Job Description

The Staff Pad has partnered with a leading healthcare organization in Russellville, AL and we are looking to hire an experienced Lead Payment/Cash Poster to oversee and perform the accurate and timely posting of payments, adjustments, denials, and other reimbursement transactions across multiple Clinic Business Offices. This role serves as a key resource for payment posting staff, supports training and workflow coordination, and ensures compliance with organizational policies, payer requirements, and revenue cycle best practices. The Lead Cash Poster collaborates with billing, collections, insurance follow-up, clinic leadership, and finance teams to resolve posting discrepancies promptly, streamline workflows, and support the clinics’ overall financial performance. Schedule: Full-Time | Days What You’ll Do Leadership Responsibilities Serve as the primary contact for payment posting staff across both Clinic Business Offices Train, guide, and support team members Monitor daily workloads and prioritize tasks Ensure posting productivity and accuracy standards are met Identify workflow issues and recommend improvements Assist management with performance monitoring and quality assurance Guide staff on posting procedures, payer requirements, and system functionality Payment Posting Responsibilities Accurately and promptly post insurance payments, patient payments, ERAs, and manual payments Review and reconcile payment batches, deposits, and posting reports Post contractual adjustments, denials, write-offs, refunds, and other financial transactions Research and resolve posting errors, payment discrepancies, and unapplied payments Ensure transactions have appropriate supporting documentation Maintain accurate patient account balances through proper posting Assist with TennCare, Medicare Bad Debt, AIR payment accuracy, and other financial or operational reports Maintain workflow rules, Practice Management (PM) schedules, and system tasks for operational efficiency Monitor electronic remittance files and investigate posting exceptions Provide backup posting support across both Clinic Business Offices as needed Revenue Cycle Support Collaborate with billing and collections teams to resolve payment variances and reimbursement issues Identify payer trends, reimbursement concerns, and process improvement opportunities Review rejected or denied payments and coordinate corrective actions Monitor aging reports for unapplied cash and posting exceptions Support month-end and year-end closings and reconciliations Work with management to resolve revenue cycle issues affecting reimbursement Compliance and Quality Assurance Maintain confidentiality in compliance with HIPAA regulations Follow organizational policies, procedures, and payer requirements Audit posted transactions for accuracy and compliance Help develop and maintain departmental procedures, workflows, and training materials Promote revenue cycle best practices and organizational standards What We Are Looking For Education and Experience High school diploma or GED required Minimum of 3 years of medical payment posting experience required Clinic, physician practice, or RHC billing experience preferred Leadership, mentoring, or training experience preferred Knowledge, Skills, and Abilities Knowledge of medical billing, payment posting, EOBs, ERAs, and revenue cycle processes Understanding of Medicare, Medicaid, TennCare, commercial insurance, and managed care reimbursement Strong attention to detail and accuracy Analytical and problem-solving skills Ability to train, mentor, and support staff Strong verbal and written communication skills Proficiency in EMR systems, practice management software, Microsoft Excel and Office Ability to manage multiple priorities and meet deadlines What You Can Expect Exceptional patient care starts with a team that feels valued, supported, and empowered - backed by comprehensive compensation and benefits every step of the way Benefits Medical, Rx, Dental, Vision, Life & AD&D Insurance Retirement Plans PTO, Leave of Absence Maternity/Disability Leave Flexible Spending Account If you are detail-oriented, experienced in medical payment posting, and ready to take the next step in your career by supporting and guiding a team, we encourage you to apply for this opportunity to make a meaningful impact on revenue cycle operations and clinic performance.