Accounts Receivable Transactions Manager

Description

The Manager, Accounts Receivable Transactions, is responsible for overseeing the payment posting and reconciliation processes within the revenue cycle department. This position ensures the accurate and timely posting of payments, adjustments, and denials while maintaining compliance with healthcare regulations and financial policies. This role collaborates with billing, collections, and finance teams to optimize revenue operations and improve cash flow.

Essential Functions:

1. Oversees payment posting operations to ensure accurate and timely application of all payments, adjustments, and denials across multiple payers and patient accounts.
2. Ensure daily reconciliation of posted payments with bank deposits and financial reports.
3. Identifies and implements process improvements within payment posting workflow to enhance efficiency, accuracy, and overall performance.
4. Monitors compliance with HIPAA, CMS, and other regulatory guidelines for healthcare revenue cycle operations.
5. Reviews and interprets payment trend reports and account-level analytics to identify discrepancies, and support decision-making.
6. Manage and develop team members, providing training, performance feedback, and ongoing support to maintain a high-performing, accurate, and engaged team.
7. Collaborate with IT and finance teams to optimize revenue cycle management (RCM) software and electronic payment processes.
8. Work closely with billing and collections teams to analyze denial trends and improve revenue recovery.
9. Partners with internal departments and external payers to resolve payment discrepancies and ensure proper claim adjudication.
10. Perform other duties as assigned.

Qualifications

Educational / Experience Requirements:

• Bachelor’s degree in healthcare administration, Finance, Accounting, Business, or a related field (or equivalent experience).
• Minimum of three years of experience in payment posting, revenue cycle, or healthcare finance.
• Previous experience in a leadership or supervisory role within a healthcare revenue cycle department.
• Proficiency in RCM and payment posting software (EMR and clearing house systems).
• Strong knowledge of payer remittance formats (ERA, EOB), ANSI 835 files, and reconciliation processes.
• Experience with financial reporting, spreadsheets, and data analysis tools (Excel, Power BI, SQL, etc.).

Qualifications / Skills:

• Proficient in Microsoft Office such as Microsoft Word and Excel.
• Broad understanding of all revenue cycle functions and interrelationships.
• Hands on experience and knowledge in medical insurance policy benefits, process improvement, AR management and systems development/implementation.
• Must be versatile, flexible, and able to perform in stressful situations.
• Strong organizational and time management skills with the ability to prioritize and manage high-volume workloads effectively.
• Strong written and oral communication skills; able to collaborate with internal teams, external payers, and cross-functional partners.
• Must analyze and utilize data and systems to provide individualized quality treatment in a cost-effective manner.
• Must be able to function with minimal supervision and complete understanding and respect for confidentiality.
• Interprets and works toward policy and procedure modification that are in accordance with State and Federal Laws, TJC, HCFA and other regulatory boards as required by state and federal laws as well as the mission statement.

Work Environment:

Subject to many interruptions. Occasional pressure due to multiple calls and inquiries. This position can be high paced and stressful; must be able to cope mentally and physically to atmosphere. Work require spending approximately 90% or more of the time inside a building that offers protection from weather conditions but not necessarily from temperature changes.