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Children's Nebraska · 2 weeks ago

Supervisor Payment Posting & Credit Resolution / FT, days

Omaha, NE

Full-time

Onsite

Senior Level

5+ years exp

Children’s Nebraska is the state’s only full-service pediatric healthcare center, dedicated to improving the life of every child through exceptional care and advocacy. The Supervisor, Payment Posting & Credit Resolution, manages payment posting, cash reconciliation, and refund and credit resolution functions, ensuring optimal revenue cycle performance and compliance with regulations.

Health CareMedicalNon Profit

Growth Opportunities

Responsibilities

Supervise and provide leadership to your team members, including mentoring and coaching to foster professional growth and high performance

Assists in outcomes management by holding self and others accountable to meet stated outcomes, objectives, goals, timetables and commitments, adhering to outcomes even in the face of unforeseen circumstances

Prioritizes and coordinates daily work activities. Provides leadership and guidance by sharing expertise with others. Approves schedules and monitors time worked

Conducts employee performance management duties including completion and delivery of performance evaluations, setting goals, dissemination of information, coaching, addressing performance issues/routine correction actions, and recommending termination of employment

Submits notifications for personnel actions (e.g. status changes, termination, etc.)

Participates in selection, hiring, and salary recommendations

Coordinate onboarding and training for new hires, ensuring they are well-prepared for their roles

Support and execute ongoing communications to keep the team updated on system changes, policies, and best practices

Act as mentor and resource for team members, providing guidance on technical or procedural challenges

Effectively manages workload with accuracy and attention to detail per requirements outline in departmental policy

Ensure timely and accurate payment posting aligned with internal contracts and regulatory guidelines

Oversee payment follow-up activities to support the revenue cycle, ensuring compliance with federal and state regulations

Ensure payments are received electronically and post automatically whenever possible by enrolling for ERA and EFTs

Approve and audit refund and adjustment requests, ensuring appropriate resolution prior to processing

Collaborate with Finance to ensure all deposits are posted accurately and all systems are reconciled daily

Monitor credit inventory and ensure resolution of credits within established regulatory timeframes

Review internal adjustments and patient refunds that alter A/R status; investigate root causes of discrepancies and provide staff feedback

Monitor staff workloads using ad hoc and system-generated reports; assess trends and ensure assignments are resolved timely and effectively

Coordinate resolution and escalation of payment issues or discrepancies in collaboration with payer reps, internal departments, and vendors

Stay informed of CMS, Medicaid, HIPAA, and payer regulations affecting payment posting and reimbursement

Maintain active EHR certifications and participate in professional organizations (e.g., HFMA)

Promote ongoing professional growth and regulatory awareness among staff

Lead the implementation and testing of regulatory requirements affecting payment processing

Ensure compliance with the most current X12 HIPAA transactions including the 835 Health Care Claim Payment/Advice Transaction Set, using HIPAA-compliant ANSI-standard codes

Partner with Information Services (IS) to troubleshoot and resolve system issues; implement process improvements

Review and test system builds, upgrades, and Epic changes that impact payment posting, cash processing, and refund workflows

Ensure internal controls and technology solutions support timely and accurate payment processing across all remittance and reconciliation sources

Qualification

Revenue Cycle OperationsHealthcare RegulationsPayment PostingAnalytical SkillsMicrosoft OfficeLeadershipTeam DevelopmentCommunication SkillsProblem-Solving