Reimbursement Manager

LocationMiami, FL (On-site, Monday-Friday)Who We AreAt Paradigm, we're revolutionizing home care through innovative technology. As the fastest-growing tech company in this sector, we empower home care agencies with cutting-edge solutions in billing automation, growth education, authorization management, and beyond. We believe that by streamlining agency operations with third-party payers like the Department of Veterans Affairs and Medicaid, we ultimately enhance the quality of care for seniors, veterans, and underserved communities.We foster a dynamic and collaborative work environment where new ideas are welcome, and creativity thrives. Joining our team means becoming part of a supportive community that values continuous learning and excellence. We're on a mission to revolutionize home care and are looking for passionate individuals to help us make a lasting, positive impact.Position SnapshotThe Reimbursement Manager (also known as the Payment Posting Manager) is responsible for overseeing the daily operations of the payment posting team to ensure accurate, timely, and compliant remittance processing. This role supervises Payment Posting Analysts, monitors productivity and quality, and ensures all payments, adjustments, and remittance data are properly applied within the accounting and practice management systems. The Payment Posting Manager plays a critical role in maintaining the integrity of accounts receivable and supporting overall revenue cycle performance. This position reports to the Senior Director of Collections.Core ResponsibilitiesSupervise and support Posting Analysts to ensure daily remittance and payment posting goals are metMonitor team productivity, accuracy, and turnaround timesProvide training, coaching, and performance feedback to staffDevelop and maintain standard operating procedures (SOPs) for payment posting processesConduct quality assurance reviews to ensure compliance with internal controls and accounting standardsOversee accurate posting and reconciliation of remittances and payments into the accounting or billing systemEnsure remittance data is properly matched to corresponding invoices and payment detailsMonitor accounts receivable to confirm that payments and adjustments are applied correctlyReview and approve complex adjustments, refunds, and recoupments as neededEnsure timely resolution of unapplied cash and unidentified paymentsLead efforts to identify and resolve payment discrepancies by collaborating with providers, billing teams, and other internal departmentsEscalate systemic issues or payer trends impacting posting accuracyPartner with billing and collections teams to ensure smooth payment workflowsAddress provider inquiries related to payments and assist with verification and research when necessaryMaintain oversight of detailed transaction logs and remittance activity reportsGenerate and analyze regular posting, reconciliation, and productivity reportsEnsure adherence to company policies, procedures, and accounting standardsSupport internal and external audits by providing documentation and process explanationsIdentify process improvement opportunities to enhance efficiency and reduce errorsAssist with system implementations, upgrades, and workflow improvementsSupport month-end close processes related to cash posting and reconciliationPerform additional duties as required to support revenue cycle and business operationsOther duties as assignedExperience And SkillsMinimum of 3-5 years of experience in remittance or payment posting in healthcareMinimum of 1-3 years of supervisory or team lead experience preferredStrong knowledge of remittance advice formats, including EOBs (Explanation of Benefits) and ERAs (Electronic Remittance Advices)Familiarity with healthcare revenue cycle processes, including accounts receivable managementExperience working with accounting, billing, or practice management systemsStrong attention to detail and a high level of accuracy in financial data processingAbility to manage multiple priorities and meet deadlines in a fast-paced environmentExcellent analytical and problem-solving skillsStrong communication and interpersonal skills with the ability to collaborate cross-functionallyAdvanced Excel skills preferredAbility to work independently while effectively leading a teamProactive mindset with a focus on process improvement and accountabilityEducation And QualificationsBachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field preferredEquivalent combination of education and relevant work experience may be consideredProfessional certifications (e.g., Certified Healthcare Financial Professional, or similar) are a plusWhat We OfferMedical, dental, and vision benefits401k retirement planAflac benefitsPaid time offProfessional development supportCompensationStarting at $70,000 depending on experience