Cash Posting Supervisor

Job Summary: Performs under the supervision of the Manager Revenue Cycle. A Cash Posting Supervisor oversees the daily operations of cash application and posting processes to ensure timely, accurate allocation of payments to patient accounts. Manages a team of cash posters, providing training, guidance, and performance feedback. Ensures all hospitals balance by day end. Monitors posting of payments, adjustments, reconciliations, and rejections. Timely post all the payments according to P&P. Prepare daily, weekly reports on cash posting activities. Coordinate with billing, collections, and finance teams to ensure smooth payment processing and account accuracy. The position requires strong attention to detail, leadership skills, and proficiency with accounting systems to maintain financial integrity and support efficient revenue cycle operation. Actively and consistently contributes to department operations and communications, behaves in a manner consistent with the mission, vision, and values of Pipeline Health, upholding standards of AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you) patient communication. Essential Functions: Supervise daily posting of cash, EFT, ACH, lockbox, and credit card payments from Medicare, Medicaid, commercial payers, managed care plans, and self-pay patients. Ensure accurate and timely posting of payments, contractual adjustments, refunds, and reversals in the patient accounting system. Oversee daily cash balancing and reconciliation of posted payments to bank deposits, remittance advices (ERAs/EOBs), and general ledger. Investigate and resolve cash posting variances, unapplied cash, credit balances, and posting errors. Serve as escalation point for complex posting issues and payer anomalies. Establish daily priorities to ensure all deposits and remittances are posted within defined turnaround times. Prepare and review daily, weekly, and monthly cash posting and reconciliation reports. Track unapplied cash, posting lag, refund balances, and cash accuracy metrics. Analyze trends in payer payments, recoupments, and adjustments to identify systemic issues. Support system upgrades, ERA enrollment, lockbox changes, and payer posting automation initiatives. Develop and maintain standard operating procedures (SOPs) for cash posting functions. Recommend and implement workflow improvements to increase accuracy, efficiency, and compliance. Perform cash posting functions as needed to support staffing coverage or high-volume periods. Participate in revenue cycle meetings, projects, and cross-functional initiatives. Perform other duties as assigned to support hospital financial operations. Basic unit/department maintenance such as keeping files, drawers, cabinets free from unnecessary clutter. Abides by HIPAA (Health Insurance Portability and Accountability Act) regulations. Completes and attends monthly training assigned. Uses clear, concise, professional communication with coworkers, patients, all customers internal and external. Uses AIDET in interactions with patients and family members. Acts with a sense of urgency when performing tasks. Basic unit/department maintenance such as keeping files, drawers, cabinets free from unnecessary clutter. Reports on any equipment and or environmental issues for repair. Abides by HIPAA (Health Insurance Portability and Accountability Act) regulations. Speaks up to stop the line and escalates potential safety events if necessary. Completes and attends monthly training assigned. Other duties as assigned. Behavioral Standards: Exhibits customer and service-oriented behaviors in everyday work interactions. Demonstrates a courteous and respectful attitude to internal workforce and external customers. Treats everyone as their customer; utilizes scripting and other tools to ensure consistency in customer service; Expresses recognition and shows appreciation to others; fully utilizes AIDET principles; responds quickly to handle requests, complaints, and questions; displays a positive attitude. Demonstrates the highest level of professionalism, passion and care when interacting with patients, families, physicians, and hospital staff members. Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential, embracing ingenuity to service our customers. Communication/Knowledge: Provides accurate and timely written and verbal communication of information in a manner that is understood by all. Able to listen, understand, problem-solve, and carry-out duties to ensure the optimal outcome. Wears nametag properly; follows dress code policy; answers phone correctly and promptly; is prepared for meetings; meets deadlines; does not participate in gossip; acts ethically and treats others with respect; respects customer's and co-worker's time; establishes and maintains effective relationships with customers and co-workers. Collaboration/Teamwork: Contributes toward effective, positive working relationships with internal and external colleagues. Demonstrates cooperation, flexibility, reliability, and dependability in all daily work activities and a willingness to collaborate with others for the good of the customer and the organization. Able to use IT systems in an accurate and proficient manner. Attends staff meetings; follows HIPAA guidelines; follows patient rights policy; complies with the compliance program; demonstrates knowledge of role in a disaster; demonstrates knowledge of fire and fire drill procedures; working knowledge of hospital emergency codes; always utilizes standard precautions in the clinical setting; safely manages the environment of care by demonstrating a working knowledge of the requirements of the: Life Safety program, Utilities Management program, Hazardous Materials program, Emergency Preparedness program, Safety Management program, Medical Equipment Management program, Security Management program. Qualifications/Experience: Three (3) + years of cash posting experience in hospital acute setting. Two (2) + years of supervisory or lead experience in a medial office, hospital, or billing environment, preferred. Critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend written instructions, strong organizational skills, ability to follow verbal instructions, and PC (computer) skills. A capacity to learn, synthesize, make critical judgments, work independently, place patients and families first, and collaborate with the team members who are recognized leaders within health care. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Created: 2026-03-09