RCM Payment Poster Supervisor

About PURE

Pure Infusion Suites is a fast-growing healthcare start-up, recognized as the fastest-growing company in Utah as of October 2024. Our success comes from our remarkable team, shared values, and a supportive culture that shows in every interaction, whether with patients in our clinics or with insurance companies and vendors at our corporate headquarters. If you are detail-oriented, self-directed, and passionate about ensuring claims are processed quickly and accurately, this could be the perfect role for you.

OUR CORE VALUES
We live by four core values that define our culture and guide our hiring:

·         People-obsessed

·         Passionate

·         Builder

·         Grateful

Payment Posting Supervisor Position Summary:

The Payment Posting Supervisor oversees the daily operations of the payment posting department. This leadership role ensures accurate, timely, and compliant posting of all payments, adjustments, and remittances across multiple payers and systems. The Payment Posting Supervisor supports team members, collaborates with internal departments, and drives performance in cash application, reconciliation, and revenue accuracy. The role focuses on maintaining clean accounts receivable (A/R), reducing posting errors, improving automation workflows, ensuring regulatory compliance, and optimizing cash flow for healthcare providers through strong organizational skills, attention to detail, and team-oriented leadership.

Key Responsibilities

· Supervise and lead a team of Payment Posting Specialists in daily functions including electronic remittance posting (ERA), manual payment posting, patient payment processing, adjustments, refunds, and reconciliation.

· Monitor and report on key performance indicators (KPIs) such as posting accuracy, turnaround time, unapplied cash levels, reconciliation variances, and individual productivity; provide coaching, feedback, and formal performance evaluations.

· Oversee daily cash reconciliation to ensure all deposits, ERAs, and manual payments are accurately posted and balanced to bank statements and payer remittances.

· Review and resolve unapplied, misapplied, or unidentified payments; ensure timely research and correction to maintain clean A/R.

· Ensure accurate interpretation and posting of payer remittance advice (EOB/ERA), including contractual adjustments, patient responsibility, takebacks, and recoupments.

· Collaborate with collections, denials, coding, and billing teams to resolve posting discrepancies, underpayments, and payer-related issues.

· Train, mentor, and onboard new staff on payer payment methodologies, posting workflows, system functionality, and industry best practices.

· Conduct quality assurance audits on posted payments, adjustments, and refunds to ensure accuracy, compliance, and adherence to internal policies.

· Analyze trends in payment posting errors, payer behavior, and reconciliation issues; recommend process improvements, automation opportunities, and workflow enhancements.

· Prepare and present reports, dashboards, and reconciliation summaries for leadership review.

· Contribute to the development of posting workflows, standard operating procedures (SOPs), and payer-specific posting guidelines.

· Foster cross-functional collaboration with finance, billing, collections, coding, and IT teams to support accurate revenue cycle operations.

Required Knowledge, Skills, and Abilities

· Experience with R2, Office Ally and WellnFuse systems highly preferred

· In-depth knowledge of major payers (Medicare, Medicaid, UnitedHealthcare, Aetna, Blue Cross, etc.) and their billing, claims, and reimbursement requirements.

· Extensive hands-on experience in medical billing, claims processing, appeals, denials, and collections workflows.

· Proven supervisory or lead experience with demonstrated ability to motivate teams, resolve conflicts, coach staff, and manage performance.

· Strong analytical, problem-solving, and organizational skills; adept at prioritizing tasks in a fast-paced, high-volume environment.

· Excellent verbal and written communication skills for effective collaboration with internal teams, payers, patients, and leadership.

· High computer literacy in PC environments, including proficiency with revenue cycle systems and reporting tools.

· Ability to make independent, revenue-impacting decisions accurately and efficiently, escalating to management as appropriate.

Education, Experience, and Requirements

· Minimum 5+ years of progressive experience in medical collections and follow-up, with at least 2+ years in a supervisory or lead role, preferably in specialty infusion therapy or complex outpatient services..

· High School Diploma or equivalent required; additional education or certifications in medical billing/collections preferred.

· Must meet U.S. employment eligibility requirements.