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ECU Health · 1 day ago

Supervisor, Cash Applications

Greenville, NC

Full-time

Onsite

Mid, Senior Level

5+ years exp

ECU Health is a mission-driven academic health care system serving over 1.4 million people in eastern North Carolina. The Supervisor of Cash Applications is responsible for overseeing the cash posting function within the hospital revenue cycle, ensuring accurate and compliant posting of payments and leading a team of cash application specialists.

Hospital & Health Care

Responsibilities

Supervise the daily cash application process for all hospital and professional billing accounts, including payments, contractual adjustments, denials, and refunds

Ensure payments are posted accurately and within established timelines to meet month-end closing deadlines and cash reconciliation requirements

Monitor and reconcile electronic remittance advice (ERA), lockbox deposits, manual check postings, and credit card payments

Review and resolve unidentified and unapplied cash in a timely manner

Oversee posting of government, commercial, and patient payments according to payer-specific rules and contractual terms

Screens, interviews and hire applicants. Assist new employees in their training and development

Lead, mentor, and evaluate cash application staff, providing training, feedback, and performance coaching

Assign and balance workloads to ensure efficiency, accuracy, and adherence to departmental standards

Promote a culture of accountability, quality, and continuous improvement within the team

Partner with Patient Financial Services, Revenue Integrity, and Finance teams to address payment posting issues and ensure proper account resolution

Communicate effectively with payers, banks, and internal stakeholders regarding posting delays, discrepancies, or technical issues

Work with IT and vendors (e.g., Epic and SSI) to troubleshoot and optimize payment posting workflows

Develop and implement process improvements to increase accuracy, reduce manual posting, and optimize the use of automation tools

Promotes a positive image and supports management in goals and objectives

Ensure compliance with hospital policies, revenue cycle procedures, and applicable regulatory requirements

Assist in audits and provide documentation related to payment posting and reconciliation

Qualification

EPICRevenue Cycle ManagementCash ApplicationsAnalytical SkillsHigh ProfessionalismTeam LeadershipConflict Resolution

Required

Bachelor's Degree with health management or financial emphasis and/or 5 years of related work experience required

3 years or more cash applications experience in a hospital business office, other medical billing office, or fast pace high-volume accounts receivable organization

At least three (3) years of progressive healthcare management experience, preferably in a Revenue Cycle cash posting setting

Must be a people person. A successful candidate must have clear motivational team leadership and conflict resolution skills. Managerial and leadership skills are essential for success in this role

Systems skills. The interaction of systems and the associated processes are keys to success. This person must have extensive experience with EPIC, but this may be waived with extensive experience elsewhere in similar platforms

Functional skills. A highly preferable trait would be someone who has extensive, progressive experience in a revenue cycle setting with a focus on analytics, management of targets and quality assurance

Analytical ability. With ECU Health's focus on a highly data intensive approach and the use of analytics to focus efforts - this Manager must have more than adequate ability with analytics and the systems which drive those analytics

High Professionalism. The manager must portray a high professional demeanor, set a solid example for the team internally and externally