Job Description

Job Title: Director, Cash Applications

Position Overview

The Director of Cash Applications is responsible for leading and unifying the Cash Applications team within the Revenue Cycle department across a multi-hospital system. This role ensures the accurate and timely posting, reconciliation, and reporting of all incoming payments—including insurance remittances, patient payments, and third-party payors—while driving process improvements and supporting financial performance. The Director will oversee day-to-day operations, foster team development, ensure compliance, and advance automation and system optimization initiatives.

Key Responsibilities

• Provide leadership and direction to the Cash Applications team (7–8 staff, including a Manager and Supervisor), overseeing daily operations, performance management, and staff development.
• Ensure accurate and timely posting of payments, adjustments, and refunds, while managing reconciliation, unapplied cash, and credit balances.
• Collaborate with Patient Financial Services, Billing, and Finance teams to resolve discrepancies and optimize workflows.
• Develop and monitor KPIs, reconciliation processes, and reporting tools to measure performance and support strategic goals.
• Lead automation, Epic optimization, and system enhancements to streamline cash posting processes and address challenges such as payments without remittances.
• Ensure compliance with payer requirements, regulatory standards, and organizational policies.
• Support audit preparation, financial reporting, and other revenue cycle initiatives as needed.
• Drive standardization of cash application processes across multiple hospitals with a diverse payer mix.

Qualifications

• Bachelor’s degree required; advanced degree preferred.
• Minimum 5 years of progressive leadership experience in Cash Applications or related revenue cycle functions.
• Demonstrated expertise in reconciliation, unapplied cash, and credit balance management.
• Strong knowledge of Epic systems and electronic payment processing.
• Proven ability to lead teams, implement process improvements, and drive operational efficiency in a multi-facility environment.
• Excellent communication, problem-solving, and analytical skills.

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