Director, Cash Applications – Credit Management
Ascension Executive Recruitment
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $129,942 - $183,447 per year
Job Level
Lead
About the role
- The Director of Cash Application & Credit Management provides strategic leadership and operational oversight of enterprise-wide cash posting, reconciliation, and credit/refund management processes.
- This role ensures accuracy, timeliness, and compliance across all payment, credit, and refund workflows, while driving innovation, automation, and collaboration to optimize cash flow and support the organization’s financial integrity.
- Provide enterprise-level direction for cash posting, credit management, and refund processes, aligning operations with organizational goals and regulatory requirements.
- Develop and implement policies, workflows, and technology strategies that maximize automation, reduce manual intervention, and improve accuracy in cash application.
- Drive adoption of advanced solutions (835 enrollment, AI/automation, reconciliation tools) to enhance efficiency and scalability.
- Ensure accurate reconciliation of deposits, payment postings, bank activity, and clearinghouse transactions.
- Establish robust controls and audit practices to minimize discrepancies, mitigate risk, and maintain compliance with payer contracts and federal/state regulations.
- Deliver executive reporting on unposted cash, credit balances, refund liabilities, and payment trends to inform financial planning and decision-making.
- Partner with billing, collections, denials, managed care, IT, and compliance leaders to resolve systemic issues and streamline end-to-end revenue cycle workflows including transaction code mapping and standardization.
- Serve as the senior escalation point for payers and stakeholders to resolve recurring posting, credit, and refund issues.
- Collaborate with Patient Financial Services leadership to ensure accurate and transparent patient account balances and refund experiences.
- Define and monitor KPIs for cash posting accuracy, timeliness, credit resolution, and refund processing.
- Lead root cause analysis of variances, delays, and process breakdowns, implementing corrective action plans and long-term process improvements.
- Provide executive dashboards and insights that measure performance, unposted cash flow, and support organizational strategy.
Requirements
- Preferred Credential(s): Accountant. Licensure required relevant to state in which work is performed
- High School diploma equivalency with 5 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management OR Associate's degree/Bachelor's degree with 3 years of applicable cumulative job specific experience required, with 2 of those years being in leadership/management.
- Bachelor’s degree in Finance, Accounting, Healthcare Administration, or related field; Master’s preferred.
- 8–10 years of progressive revenue cycle leadership experience with significant responsibility in cash application and AR management.
- Proven success in implementing automation/technology solutions for payment posting and reconciliation.
- Strong knowledge of payer rules, healthcare reimbursement, regulatory compliance, and revenue cycle best practices.
- Exceptional leadership, communication, and collaboration skills with ability to influence across functions and at the executive level.
Benefits
- Paid time off (PTO)
- Various health insurance options & wellness plans
- Retirement benefits including employer match plans
- Long-term & short-term disability
- Employee assistance programs (EAP)
- Parental leave & adoption assistance
- Tuition reimbursement
- Ways to give back to your community
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
cash applicationcredit managementrefund managementreconciliationautomationKPI monitoringroot cause analysisfinancial reportingpayment postingaccounts receivable management
Soft skills
leadershipcommunicationcollaborationinfluencestrategic thinkingproblem-solvingorganizational skillsexecutive reportingteam managementstakeholder engagement
Certifications
Accountant licensureBachelor’s degree in FinanceBachelor’s degree in AccountingBachelor’s degree in Healthcare AdministrationMaster’s degree in related field