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University of Rochester Manager, Payment Posting and Reconciliation - 221519 in Rochester, New York

Manager, Payment Posting and Reconciliation

Job ID



Medical Faculty Group

Full/Part Time


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Full Time 40 hours Grade 055 United Business Office


8 AM-4:30 PM


Position Summary:

Under general direction of the URMFG Associate Director of Cash Application and with significant latitude for independent judgment, the Manager, URMFG Payment Posting and Reconciliation is responsible for the direct supervision, guidance and coordination of the day to day activities of the Payment Posting, cash/check, and deposit/reconciliation functional areas in the URMFG Business Office. Provides guidance, direction and oversight of the payment posting and cash control processes for the University of Rochester Medical Faculty Group's accounts receivable. Develops and implements policies and procedures relating to assigned functional areas. In managing all responsibilities, the Manager, URMFG Payment Posting and Reconciliation seeks to continually improve the quality and customer responsiveness in every aspect of his/her responsibilities.


Under general direction of the Associate Director of Cash Applications and with significant latitude for independent judgment:

  • Directs the day to day activities of the Payment Posting and Cash Control functional areas within the URMFG United Business Office. Develops and executes strategic plans to facilitate program development and process improvement. Assumes responsibility for the timely completion of duties and projects, including resolving problematic situations. Provides direct supervision, advice and guidance to approximately twenty-nine subordinate staff. Hires, evaluates performance, recommends salary adjustments and performs other personnel actions. Develops functional orientations for staff. Plans and implements functional training programs for staff. Encourages positive communication and cooperation and ensures that Strong Values (such as ICare and Patient Family Centered Care) are communicated and demonstrated.

  • Develops and implements URMFG operating procedures relating to payment posting and cash control operations, processing of self-pay credit balances and/or other issues. Provides continuous support, leadership and problem-solving strategies to URMFG departmental cash collection offices. Manage and provide direction for issues pertaining to the Business Office's component of the URMFG's cash reconciliation by directing the activities of the Senior Accountant. Maintains consistent communications with URMFG Finance and UBO leadership to proactively identify needs and necessary operational improvements. Develops plans to resolve issues within established time frames. Provides advice/consultation to colleagues within URMFG and other key staff. Analyze situations/incidents, prepare and deliver oral briefings to communicate to management regarding recommendations and conclusions. Communicate across UBO leadership to maximize effectiveness, efficiency and information sharing. Prepares and presents data to Senior Leadership as appropriate. Serves as functional area's liaison with internal auditors and external auditors.

  • Establishes and implements internal controls and quality assurance measures designed to provide effective safeguard over URMFG's clinical and other revenue. Ensures that internal controls are in place to safeguard accounts receivable records and the collection/timely application of cash/payments. Maintains current knowledge of HIPAA and cash application/credit card regulations, reports and directs resolution of compliance issues. Ensures timely and accurate reconciliation of URMFG Holding Account.

  • Serves as the project leader in the development, implementation and enterprise-wide deployment of information systems and/or new technologies, including IDX/GE Flowcast cash application, Epic's Access and Revenue Cycle Readiness (ARCR), Electronic Document Imaging System, electronic payment posting/remittance processing for major payers, and lockbox for centralized payment collections. Evaluate new programs for feasibility and existing programs for continued viability. Identifies, presents and implements new ways to improve operations both in functional area, and across the URMFG United Business Office.

  • Establishes and maintains effective working relationships with third party payer representatives to ensure appropriate and timely reimbursement. Oversees the centralized management of payment posting and cash handling issues and ensures timely resolution. Ensures early problem identification and effective resolution. Identifies and presents new ways to improve operations. Completes special projects as needed.

  • Maintains up-to-date and thorough knowledge of technology and industry standards/best practices as related to payment posting, cash handling and deposit/reconciliation processes. Participates in professional associations and development activities to remain informed regarding new development in the field and disseminate information to Administrators and other Business Service Team key staff.

  • Represents department on various internal and external committees, for example department education, Waste Tree Initiative; may perform other duties as assigned.


  • Bachelor’s Degree or equivalent combination of education and/or experience

  • Excellent organizational and problem solving skills

  • Excellent communication skills

  • Excellent customer service skills

  • Ability to work in a team setting with all levels of management and staff

  • Five years’ relevant experience including at least two at a managerial level

  • Ability to work independently

How To Apply

All applicants must apply online.

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