• Job Description

  Req#: DATAA001671

  NOW HIRING

  PAYMENT POSTER MANAGER - REMOTE, FULL TIME

  OUR VISION & VALUES
  At Blue Cloud, it’s our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision.
  1. We cheerfully work hard
  2. We are individually empathetic
  3. We keep our commitments

  The Payment Posting Manager (Central Billing Office - CBO) is a revenue cycle management (RCM) leadership position responsible for the day-to-day management of all payment posting functions, ensuring the timely and accurate recording of all payments and adjustments to patient accounts. This role ensures the accuracy, timeliness, and integrity of Blue Cloud’s financials by managing and optimizing electronic and manual posting workflows, reconciling daily deposits, addressing underpayments, overpayments, credit balances and refunds, provider payment allocation, and managing unapplied or suspense accounts. The CBO Manager, Payment Posting Operations is key to ensuring accurate patient balances and providing timely data for A/R follow-up.

  YOU WILL
  Essential Functions (Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions).

  • Operational Oversight: Manage a fast-growing payment posting team, ensuring optimal teammember utilization and productivity for staff that is compliant with all state, federal and Blue Cloudregulations and policies

  • Strategic Leadership: Drive innovation and automation of payment posting processes inclusive of EFT/ERA enrollment expansion, Open Dental and third-party system capabilities and AI solutions.

  • Daily Reconciliation: Ensure 100% daily reconciliation of all posted payments (EFTs, paper checks, credit cards) against bank deposits and general ledger accounts.

  • Posting Accuracy: Manage the processing and posting of electronic remittance advices (ERAs) and manual Explanation of Benefits (EOBs), ensuring proper application of contractual adjustments, patient payments, and write-offs.

  • Credit Balances & Refunds: Develop and refine credit balance and refund management procedures to ensure compliance with federal and state requirements and optimize patient and family experience

  • Compliance & Auditing: Ensure Blue Cloud is capturing revenue and billing in adherence to federal, state, and payer-specific regulations and lead internal audits to maintain compliance. Adheres to and reinforces coding, billing, collections and payment posting internal controls and auditing protocols to optimize net revenue capture and reimbursement in a compliant manner.

  • Performance, Reporting, & Analytics: Manage and provide recurring quantified detail for key revenue cycle performance and staff productivity metrics, key performance indicators, and productivity standards and create data visualization and reporting to highlight opportunities, variance and risk and optimize team performance.

  • Team Development: Recruit, train, mentor, and manage a team to perform all payment posting processes for all Blue Cloud facilities. Provide continuing education and professional development to maximize retention and career progression of team members and leaders.

  • Growth Partnership: Aid executive leadership and development teams with revenue modeling, sensitivity analysis, and forecasting to optimize growth strategy, pro forma accuracy, and ROI for all de novo and M&A activity.

  YOU HAVE
  

  • Experience: Minimum of 4 years of experience in healthcare payment posting, accounting, or bookkeeping, with at least 1 year in a supervisory role. ASC or multi-specialty experience is a plus.

  • Certifications: HFMA’s Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or Certified Professional Coder (CPC) preferred.

  Skills:

  • Demonstrated leadership progression in payment posting space and expertise in reading and interpreting EOBs, ERAs, and familiarity with various payer denial and adjustment codes. Experience managing payments spanning anesthesia, professional and facility fees is a plus.

  • Demonstrated utilization and optimization of payment posting workflows, functionality and reporting in EMR and PAS solutions (e.g., Epic, Cerner, Allscripts, HST Pathways, SIS Complete). Experience using Open Dental is a plus.

  • Proficiency in Microsoft Excel, Power BI, and data analysis tools and demonstrated ability to develop executive-facing work products that outline performance, risk, and opportunities to optimize payment capture.

  • Excellent problem-solving, leadership, and communication skills.
  • Ability to manage multiple priorities in a fast-paced environment.

  Compliance & Company Policies

  • • Must maintain strict confidentiality in accordance with HIPAA and company policies.
    • Ensure all revenue cycle activities align with federal and state compliance regulations

  BENEFITS

  • Work with a passionate, dedicated, and talented team in a growing organization committed to doing good
  • Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans
  • 401k plan, including company match
  • Paid Time Off
  • No on call, no holidays, no weekends

  This is a remote position with opportunity available in Arizona, Texas, Delaware, Idaho, West Virginia, Kansas, Maryland, Michigan, Nevada, North Carolina, Penn, Tennessee, Missouri

  Other Duties
  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 associate for this job. Duties, responsibilities and activities may change at any time with or without notice.

  Physical Demands
  The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. While performing the duties of this job, the associate is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. This position requires intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting.

  Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations.

  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.

• About the company

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