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Supervisor, Cash and Reconciliation

Job in Westerville, Delaware County, Ohio, 43082, USA
Listing for: Orthopedic One
Full Time, Per diem position
Listed on 2026-03-12
Job specializations:
  • Finance & Banking
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Position: Supervisor, Cash Posting and Reconciliation
Location: Westerville

Supervisor, Cash Posting and Reconciliation

Location:

Westerville, OH, United States

Schedule:

Shift Regular Full Time - Day Shift

Position Summary

Responsible for supervising the Payment Specialist and Reconciliation team and ensuring that daily and monthly department processes are consistently completed for accurate and timely posting of all payments received by Orthopedic One.

Responsibilities/Accountabilities
  • Responsible for the accuracy of incoming and outgoing EMR payment processes including utilization of proper payment transaction types for patient statement collections (on-line and via mail), patient payments at point of service, payments received from collection agency and payments from insurance payers.
  • Monitors processes and work performed to ensure appropriate segregation of duties and PCI compliance.
  • Ensure unapplied payments and accounts are reconciled in a timely manner.
  • Ensure self-pay balances are appropriately reconciled to provide accurate patient statements.
  • Facilitate proper cash balancing procedures at physician and therapy clinics including notifying operational leadership of unbalanced cash-outs and/or missing funds. Provides education and training support for this work as needed.
  • Oversee refund processes in collaboration with the finance team.
  • Ensure refund approval processes are followed prior to issuance of all refund checks.
  • Prepare patient refund data bi-weekly and submit to finance for processing.
  • Ensure insurance take-backs and refunds are processed timely and reconciled according to payer policy.
  • Ensure accounts are noted appropriately with refund information in the EMR A/R notes.
  • Ensure the general ledger is balanced with finance at month end which includes maintaining the Orthopedic One balancing spreadsheets (banking and clinics) and other key reporting documents related to daily cash posting totals.
  • Review financial reporting monthly on reconciliation of cash clearing account.
  • Completes assigned To Do’s daily, ensuring response is timely based on the status assigned (1 Normal – Respond within 3 days, 2 Priority – Respond within 2 days, 3 Urgent – Respond within 1 day).
  • Responsible for ensuring accuracy of patient account dashboard for payment posting KPI’s, productivity and quality.
  • Provide reporting based on the needs of the Patient Accounts Department.
  • Establish cash posting and reconciliation training and education materials for the department.
  • Identify and create workflows in EMR to create efficiencies including billing and EMR edits, charge master and clearinghouse set-up, auto posting, and auto adjustments for cash posting.
  • Maintain Insurance Payer lockbox to ensure EDI payments are set up correctly in Clearinghouse system.
  • Maintain Patient Lock Box and patient payment process for reconciliation.
Month End Process
  • Maintains month-end data reporting for Patient Accounts Department.
  • Reconcile and verify all deposits have been posted into the practice management system and carry over those not posted to the new monthly spreadsheet.
  • Post collection check and reports payment to collections agency.
  • Ensures unapplied monies on all accounts are reconciled in a timely fashion as defined by leadership.
  • Ensures bank adjustments and insufficient funds notifications are reconciled monthly with finance and the general ledger.
Projects
  • Conducts special projects and studies as requested by management.
Staff Selection and Performance Management
  • Works with HR to interview and select staff and timely completion of related documentation.
  • With HR Support, ensures performance appraisals define and measure a high level of work performance.
  • Completes introductory and annual performance appraisals based on observed behaviors and work outcomes supported by appropriate documentation.
  • Works to understand how staff are motivated and balance the needs of the organization and the individual. Sets expectations and rewards staff or achieving desired performance.
  • Initiates coaching, disciplinary action, and performance improvement planning to address violations of policy and/or poor performance.
  • Facilitates conflict resolution with staff with support as required based on circumstances.
Orient and Train Staff
  • Orients new…
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