closely with Finance, Patient Financial Services, Revenue Cycle, and other operational teams, you will help maintain reliable financial processes and reporting. The position combines hands-on operational expertise with people leadership, analytical problem-solving, and continuous process improvement. This is an excellent opportunity for an experienced healthcare revenue cycle professional to make a meaningful impact in a remote, high-volume environment. Accountabilities: - Oversee Cash Posting Operations: Supervise daily hospital payment posting activities, including insurance payments, patient payments, electronic transfers, manual payments, contractual adjustments, denials, recoupments, and refunds, ensuring accuracy and timely processing. - Manage Payment Workflows: Monitor Electronic Remittance Advice (ERA), Electronic Funds Transfer (EFT), lockbox, credit card, and manual payment processes. Ensure unapplied, unidentified, and misapplied cash is investigated and resolved promptly. - Lead Cash Reconciliation: Oversee daily, weekly, and monthly reconciliation activities, ensuring payment postings balance against bank deposits, remittance documentation, lockbox transactions, and patient accounting system records. - Resolve Financial Discrepancies: Investigate variances, posting exceptions, and complex payment issues across multiple systems and facilities.

Ensure discrepancies are documented, corrected, and escalated when necessary. - Manage and Develop Employees: Provide direct supervision, coaching, training, and performance management for cash posting staff. Assign workloads, manage staffing levels, establish performance expectations, and support employee development. - Monitor Productivity and Quality: Track key performance indicators related to posting accuracy, cash reconciliation, outstanding exceptions, productivity, aging, and backlog management. Prepare regular performance reports and implement corrective action plans when needed. - Drive Process Improvements: Identify recurring operational challenges, analyze root causes, and recommend improvements to enhance accuracy, efficiency, automation, and overall cash posting performance. - Maintain Compliance and Internal Controls: Ensure all payment transactions follow established policies, procedures, documentation standards, confidentiality requirements, and financial controls. Maintain appropriate audit trails and support compliance-related activities. - Manage Systems and Technology: Utilize hospital patient accounting and revenue cycle applications, including Epic and MEDITECH platforms. Support system upgrades, testing, workflow changes, and technology implementations affecting cash posting. - Collaborate Across Departments: Partner with Revenue Cycle leadership, Finance, Patient Financial Services, IT, and operational stakeholders to resolve reconciliation issues and improve financial workflows. Requirements: - Education and Experience: Bachelor's degree with at least 5 years of relevant experience, or a high school diploma/GED with at least 9 years of relevant experience in lieu of higher education.