Payment Posting Supervisor (Client Bill Pay & Automation)

Remote

Full Time

Operations

Experienced

Payment Posting - Lab Billing Supervisor
Rocky Mountain Laboratories – Remote in AZ, CO, ID, 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, AdvancedMD (AMD), ERA, EDI Enrollment, Revenue Cycle, Automated Payment Posting, Medical Billing, Laboratory Billing, Reconciliation, Remittance Processing

Responsibilities

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

Required Qualifications

Minimum 3–4 years of hands-on payment posting experience (not charge entry or general billing)
Direct experience with client bill pay workflows
AdvancedMD (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

Preferred Qualifications

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

Education

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

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

Schedule

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

Job Type: Full-time, W2

Benefits for full-time W2 Team Members:
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 Savings Account (HSA)
Short-Term & Long-Term Disability (RML covers 60% of STD premium) ***
Voluntary Life and AD&D Insurance
100% Company-Funded Employee Assistance Program (EAP) ***

Ideal Start Date
As soon as the right candidate is identified

Application Deadline
Applications are reviewed on a rolling basis, and the position may be filled before any stated deadline.

If you meet the above qualifications and are interested in joining our team, please submit your resume for consideration. We look forward to hearing from you!

At Rocky Mountain Laboratories, we prioritize the care and well-being of our team members.

Equal Opportunity Employer Statement
Rocky Mountain Laboratories is an Equal Opportunity Employer committed to diversity in its workforce. We comply with all applicable federal and state laws and prohibit discrimination based on race, ethnicity, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, veteran status, disability, or genetic information. We also comply with the Americans with Disabilities Act (ADA) and provide reasonable accommodations to qualified individuals with disabilities.

Pre-Employment Notice & E-Verify
Rocky Mountain Laboratories participates in E-Verify.
Employment is contingent upon successful completion of a background check and other pre-employment screenings, as required.
Employment with Rocky Mountain Laboratories is at-will. This means either the Team Member or the company may end the employment relationship at any time, with or without cause or notice, in accordance with applicable laws. Nothing in this posting or in future communications alters that relationship.

Staffing Agencies
While we appreciate interest from staffing agencies, Rocky Mountain Laboratories does not currently partner with external agencies. Resumes submitted unsolicited will not be considered, and no fees will be paid.

Please only reference our official pages for current openings:

www.linkedin.com/company/rocky-mountain-laboratories
www.indeed.com/cmp/Rocky-Mountain-Laboratories
www.rockylabs.com/

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This is a remote position and available to candidates located in the following states: UT, AZ, ID, CO, NV, or TX. Are you located in one of these states?*

This is a full-time W2 position with a base salary range of $50-60k annually, depending on experience. Does this align with your salary expectations? The salary is determined by the hiring manager, not the recruiter.*

How comfortable are you with using technology and software tools to manage billing operations, communicate with teams, and track performance?*

Do you have at least 3 years of hands-on payment posting experience in a medical billing or revenue cycle environment?*

Is the majority of your recent experience payment posting (not charge entry or general billing)?*

Do you have direct experience posting client bill pay payments (e.g., employer-funded, facility-funded, or client-invoiced payments)? **

Have you worked with ERA (835) files or EDI-based payment posting? **

Do you have at least 12 months of experience as a lead or supervisor in a medical billing or payment posting setting? **

Have you held lead, supervisory, or training responsibilities specifically related to payment posting?
If yes, please describe your role, team size, and whether the team was remote or on-site. **

How many people have you supported, trained, or led in a billing environment?*

Do you hold a CPC or related billing/coding certification? (Preferred, not required)*

Which billing or revenue cycle platforms have you used for payment posting?*

Do you have hands-on payment posting experience in AdvancedMD (AMD)?
If yes, briefly describe what you did (e.g., ERA posting, client bill pay, reconciliation, adjustments).*

Briefly describe your payment posting experience. Please include:
Types of payments posted (insurance, client bill pay, patient pay)
Whether posting was manual, automated, or both **

Have you helped create, improve, test, or support automated payment posting workflows? If yes, briefly describe your involvement.*

Briefly describe your experience with clinical laboratory billing. Please include the types of lab services you’ve worked with (e.g., toxicology, molecular, PCR).

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Payment Posting Supervisor (Client Bill Pay & Automation)

Benefits for full-time W2 Team Members:Benefits begin 60 days after the first full month of full-time employment.

Apply for this position

Benefits for full-time W2 Team Members:
Benefits begin 60 days after the first full month of full-time employment.