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Ascension · 14 hours ago

Director, Cash Applications & Credit Management

United States

Full-time

Remote

Lead/Staff, Director/Executive

$130K/yr - $183K/yr

5+ years exp

Ascension is a leading non-profit, faith-based national health system dedicated to transforming healthcare. The Director of Cash Applications & Credit Management provides strategic leadership and operational oversight of cash posting, reconciliation, and credit/refund management processes to ensure accuracy, compliance, and optimization of cash flow.

CharityHealth CareHospitalNon Profit

Responsibilities

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

Serve as the Revenue Cycle liaison for escheatment/unclaimed property process improvements and standardization; coordinating between Finance and External Partners

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

Qualification

Cash Application ManagementRevenue Cycle LeadershipFinancial ReportingRegulatory ComplianceAutomation SolutionsPayer Rules KnowledgeHealthcare AdministrationLeadership SkillsCommunication SkillsCollaboration Skills

Required

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

Preferred Credential(s): Accountant. Licensure required relevant to state in which work is performed