Payment Posting Manager

The vision of Clinical Health Network for Transformation (CHN) is to support the mission and promise of Planned Parenthood to bring high-quality, affordable care to every member of our communities. CHN is a collaboration between Planned Parenthood affiliates across the United States.

CHN is looking for individuals who are committed to supporting our shared goal of strengthening and enhancing our awareness and commitment to advancing the cause of health equity in our organization.

Reporting to the Vice President of Revenue Cycle, the Payment Posting Manager will provide leadership over the day-to-day and strategic operations of the Revenue Cycle Management (RCM) department.  This includes managing a team of revenue cycle representative staff and being accountable for consistent quality performance, including the service’s ability to consistently meet established key performance indicators that support access and an optimal customer and patient experience. Additionally, the Payment Posting Manager is responsible for following all revenue cycle management systems, processes, and policies, ensuring the effectiveness and efficiency of revenue cycle operations.

The Payment Posting Manager reviews monthly cash summary reconciliation reports, reviews the work of the cash posting specialists, and research problems with payments, bank deposits, returned checks and refunds. Creates, implements, and monitors internal processes to ensure productivity metrics are achieved. Drives strategic planning around revenue cycle process improvement initiatives, as driven by Senior Leadership. Assists in setting cash management strategy. including compliance requirements, as well as training and quality standards. 

• Develop, implement, and monitor key performance indicators and productivity goals; identify root cause for variances and applicable process improvements; and report key findings to appropriate leadership

• Reviews standard organizational metrics and reports internal revenue cycle trends, underlying root causes, and other related issues. Applies a structured and disciplined approach to defining problems and improving performance.  Champions the effectiveness of revenue cycle functional team efforts and recommends improvement strategies to enhance overall efficiency across remote teams

• Manage department in compliance with established policies and procedures of CHN and helps ensure that all policies and procedures reflect compliance with government regulations 

• Oversee the handling of escalated complaints or inquiries regarding Payment Posting functions to help ensure correct and satisfactory resolution

• This position monitors and interprets reports and dashboards, including payment reports, monthly A/R, reconciliation reports, Cash Management Reports and all other reports and dashboards, as necessary

• The Manager helps ensure the timeliness and appropriateness of posting payments 

• The Manager works closely with Better Health resources, clearinghouses, insurance payers, and bank vendors to help ensure the highest level of technology and automation is being utilized throughout the payment posting functions

• Provide overall leadership and support to Payment Posting staff, including proactive guidance, troubleshooting support, issue escalation, and project prioritization

• Utilize knowledge of revenue cycle processes that include insurance claim follow-up, denial management, payment posting, credit resolution, etc. 

• Utilize knowledge of contractual constraints potentially impacting payer responsibility of adjudication 

• Identify and resolve problems in the payment posting processes impacting downstream reconciliation activities when appropriate, identifies and initiates change to prevent future problems or improve existing processes

• Assist affiliates with ERA/EFT enrollments to ensure all payments are electronic to decrease FTE hours spent with manual posting

• Analyzes and interprets substantial amounts of data and identifies error trends to share with CHN process owners

• Regularly report and monitor key performance indicators (KPIs).  Shares KPIs, provides in-depth, root-cause analysis, action plans and timelines to adjust operations accordingly to achieve operational objective and KPIs

• Recruit, hire, train, evaluate, and perform disciplinary actions following department guidelines. Provide support, coaching, and direction for representatives, including monitoring of productivity KPIs and position goals; lead the employee evaluation process for assigned staff

• Provide guidance, leadership, training, and development through motivational methods to direct reports

• Conduct weekly meetings with the RCM team to provide guidance and feedback

• Manages staff levels and competencies, ensuring the workforce has the skills and tools needed to provide optimal service

• Communicates any patient account systems concerns or system issues and solicits feedback from the Revenue Cycle team to ensure they are appropriately configured and function optimally

• Manage and mentor a culturally diverse team, including creating and sustaining an organizational culture that fosters inclusiveness and equity

• Creates and promotes a culture of continuous improvement
• Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations 

• Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community

• Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems.  

• Provides positive and development feedback and accountability related to practices including, but not limited to, equity.  

• Bachelor’s degree in Health Care Management or Administration, or a related field, five to seven years of medical billing office experience, of which at least four years were at the management level or equivalent combination of education and/or experience 
• 3-5 years of experience working in PB Epic and the Cash Management Module.  
• Demonstrated organizational, time management, analytical reporting, and problem-solving abilities
• Proficiency with Microsoft Office (Word, Excel, PowerPoint, etc.) 
• Strong attention to detail and follow-up and demonstrated ability to multi-task and maintain a customer-centric service approach in a fast-paced environment
• Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary
• Strong interpersonal skills and the ability to build relationships with team members
• Demonstrated dedication to Planned Parenthood’s mission, vision, and values
• Willingness to travel in accordance with the needs of the position, as outlined in the essential functions. Compliance with all CHN travel policies, including safety guidelines while operating a personal vehicle. 

• Strong working knowledge of professional billing software applications  
• Five years of experience with building reports, interpreting data, and developing recommendations for process improvement  
• EPIC training program for Revenue Cycle  

• Commitment to advancing race(+) equity in one’s work: interested in expanding knowledge about the role that racial inequity plays in our society
• Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions
• Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn
• Strong sense of accountability to equitable practices
• Understanding of the impact of identity dynamics on organizational culture
• Commitment to CHN and Planned Parenthood’s In This Together service ethos, workplace values, and service standards

Clinical Health Network for Transformation (CHN)  is an equal employment opportunity employer. We comply with all applicable laws prohibiting discrimination based on race, color, religion, gender and gender expression/identity, age, ethnicity, national origin, ancestry, physical or mental disability, uniformed service member/veteran status, marital status, medical condition, pregnancy, sexual orientation, citizenship status, genetic information, as well as any other category protected by federal, state, or local. We are committed to building an inclusive workplace that values racial & social justice. We strongly encourage all persons to apply, including members from all racial and ethnic groups and members of the LGBTQIA+ community.