Job Title: Supervisor, Payment Posting

Company: Tegria Revenue Cycle Management (Tegria RCM)

Department: Payment Posting

Leader: Manager, Payment Posting

FLSA Status: Salaried/Exempt

Work Location: Remote within the United States

Travel: No travel required

Compensation: $40,800.00 - $77,000.00

Overview

The Payment Posting Supervisor is responsible for the daily management of the Payment Posting team ensuring a highly sustainably engaged team is in place, with ongoing review of productivity and staffing needs, coaching and guidance. This role will also assist in the development of policies, procedures, and process flows that maximize the Payment Posting center accounts receivable efforts. Additionally, this role will coordinate resources to complete all related functions while ensuring accuracy in all cash posting functions and reconciliation along with the management of workflows to ensure that all payment, refund and adjustment processing is current and that follow up is timely.

Responsibilities include:

• Daily supervision of a team with a focus on accurate and timely payment posting, superior customer service, high employee satisfaction, optimal productivity and maximized reimbursement
• Ensure talent is identified, hired, and trained and that the new hire and onboarding process is completed in a way that fosters success and a positive experience
• Assist with the developing, implementing, and maintaining a comprehensive training program for all new and existing staff
• Contribute to the development of, policies, procedures, and process flows that maximize payment posting efforts
• May be a liaison and interact directly with client leadership related to departmental operations and employee performance.
• Generate reports, meet timelines, and establish and/or execute protocols that meet or exceed the objectives of the organization regarding payment posting, production and quality of service
• Partnering with finance, reimbursement, accounting and vendors, to resolve escalated issues
• Track key performance indicators and outcomes, including data accuracy, productivity, rework, staff satisfaction, compliance measures/requirements, and service level agreements
• Investigate and develop resolutions to potential compliance issues
• Ensure monthly deposits are reconciled with posting process or properly followed up or escalated.
• Review and authorize internal adjustments and requests for refunds that result in a change in the status of a patient’s account
• May act as a hands-on Supervisor and assist with the preparation and processing of payments, refunds, and adjustments when necessary.
• Monitor cash flow projections and report actual cash flow and variance to management on a regular basis (monthly/ bi-monthly)
• Verifies that all daily activity batches balance for reporting purpose.Reviews all payments related problems to determine reasons for, and possible resolutions of problems and delegates follow-up back to appropriate employee(s) for action.
• Review of pay codes to ensure proper use by all staff, edit and correct as needed. Advise staff accordingly of error and train for correct process.
• Other duties as assigned

Qualifications

• High school diploma or equivalent
• 4+ years related experience in revenue cycle, healthcare, finance, or banking
• 2 + years demonstrated skills leading teams
• Possess up-to-date knowledge of Federal and State regulations pertaining to reimbursement
• Proven knowledge of:
• Healthcare/medical revenue cycle (including customer service, billing, collections, Managed Care, Medicare, Medicaid and Commercial practices)
• Payor requirements and remittance advice & EOB’s
• CPT, ICD-10, HCFA, UBO4s, HCPCS, DRGS, and authorizations/referrals
• HIPAA & PCI regulations
• Basic math skills and ability to work with numbers quickly and accurately
• Effective organizational, planning, scheduling, and project management skills with ability to manage time and achieve results in a fast-paced environment
• Excellent verbal and written communication and interpersonal skills
• Understanding of KPI reporting and improvement programs
• Demonstrated ability to appropriately resolve and escalate issues
• Excellent attention to detail with focus on accuracy and quality
• Proven ability to work collaboratively in a team environment in a positive and professional manner
• Proven proficiency in MS Office applications

Desired Qualifications:

• Bachelor’s degree preferred

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Listed below are the physical requirements required while performing the duties of this job.

• The employee is regularly required to: stand; sit; talk; hear; use hands and fingers to operate a computer and telephone keyboard; and reach, stoop and/or kneel to install computer equipment
• The employee must have the specific vision ability to complete close vision requirements due to computer work
• The employee is required to be able to complete light to moderate lifting

Our Commitment to Diversity, Equity, and Inclusion:

We welcome and respect the variety of experiences, viewpoints, and cultural backgrounds that everyone brings to our workplace. Tegria RCM makes every effort to promote a workplace where leaders model inclusive behaviors and individuals feel respected, valued, and empowered. Together, we promote and sustain an inclusive workplace where people feel a sense of belonging.