Director Payment Posting

Roles and Responsibility for Director payment posting1. Strategic Oversight of Payment Posting

• Lead and supervise the payment posting team (manual and electronic posting).

• Ensure accurate posting of payments from insurance companies (EOBs, ERAs) and patient payments.

• Define KPIs (Key Performance Indicators) for payment accuracy, timeliness, and efficiency.

2. Process Management and Optimization

• Design and continuously improve posting processes to reduce unapplied cash and errors.

• Implement automation where possible (ERA auto-posting, AI tools).

• Set up best practices for secondary billing after primary payments.

3. Compliance and Audit Readiness

• Ensure posting practices comply with HIPAA, CMS, payer contracts, and internal policies.

• Prepare for and respond to internal and external audits.

• Maintain documentation for refunds, takebacks, recoupments, and reversals.

4. Denials and Adjustment Management

• Oversee correct posting of denials and adjustments, linking them to follow-up workflows.

• Analyze patterns in denials or short payments and recommend process fixes.

• Collaborate with Denial Management and AR teams to streamline rework.

5. Team Leadership and Development

• Recruit, train, and manage payment posting specialists.

• Conduct regular training on new payer rules, software updates, and compliance changes.

• Set team goals aligned with broader RCM objectives (reduce Days in AR, improve cash posting accuracy).

6. Reporting and Analytics

• Generate daily, weekly, and monthly payment posting reports.

• Monitor metrics like unapplied cash, payment posting lag, and adjustment accuracy.

• Provide insights to finance leadership on cash flow and reimbursement trends.

7. Coordination with Other RCM Departments

• Work closely with Billing, AR, Denials, Credit Balance, and Refund teams.

• Ensure cross-team processes (like patient refunds or insurance refunds) are seamless.

• Support Finance teams with month-end close activities and reconciliations.

8. Technology and System Management

• Manage payment posting systems (EPIC, Athena, eClinicalWorks, Kareo, etc.).

• Coordinate with IT for system upgrades, clearinghouse integrations, and issue resolutions.

• Ensure data integrity between EHR/EMR, clearinghouses, and banking systems.

⚡ In short:

A Director of Payment Posting in RCM ensures that every dollar received is posted correctly, tracked properly, and used to inform AR follow-up, refunds, and financial reporting — all while making sure the operation is compliant and efficient.

Industries: Consumer Services, Human Resources, Staffing & Recruiting