Revenue Cycle ManagerFlorida Orthopaedic Institute

Position Summary

The Refunds and Payment Posting Manager is responsible for overseeing all payment posting, credit balance resolution, refund processing, reconciliation, and quality assurance activities across the revenue cycle. This position ensures accurate and timely posting of payer and patient payments, compliance with contractual and regulatory requirements, proper resolution of unapplied cash and credit balances, and efficient processing of patient and insurance refunds. The Manager leads a team of payment posting and refund specialists, drives process improvement initiatives, and partners closely with Revenue Cycle, Finance, Patient Services, and Operational Leadership to maximize revenue integrity and minimize financial risk.

Leadership & Staff Management

· Directly supervise and develop Payment Posting and Refund Specialists.

· Establish productivity, quality, and service standards.

· Conduct audits of staff work and provide coaching and performance management.

· Manage recruiting, onboarding, and staff development.

Payment Posting Operations

· Oversee accurate posting of insurance, patient, EFT, ERA, lockbox, and manual payments.

· Investigate and resolve payment discrepancies and balancing issues.

· Ensure correct adjustments and contractual write-offs are posted.

Refund Management

· Oversee patient and insurance refund processing.

· Approve refunds exceeding established thresholds.

· Monitor aging credit balances and ensure timely resolution.

Revenue Integrity & Reconciliation

· Manage daily, weekly, and monthly reconciliations.

· Partner with Finance to resolve discrepancies.

· Support month-end close processes and maintain strong internal controls.

Reporting & Analytics

· Develop dashboards and KPIs.

· Monitor posting accuracy, refund turnaround times, unapplied cash, and productivity metrics.

Compliance & Process Improvement

· Ensure compliance with payer, CMS, HIPAA, and organizational requirements.

· Maintain SOPs and lead process improvement initiatives.

Minimum Qualifications

· Bachelor degree preferred.

· Five years of progressive healthcare revenue cycle experience.

· Two to three years of supervisory or management experience.

· Strong knowledge of payment posting, refunds, reconciliations, and healthcare reimbursement.

 

Preferred Qualifications

· Athena EMR experience

· Previous vendor management experience

Key Performance Indicators

· Payment Posting Accuracy Rate ≥ 99%

· Payment Posting Turnaround Time ≤ 2 Business Days

· Refund Processing Turnaround Time ≤ 14 Days

· Credit Balance Aging >90 Days < 5%

Reporting Structure

· Reports To: Director of Revenue Cycle & Patient Services

· Direct Reports: Payment Posting Specialists and Refund Specialists