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Manager, Business Office Healthcare (Payment Posting UTHP)

UT Health San Antonio.com

50k - 50k USD/year

Office

San Antonio, TX, United States

Full Time

Manages the overall policies, objectives, and initiatives for the Cash Application and Cash Management Team with the support of supervisors. Review, design, and implement processes surrounding payment posting, refunds, adjustments, cash reconciliation, and other financial analysis to ensure successful Revenue Cycle management. Manage a team performing advanced accounting clerical work to maintain numerous departmental accounts and records, performing daily account reconciliation, and analyzing variance reports. Support clinical operations in daily cash management.

  • Oversees daily operations of the Cash Application team including monitoring accounts receivables and cash trends, payment posting, refunding, and cash reconciliation.  
  • Ensures accuracy, completeness, and compliance with healthcare regulations.  
  • Fosters a collaborative and positive work environment, promoting teamwork and professional development through continuous learning and ongoing training. Provides leadership to staff by organizing and monitoring the performance productivity of staff within Patient Financial Services.  
  • Develops and implements strategies to enhance operations within the Cash Application team to meet defined goals and objectives.  
  • Analyzes data and key performance indicators to identify areas for improvement and implement corrective actions to facilitate timely application of payments and timely refunds.  
  • Identifies variances and provide solutions.  
  • Coordinates monthly reconciliation and variance reports and disseminates accurate and visually effective financial information to departments.  
  • Keeps abreast of healthcare regulatory changes, billing guidelines, and best practices to ensure that the Cash Application team complies with industry standards and legal requirements. Provides guidance and instruction in the interpretation of policies, procedures, and practices. Conducts regular internal audits.  
  • Liaises with various departments including Finance and Patient Financial Services to resolve billing related issues and streamlines communication channels. Collaborates with Finance and Patient Financial Services leadership to achieve identified departmental benchmarks and objectives.  
  • Resolves technical problems through collaboration with the IT department and explore opportunities for system enhancements to improve efficiency and accuracy of billing processes.  
  • Assists with the development and maintenance of the departmental budget.  
  • Completes QA reviews to identify department training needs for system education and ensure 99% accuracy.  
  • Performs all other duties as assigned
  • Knowledge of cash applications functions, credit balance resolution, refund processing, and daily cash deposit/posting reconciliation for hospital and professional billing.  
  • Knowledge of Revenue Cycle Processes, cause and effect on accounts receivable and cash results.  
  • Knowledge of system and business processes as well as healthcare financial issues.  
  • Knowledge of Epic preferred.  
  • Knowledge of the automation of all functions related to the revenue cycle.  
  • Knowledge of examining and reengineering operations and procedures.  
  • Skill in utilizing Microsoft Office Applications.  
  • Strategic leadership abilities with experience in successfully building teams, managing staff, achieving work plan goals, and leading projects. Must be able to set clear direction, providing concise communication and drive operations in order to accomplish priorities and meet deadlines.  
  • Skill in verbal and written communication to effectively express  thoughts, ideas, and messages to various groups and interpret complex fiscal and administrative concepts to department stakeholders, clinical staff, advisory boards, and administration.  
  • Ability to analyze data and develop systems to accurately control financial activity.  
  • Ability to demonstrate in-depth knowledge of accounting principles, concepts, practices and policies with the ability to use them in complex varied situations in the completion of work.  
  • Ability to identify and implement solutions.  

Experience:

  • Five (5) years of related experience with a minimum of two (2) years supervisory/management experience is required.  

Education:

  • Bachelors Degree in Business, Finance, or Healthcare Administration related
Benefits Overview

UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits. 
Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. 
Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.
Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.
FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses. 
Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers. 
Time Off - A generous leave program offers multiple paid leave options:
  • Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
  • Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
  • Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
  • Holidays: 12 set paid holidays each year.
​​​ Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.
EEO Statement
UT Health San Antonio is an equal employment opportunity and affirmative action employer.  It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.

Manager, Business Office Healthcare (Payment Posting UTHP)

Office

San Antonio, TX, United States

Full Time

50k - 50k USD/year

September 12, 2025

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UT Health San Antonio

uthealthsa