Payment Posting Manager

Payment Posting Manager | Full-time | Corporate | Remote (U.S.)

H2 Health is seeking an experienced Payment Posting Manager to lead our Payment Posting team within the Revenue Cycle Management (RCM) department. This is a full-time, remote opportunity for a collaborative leader who is passionate about process improvement, operational excellence, and revenue integrity. In this high-impact role, you'll help support a growing national therapy organization by ensuring accurate payment posting, cash reconciliation, and workflow optimization across the revenue cycle.

As a key member of our Corporate team, you'll oversee payment posting operations while partnering with Billing, Accounts Receivable, Finance, and IT to improve efficiency and enhance financial performance. If you're an experienced healthcare revenue cycle professional with strong leadership skills and expertise in payment posting, we'd love to hear from you.

Your Role

• Lead the daily operations of the Payment Posting team, ensuring accuracy, productivity, and compliance.
• Oversee posting of insurance payments, patient payments, contractual adjustments, refunds, denials, and write-offs.
• Manage daily, weekly, and monthly cash reconciliation, ensuring posted payments align with deposits and bank activity.
• Investigate and resolve payment discrepancies, unapplied cash, posting variances, and reconciliation issues.
• Develop and implement payment posting automation strategies to improve efficiency and reduce manual processes.
• Optimize Electronic Remittance Advice (ERA), EFT, and lockbox payment workflows.
• Collaborate with Billing, Accounts Receivable, Finance, and IT teams to resolve revenue cycle challenges and improve operational performance.
• Monitor key performance indicators (KPIs) related to payment posting accuracy, turnaround times, reconciliation, and cash application.
• Establish and maintain departmental policies, procedures, and internal controls.
• Train, mentor, and develop Payment Posting team members while fostering a culture of accountability and continuous improvement.
• Support system implementations, upgrades, testing, and optimization initiatives related to payment posting and revenue cycle technology.
• Ensure compliance with HIPAA, payer regulations, and organizational policies.

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field preferred; equivalent healthcare Revenue Cycle Management experience will be considered.
• Minimum of 8 years of healthcare Revenue Cycle Management (RCM) experience, including significant experience in payment posting and cash reconciliation.
• Previous leadership experience managing payment posting or revenue cycle teams.
• Raintree EMR experience strongly preferred.
• Strong knowledge of healthcare payment posting, cash reconciliation, ERA processing, EFTs, lockbox transactions, payer reimbursement methodologies, contractual adjustments, and revenue cycle operations.
• Experience working with healthcare clearinghouses and payer portals.
• Advanced proficiency with Microsoft Excel and reporting tools.
• Demonstrated success leading process improvement initiatives, workflow optimization, and operational change.
• Excellent analytical, organizational, communication, and problem-solving skills with exceptional attention to detail.