Supervisor; Client Bill & Automation

Payment Posting - Lab Billing Supervisor – Remote in AZ, CO, , NV, UT, or TX

About Us Rocky Mountain Laboratories is a leading clinical and molecular diagnostics laboratory providing comprehensive testing and billing services to healthcare providers nationwide. We are dedicated to delivering accurate and timely diagnostic results through cutting-edge technology, automation, and a patient-focused approach.

Position The Payment Posting Supervisor oversees daily payment posting operations with a specialized focus on client bill pay, EDI/ERA-based remittances, and automated payment posting workflows
. This role ensures accurate and timely reconciliation of payments across multiple sources while supporting process optimization and automation initiatives within the revenue cycle. This position reports directly to the Revenue Cycle Manager and provides functional leadership to payment posting staff while serving as a subject-matter expert for posting logic, reconciliation, and workflow improvement.

Keywords: Payment Posting, Client Bill Pay, Advanced

MD (AMD), ERA, EDI Enrollment, Revenue Cycle, Automated Payment Posting, Medical Billing, Laboratory Billing, Reconciliation, Remittance Processing.

• Oversee day-to-day payment posting operations
  , including:
  • Client bill pay payments
  • Insurance ERA (835) and EDI-based remittances
  • Manual and automated payment posting workflows
• Ensure accurate reconciliation of payments, adjustments, and denials across all payer and client sources
• Manage and prioritize payment posting work queues to meet accuracy and turnaround benchmarks
• Serve as the primary escalation point for client bill pay exceptions and discrepancies
• Review and resolve unapplied cash, posting variances, and remittance discrepancies
• Provide guidance, training, and workflow oversight to payment posting staff
• Collaborate with Revenue Cycle leadership and IT to design, test, and improve automated payment posting and reconciliation workflows
• Support EDI enrollment setup, maintenance, and troubleshooting related to payment posting
• Develop and maintain SOPs, workflows, and documentation for payment posting processes
• Coordinate with billing, A/R, and internal teams to resolve escalated posting issues
• Assist with onboarding and training new payment posting team members
• Monitor posting accuracy trends and recommend corrective actions or process improvements
• Ensure compliance with payer requirements, audit standards, and internal controls
• Participate in system upgrades, enhancements, and user acceptance testing as needed
• Perform additional supervisory or operational duties as assigned

• Minimum 3–4 years of hands-on payment posting experience (not charge entry or general billing)
• Direct experience with client bill pay workflows
• Advanced
  
  MD (AMD) experience with payment posting
• Experience working with EDI enrollments and ERA (835) remittances
• Strong understanding of reconciliation, adjustments, and denial impact on A/R
• Experience managing or supporting manual vs automated payment posting workflows
• Proficiency with billing systems, clearinghouses, and payer portals
• Strong attention to detail, organization, and problem-solving skills
• Ability to work independently and lead workflows in a fully remote environment

• Experience creating, improving, or supporting automated payment posting processes
• Laboratory billing experience (toxicology, molecular, PCR, or similar)
• Experience troubleshooting posting logic, EDI errors, and remittance mismatches
• Prior experience mentoring or informally leading payment posting staff

• CPC or similar billing/coding certification –
  Preferred
• Associate’s or Bachelor’s degree in Business, Healthcare Administration, or related field preferred

50-60k annually, depending on experience (determined by the hiring manager)

• Monday – Friday, 9:00 AM – 5:00 PM MDT

Full-time, W2

Benefits begin 60 days after the first full month of full-time employment.

• Health, Dental, and Vision Insurance
• Paid Time Off (21 days annually for full-time team members)
• 7 Paid Holidays
• 401(k) with 50% Company Match up to 6% ***
• Health…