Director, Cash & Credits Management

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Oversee the strategic management of cash posting, payment reconciliation, unapplied cash, resolving credit balances, processing patient and insurance refunds, handling payer recoupments, and managing related shared services functions.

• Set operational standards, establish service level expectations, and define performance objectives across various clients and systems.

• Ensure the accuracy and integrity of processes related to payment posting, balancing, reconciliation, and credit management.

• Create and uphold financial controls while supporting audit readiness and ensuring compliance with regulatory, client, and organizational standards.

• Collaborate with clients, Revenue Cycle Operations, Finance, Systems, and executive leadership to address challenges and enhance financial performance and service delivery.

• Act as an escalation point for intricate issues related to cash, reconciliation, credit, refunds, and recoupments.

• Lead and mentor managers and operational teams; set expectations, promote accountability, foster collaboration, and drive continuous improvement.

• Assist in workforce planning, employee development, and succession planning initiatives.

• Identify and implement workflow redesign, automation, system enhancements, and standardized operating procedures.

• Establish and track KPIs for cash posting, reconciliation, unapplied cash, credit balances, refunds, recoupments, quality, productivity, and client service.

• Analyze operational and financial data to pinpoint trends, risks, and areas for improvement.

• Deliver executive reporting and actionable insights based on findings.

• Safeguard and disclose patient PHI in line with HIPAA regulations.

• Perform additional duties as assigned.

⛳️ Requirements

• Preferred Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field; relevant experience will be considered.

• A minimum of 7 years of experience in healthcare revenue cycle operations, specifically in cash management, credit resolution, and accounts receivable.

• At least 2 years of leadership or supervisory experience is required.

• Strong understanding of payer reimbursement methodologies, including Medicare, Medicaid, Managed Care, and Commercial.

• Proficient in payment analysis relative to contract rates, insurance follow-up processes, and compliance with governmental protocols.

• Comfortable with revenue cycle management systems and reporting tools.

• Proficient in Microsoft Office Suite, particularly with strong skills in Excel.

• Excellent interpersonal, written, and verbal communication abilities.

• Strong problem-solving and creative thinking skills, with solid judgment and the capacity to make decisions based on timely and accurate analyses.

• High level of integrity and reliability, demonstrating a sense of urgency and results-oriented mindset.

• Must have a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.

• Compliance with Information Security and HIPAA policies and procedures is mandatory.

• Access to PHI should be limited to the minimum necessary for performing assigned duties.

🏝️ Benefits

• Occasional travel to corporate offices and/or client locations may be necessary.

• Use of a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes.