Cash Posting Manager

Cash Application Manager

Location: Remote

Department: Billing

FLSA Status: Exempt

Salary Range: $80,000 - $85,000

Improving Lives

At Reliable Medical, our mission is simple: Improving Each of the Lives We Serve.

We are a growing, mission-driven organization dedicated to improving lives through exceptional service, innovation, and operational excellence.

Why Join Reliable Medical?

Reliable Medical is a growing, mission-driven organization dedicated to improving lives through exceptional service, innovation, and operational excellence.

Our culture is built on six core values:

• Client Focused
• Growth Mindset
• People First
• High Standards
• Team Oriented
• Ethical & Compliant

We are a fast-paced, growth-oriented organization where employees are challenged to grow, supported in their development, and empowered to make a meaningful impact.

Job Summary

The Cash Application Manager is responsible for leading and overseeing all payment posting and cash reconciliation activities across Reliable Medical Supply. This role manages Cash Posting Supervisors, Leads, and Specialists to ensure accurate and timely posting of insurance and patient payments, reconciliation of cash activity, resolution of unapplied cash, and compliance with financial controls. Utilizing Brightree and other revenue cycle tools, the Manager drives operational excellence through standardized processes, productivity management, quality oversight, automation initiatives, and cross-functional collaboration with Finance, IT, and reimbursement teams.

Essential Functions

• Oversee all daily cash posting operations for all payment sources, including patient collections.
• Manage posting of electronic remittance advice (ERA/835), electronic funds transfers (EFT), paper checks, lockbox payments, credit card payments, and patient payments.
• Ensure insurance payments are accurately applied to the appropriate claims and patient accounts.
• Oversee contractual adjustments, denials, patient responsibility, deductibles, co-insurance, and other payment adjustments.
• Ensure unapplied cash and unidentified payments are researched and resolved in a timely manner.
• Monitor payment posting turnaround times, outstanding cash batches, and department service levels.
• Ensure all cash received is accounted for and posted to the appropriate accounts.
• Establish standardized cash posting procedures and workflows across all teams.
• Serve as the subject matter expert for Brightree cash posting functionality and payment application processes.
• Oversee daily payment batches and work allocation to ensure all transactions are posted and closed accurately.
• Research and resolve payment discrepancies between Brightree transactions and payer remittance information.
• Partner with IT and Brightree Support to resolve system issues and implement workflow improvements.
• Oversee daily, weekly, and monthly cash reconciliation processes.
• Ensure all payments are accounted for and appropriately documented to support audit requirements.
• Work with Finance to resolve general ledger discrepancies and reconciliation variances.
• Maintain audit-ready documentation and reconciliation records.
• Directly manage Cash Posting Supervisors, Leads, and Cash Posting Specialists.
• Establish productivity, quality, and accuracy expectations for each position.
• Monitor daily and weekly posting volumes and staffing needs.
• Conduct regular one-on-one meetings with direct team members to review performance and development opportunities.
• Address performance concerns through coaching, corrective action, and performance improvement plans as necessary.
• Review lockbox and virtual credit card volumes and proactively transition payment sources to EFT and ERA enrollment whenever possible to improve efficiency and reduce costs.
• Perform other duties as assigned

Qualifications and requirements

Required Qualifications

• Minimum five years of healthcare revenue cycle, reimbursement, cash posting, or payment posting experience.
• Minimum three years of leadership experience managing teams.
• Working knowledge of Brightree billing and cash posting systems.
• Strong understanding of ERA/835 processing, EFT payments, lockbox operations, reconciliation practices, and revenue cycle workflows.
• Knowledge of Medicare, Medicaid, Commercial, and Managed Care reimbursement practices.
• Strong analytical and problem-solving skills with the ability to identify and resolve payment and reconciliation discrepancies.
• Excellent verbal and written communication skills with demonstrated coaching and team development abilities.

Preferred Qualifications

• Bachelor's degree preferred; equivalent experience considered.
• Experience in DME/HME reimbursement operations preferred.

Competencies

• Proven expertise in healthcare terminology, facilitating precise communication and understanding within the team.
• Strong grasp of Coordination of Benefits processes, including posting Primary, Secondary, and Tertiary payments, adjustments, and denials.
• Ability to interpret, comprehend, and calculate Payor Fee Schedules, Reimbursement Rates, and Payment Methodology.
• Exceptional critical thinking skills contributing to effective problem-solving and decision-making. Proficiency in Microsoft Office products (Excel, Word, Outlook, etc.) for documentation and communication.
• Excellent verbal communication and active listening skills, promoting effective communication across departments.
• Demonstrated skills in fostering collaboration, teamwork, and problem-solving to achieve organizational goals.
• Exceptional skills in providing excellent customer service to both customers and team members, fostering a positive work environment.

What We Offer

• Medical, Dental, and Vision Insurance
• 401(k) with Company Match
• Paid Time Off and Paid Holidays
• Professional Development Opportunities
• Wellness Resources and Employee Support Programs
• Volunteer Time Off (VTO)
• Parental Leave
• Childbirth Leave
• Employee Recognition Programs
• Career Growth and Advancement Opportunities

Physical Requirements

• Ability to work in a standard office environment.
• Routinely utilize standard office equipment, including computers, phones, printers, and video conferencing technology.
• Responsibilities require prolonged periods of sitting and working at a computer, frequent verbal and written communication, and the ability to manage multiple priorities in a fast-paced and evolving environment.
• Occasional travel may be required to support meetings, training initiatives, investigations, acquisitions, or operational support activities.
• The ability to occasionally stand, walk, bend, reach, and lift up to 15 pounds may be required.