Payments Manager – Healthcare Revenue Cycle
The Payments Manager oversees payment posting, cash application, and credit balance resolution across multiple home care locations. This role leads a blended onshore/offshore team, ensuring accurate and timely processing of payer and patient payments, contract and paper-based workflows, credit balances, and unapplied cash.
The Payments Manager partners closely with Billing and Accounts Receivable leadership to resolve payment variances, improve processes, maintain compliance, and meet operational service-level and quality standards. The role also develops payment policies and procedures and reports key performance metrics to senior Revenue Cycle leadership.
Key Responsibilities
- Oversee daily payment posting and cash application across sites and payors.
- Manage credit balances, refunds, and unapplied cash to ensure timely resolution.
- Lead contract and paper-based payment processing.
- Manage and develop offshore payment support teams while maintaining SLA and quality standards.
- Monitor aging and performance reports and drive timely issue resolution.
- Establish and improve payment posting policies, procedures, and workflows.
- Partner with Billing and AR leadership on payment variance research and reconciliation.
- Track and report KPIs, including posting turnaround time, credit balance aging, and error/rework rates.
Qualifications
- 3–5+ years of healthcare or home care revenue cycle experience, particularly in payment posting and cash management.
- Experience managing offshore or outsourced teams strongly preferred.
- Strong Excel skills and experience with EHR/billing platforms such as WellSky, HHAExchange, or similar systems.
- Bachelor’s degree preferred, or equivalent education and experience.
- Excellent attention to detail, analytical skills, and a strong process-improvement mindset.