Cash Posting Supervisor

Description

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.

The Cash Posting Supervisor is responsible for overseeing the day-to-day cash posting function, ensuring payments are accurately and timely posted, balanced, reconciled, and managed in accordance with revenue cycle policies, payer requirements, and regulatory standards. This role supervises Cash Posting team operations, establishes performance expectations, monitors productivity and quality, and ensures the integrity of cash application and account balances. The Supervisor serves as a subject matter expert and escalation resource, drives process improvement and automation initiatives, and collaborates with cross-functional teams to optimize cash application, financial accuracy, and overall revenue cycle performance.

Essential Duties:

Cash Posting & Reconciliation

• Supervise daily cash posting operations to ensure accurate, timely, and complete application of insurance, patient, electronic, and manual payments to patient accounts.
• Ensure payments, adjustments, recoupments, and denials are accurately posted to the appropriate accounts in accordance with payer and organizational requirements.
• Monitor daily cash posting activity, establish priorities, and ensure departmental service levels and deadlines are consistently met.
• Oversee daily and monthly cash balancing and reconciliation between bank deposits, remittance files, clearinghouse activity, and the patient accounting system.
• Ensure posting discrepancies, unidentified payments, and out-of-balance conditions are researched, resolved, and appropriately documented.
• Monitor unapplied and unidentified cash balances and establish accountability for timely resolution.
• Ensure appropriate controls are maintained to support cash integrity, accurate financial reporting, and audit readiness.

Credit Balance Management

• Supervise the credit balance review process, identifying accounts with potential overpayments or credit balances. 
• Oversee the investigation of credit balances to determine the appropriate resolution, including transfers, corrections, refunds, or recoupments. 
• Coordinate with other RCM departments to resolve account issues contributing to credit balances. 
• Monitor credit balance aging and ensure timely resolution in accordance with organizational policies and payer requirements. 
• Identify recurring credit balance trends and implement corrective actions to prevent future occurrences.

Cash Posting Rules & System Management

• Own and maintain cash posting rules, ensuring they accurately reflect payer remittance and contractual requirements. 
• Identify opportunities to automate posting and reduce manual intervention. 
• Partner with IT, billing, and system vendors to troubleshoot and implement cash posting rule changes. 
• Test new or modified posting rules and validate results. 
• Monitor rule performance and identify trends that may result in incorrect posting. 

Team Leadership & Performance Management

• Supervise, coach, and develop Cash Posting team members, establishing clear expectations for productivity, accuracy, turnaround time, and accountability.
• Assign workloads, prioritize daily activities, and allocate resources to meet departmental objectives and operational demands.
• Serve as the primary escalation point for complex cash posting, reconciliation, and credit balance issues.
• Provide ongoing training, guidance, and performance feedback to improve team competency, accuracy, and consistency.
• Monitor individual and team performance against established KPIs, identify performance gaps, and implement corrective action plans as appropriate.
• Conduct quality reviews and audits to validate compliance with established workflows, posting standards, and departmental procedures.
• Identify training needs, support cross-training initiatives, and promote knowledge sharing and continuous improvement.
• Foster a culture of accountability, collaboration, accuracy, and continuous learning.

Reporting & Process Improvement

• Develop and monitor key performance indicators related to cash posting, including posting turnaround time, accuracy, unapplied cash, credit balances, and reconciliation variances. 
• Identify trends and root causes impacting cash application and revenue cycle performance. 
• Recommend and implement process improvements that increase efficiency, accuracy, and cash visibility. 
• Maintain and update SOPs, workflows, and cash posting policies. 
• Support system implementations, payer changes, acquisitions, and other RCM initiatives impacting cash posting.
• Assist with the identification, investigation, and resolution of payments issued to incorrect providers, addresses, or banking information, coordinating corrective actions with payors and internal stakeholders.
• Ensure compliance with HIPAA transaction standards, CMS requirements, and applicable federal and state regulations governing electronic healthcare transactions.
• Performs other related duties as assigned.

Skills, Knowledge, Abilities:

• Strong knowledge of healthcare revenue cycle management, cash posting, payment application, and account reconciliation. 
• Working knowledge of hospital and physician billing, payer remittances, EOBs/ERAs, contractual adjustments, recoupments, and refunds. 
• Ability to accurately interpret 835/ERA transactions, EOBs, payment information, and payer-specific requirements. 
• Strong understanding of cash reconciliation and balancing processes, including identifying and resolving variances. 
•  Knowledge of credit balance identification, research, resolution, and refund processes. 
• Ability to develop, maintain, and troubleshoot cash posting rules and system configurations. 
• Strong analytical and problem-solving skills with the ability to research discrepancies and identify root causes. 
• Ability to recognize trends and identify opportunities to improve cash application accuracy, efficiency, and automation. 
• Ability to manage multiple priorities and meet daily, monthly, and departmental deadlines. 
• Demonstrated ability to serve as a subject matter expert and escalation resource for complex cash posting issues. 
• Strong communication and interpersonal skills with the ability to work effectively with RCM, billing, coding, IT, payers, and external vendors. 
• Ability to train, coach, and provide constructive feedback to team members while reinforcing quality standards and accountability.
• Proficiency with patient accounting/billing systems, clearinghouses, Microsoft Excel, and other revenue cycle technology. 
• Ability to analyze operational reports and KPIs to identify performance trends and improvement opportunities. 
• Ability to create and maintain SOPs, workflows, and process documentation. 
• Strong organizational skills with the ability to work independently while effectively supporting a team.

Requirements

 Education:

• High school diploma or GED required.

Experience: 

• 3–5+ years of healthcare revenue cycle or cash posting experience 
• Prior experience in a lead, senior, or supervisory role 
• Experience with automated cash posting, 835/ERA processing, and posting-rule configuration 
• Experience with credit balance management and payer reconciliation

Core Clinical Partners is an equal opportunity employer, drug-free workplace, and complies with ADA regulations as applicable.Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.