Lead and develop payment posting supervisors, leads, and staff while ensuring accurate, timely posting and reconciliation of payments, adjustments, denials, and credit balances. Monitor performance and compliance, resolve posting issues, improve workflows and controls, meet month-end close deadlines, and communicate risks and corrective actions to the Zone Manager.
Position Summary
The Payment Posting Manager leads daily payment posting operations to ensure insurance and patient payments, adjustments, denials, credit balances, and reconciliation activities are completed accurately, timely, and in alignment with established standards.
This role drives posting accuracy, reconciliation integrity, staff performance, supervisor readiness, and workflow improvement by setting clear expectations, monitoring results, resolving issues, and escalating to the Zone Manager when risks may affect financial accuracy, compliance, or customer delivery.
Qualifications
Required
5+ years in healthcare payment posting, billing, or A/R management, including 2+ years in a supervisory role
Familiarity with electronic payment systems and medical billing platforms such as Epic, NextGen, Athena, Intergy, or eCW
Experience supervising, training, and coaching staff against quality, productivity, and documentation standards
Experience developing supervisors, leads, or senior staff through coaching, delegation, and follow-through
Ability to monitor posting activity and reconciliation results to identify errors, delays, and trends
Ability to apply quality controls for posting accuracy, documentation, and compliance
Ability to research and resolve underpayments, overpayments, and denials
Ability to use trends, audit findings, and reconciliation issues to improve workflows and reduce repeat errors
Strong organization, prioritization, follow-through, and accuracy in deadline-driven work
Preferred
Experience analyzing payment posting, reconciliation, productivity, quality, or trend reports
Experience partnering with billing, collections, finance, revenue support, or operations to resolve posting discrepancies
Experience developing or reinforcing procedures, standard work, or quality controls
Key Responsibilities and Expected Performance Outcomes
Key Responsibilities
Lead, coach, and train payment posting supervisors, leads, and staff to meet quality, productivity, documentation, and service expectations
Conduct supervisor, team, and operational touchpoints to review priorities, address workflow barriers, and align staff on expectations
Set and evaluate individual, team, and supervisor performance goals; provide timely feedback and annual performance input
Develop supervisor and lead readiness by clarifying authority levels, reinforcing decision boundaries, and coaching follow-through on team-owned issues
Ensure payments, adjustments, denials, credit balances, and exceptions are posted accurately and timely
Monitor receipts, posting activity, reconciliation reports, and work status to identify errors, delays, and risks
Maintain HIPAA, regulatory, documentation, and confidentiality standards in daily posting operations
Generate and analyze reports on posting activity, reconciliation status, productivity, quality, discrepancies, and trends
Review posting activity, audit findings, and quality trends to correct errors and prevent recurrence
Research and resolve underpayments, overpayments, denials, unapplied cash, credit balances, and escalated posting concerns
Implement and sustain workflow improvements, procedure updates, and quality controls that reduce errors and improve consistency
Stay current on payer requirements, industry changes, and internal process updates that affect posting accuracy or workflow
Ensure completion of month-end close by the 10th day of the following month
Communicate payment discrepancy trends, risks, corrective actions, and escalation needs to the Zone Manager with impact, evidence, options, and recommended next steps
Own customer-impacting posting issues by ensuring they are visible, coordinated, and resolved before they disrupt customer outcomes or downstream revenue cycle work
Expected Performance Outcomes
Posting outcomes (accuracy, timeliness, and reconciliation integrity) are predictable and stable
Recurring posting defects decline through prevention and workflow improvement rather than repeated rework
Escalations are surfaced early with impact, evidence, options, and recommended next steps rather than discovered through surprise
Customer-impacting posting risks are identified, communicated, and resolved before they create downstream disruption or avoidable escalation
Supervisor, lead, and team capability increases over time through coaching and clear standards, reducing dependence on manager intervention
Compliance and documentation discipline hold under pressure, without silent exceptions or workaround normalization
Core Competencies
Critical Thinking: Prioritizes posting risks, exceptions, and escalations by financial impact, compliance exposure, and reconciliation integrity.
Interpersonal Skills: Communicates expectations clearly, supports de-escalation, and reinforces standards with staff and cross-functional partners.
Organizing and Planning: Structures staffing, workflows, controls, and close timelines to sustain accurate posting and reliable month-end performance.
Production: Maintains timely, accurate posting output through repeatable processes, quality controls, and reduced rework.
Dependability: Owns posting outcomes, honors commitments, and surfaces risks early.
Coaching: Builds team capability through coaching, feedback, and clear standards that increase decision ownership.
Project Management: Leads posting-related improvements by defining ownership, timelines, success criteria, and follow-through.
Quality Focus: Maintains posting accuracy, compliance, and documentation discipline while addressing root causes and preventing repeat issues.
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