Manager, Posting and Credits

Vaga não está no LinkedIn

🕒 5 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

👔 Gerente

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 5 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.
• Sem salário divulgado.

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SimonMed Imaging

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2003

🏥 Saúde

🤖 Inteligência Artificial

👥 B2C

Healthcare • Artificial Intelligence • B2C

A SimonMed Imaging é o maior grupo independente de radiologia de médicos ambulatoriais nos Estados Unidos, operando mais de 170 centros ambulatoriais acreditados em vários estados. A empresa oferece serviços abrangentes de imagem diagnóstica e triagem — incluindo ressonância magnética (MRI), tomografia computadorizada (CT), mamografia (incluindo programas móveis no local), ultrassom, DEXA, medicina nuclear/PET‑CT e leituras especializadas — e enfatiza acessibilidade, transparência de custos e tecnologias de imagem aprimoradas por IA para fornecer diagnósticos mais precoces e precisos para pacientes e médicos encaminhadores.

Descrição

• Oversee timely and accurate application of insurance and patient payments through ERA, EFT, ACH, lockbox, credit card, check, and other channels • Monitor posting workflows, interfaces, and electronic remittances • Co-own reconciliation of posted payments to bank deposits, remittance data, and general ledger activity with Finance and Accounting • Ensure compliance with HIPAA, payer requirements, governmental regulations, audit standards, and financial controls • Lead identification and resolution of patient and payer credit balances, overpayments, duplicate payments, and misapplied transactions • Manage refund processes and resolve unapplied cash, posting errors, payment variances, and missing remittance activity • Ensure accurate posting to global, professional, and technical billing components • Establish and monitor KPIs for productivity, service levels, and quality • Oversee posting quality assurance and control programs • Develop departmental strategies, workflows, policies, and performance standards • Develop reporting on posting performance, auto-posting rates, unapplied cash, credit balances, refund activity, and financial variances • Analyze trends, posting exceptions, and quality findings to identify risks and recommend corrective actions • Lead process improvement and automation initiatives for ERA/EFT posting, accuracy, scalability, cash visibility, and controls • Collaborate with Accounts Receivable, Billing, Denials, Finance, Accounting, payers, banking partners, vendors, IT, and offshore teams • Support system implementations, integrations, revenue cycle transformation projects, and acquired-site onboarding • Lead, mentor, and develop team members • Provide feedback and address performance issues • Assess staffing needs and partner with HR on recruitment, hiring, and onboarding • Approve refunds, adjustments, and write-offs within delegated authority • Maintain segregation of duties across payment posting, refund preparation, and refund approval • Direct operational, budgetary, and financial activities, including offshore vendor headcount and costs • Manage offshore and vendor partner performance, service levels, quality audits, and training • Drive automation to reduce manual effort and vendor FTEs over time

🎯 Requisitos

• High School Diploma or equivalent required • Bachelor's degree in Finance, Accounting, Business Administration, Healthcare Administration, or related field preferred • Minimum ten (10) years of healthcare revenue cycle experience required • Minimum three (3) years of progressive leadership experience managing revenue cycle operations required • Experience managing payment posting, cash application, credit balance, and refund operations required • Experience within high-volume healthcare settings, such as physician practice or outpatient clinics, preferred • Experience managing offshore teams, vendors, or multi-site operations, and leading automation or productivity initiatives in posting operations, preferred • Advanced knowledge of healthcare payment posting, cash application, and revenue cycle operations, including ERA/EFT processing, EOB interpretation, lockbox operations, contractual adjustments, and electronic remittances • Strong understanding of Medicare, Medicaid, commercial and managed care reimbursement, and payer contracts • Knowledge of credit balance, overpayment, and refund requirements, including payer recoupment processes and state unclaimed property regulations • Ability to analyze complex financial and operational data and translate findings into actionable recommendations • Knowledge of auditing, risk assessment, compliance, and quality management principles • Strong leadership, strategic planning, vendor management, and organizational development skills • Ability to manage onshore and offshore teams, priorities, and projects in a fast-paced environment • Strong communication, presentation, and relationship management skills, including cross-department partnerships • Advanced proficiency in Microsoft Excel and healthcare billing, practice management, and reporting systems • Familiarity with posting automation and workflow tools

🏖️ Benefícios

• Salary exempt status • Remote work arrangement

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