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Oceans Healthcare · 3 days ago

Accounts Receivable Transactions Manager

Lafayette, LA

Full-time

Onsite

Mid, Senior Level

3+ years exp

Oceans Healthcare is seeking an Accounts Receivable Transactions Manager to oversee payment posting and reconciliation processes within the revenue cycle department. This role ensures accurate and timely posting of payments while collaborating with various teams to optimize revenue operations.

Health Care

Responsibilities

Oversees payment posting operations to ensure accurate and timely application of all payments, adjustments, and denials across multiple payers and patient accounts

Ensure daily reconciliation of posted payments with bank deposits and financial reports

Identifies and implements process improvements within payment posting workflow to enhance efficiency, accuracy, and overall performance

Monitors compliance with HIPAA, CMS, and other regulatory guidelines for healthcare revenue cycle operations

Reviews and interprets payment trend reports and account-level analytics to identify discrepancies, and support decision-making

Manage and develop team members, providing training, performance feedback, and ongoing support to maintain a high-performing, accurate, and engaged team

Collaborate with IT and finance teams to optimize revenue cycle management (RCM) software and electronic payment processes

Work closely with billing and collections teams to analyze denial trends and improve revenue recovery

Partners with internal departments and external payers to resolve payment discrepancies and ensure proper claim adjudication

Perform other duties as assigned

Qualification

RCM software proficiencyPayment posting experienceHealthcare finance knowledgeData analysis toolsFinancial reportingProcess improvementLeadership experienceCommunication skillsOrganizational skillsTime management

Required

Bachelor's degree in healthcare administration, Finance, Accounting, Business, or a related field (or equivalent experience)

Minimum of three years of experience in payment posting, revenue cycle, or healthcare finance

Previous experience in a leadership or supervisory role within a healthcare revenue cycle department

Proficiency in RCM and payment posting software (EMR and clearing house systems)

Strong knowledge of payer remittance formats (ERA, EOB), ANSI 835 files, and reconciliation processes

Experience with financial reporting, spreadsheets, and data analysis tools (Excel, Power BI, SQL, etc.)

Proficient in Microsoft Office such as Microsoft Word and Excel

Broad understanding of all revenue cycle functions and interrelationships

Hands on experience and knowledge in medical insurance policy benefits, process improvement, AR management and systems development/implementation

Must be versatile, flexible, and able to perform in stressful situations

Strong organizational and time management skills with the ability to prioritize and manage high-volume workloads effectively

Strong written and oral communication skills; able to collaborate with internal teams, external payers, and cross-functional partners

Must analyze and utilize data and systems to provide individualized quality treatment in a cost-effective manner

Must be able to function with minimal supervision and complete understanding and respect for confidentiality

Interprets and works toward policy and procedure modification that are in accordance with State and Federal Laws, TJC, HCFA and other regulatory boards as required by state and federal laws as well as the mission statement