Supervisor; Client Bill & Automation

Payment Posting & Front-End Process Billing Supervisor
Rocky Mountain Laboratories – Remote in AZ, CO, , NV, UT, FL, 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 & Front-End Process Billing Supervisor oversees daily payment posting operations with a specialized focus on client bill pay, EDI/ERA-based remittances, and automated payment posting workflows
, as well as front-end billing operations that include accurate patient registration, insurance verification, and reconciliation between the Laboratory Information System (LIS) and the billing system. This role ensures accurate and timely reconciliation of payments across multiple sources while supporting process optimization and automation initiatives in the front-end process within the revenue cycle.

This position reports directly to the Revenue Cycle Manager and provides functional leadership to payment posting and front-end staff while serving as a subject-matter expert for posting logic, reconciliation, and workflow improvement.

Keywords: Payment Posting, Patient Registration, Client Bill Pay, Advanced

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

• Oversee day-to-day payment posting operations and patient registration, including:
  • Client bill pay payments
  • Insurance ERA (835) and EDI-based remittances
  • Manual and automated payment posting workflows
• Patient registration and insurance verification
• Ensure accurate reconciliation of payments, adjustments, and denials across all payer and client sources
• Manage and prioritize payment posting, work queues, and front-end processes 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 and front-end billing 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 and front-end billing issues
• Assist with onboarding and training new payment posting and front-end 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 and front-end billing process experience
• 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
• Laboratory billing experience (toxicology, molecular, PCR, or similar)

• Experience creating, improving, or supporting automated payment posting processes
• Experience in the front-end billing process such as patient registration and insurance verification
• Laboratory billing experience (toxicology, molecular, PCR, or similar)
• Experience troubleshooting posting logic, EDI errors, and remittance mismatches
• Prior…