Cash Posting / Cash Applications Leader

Job Description

Job Description

Description:

The Cash Posting / Cash Applications Leader is a critical role responsible for ensuring accurate, timely, and efficient posting of patient and insurance payments across hospital and health system clients. This leader will oversee a large operational team while also serving as the visionary for how the organization builds, scales, and optimizes this program into a true differentiator.

Success in this role requires deep subject matter expertise in cash posting, strong operational leadership across domestic and offshore teams, and the ability to partner with senior leaders to define the future-state strategy. This leader must not only deliver flawless execution but also build scalable frameworks that improve accuracy, efficiency, and overall client outcomes.

Key Responsibilities

Operational Leadership

• Lead, manage, and develop a large team of cash posting and cash applications staff across both domestic and offshore locations, supporting multiple client organizations simultaneously.
• Ensure daily posting activities are executed with accuracy, timeliness, and compliance with each client’s standards and requirements.
• Oversee reconciliation processes to ensure all payments, adjustments, and denials are accurately recorded and balanced against deposits.
• Ensure unapplied cash resolution standards are followed and items are resolved appropriately.
• Effectively manage month-end processes in coordination with each client’s standards.
• Oversee daily activities of the credits team and ensure compliance with credit balance requirements for all payors, including governmental payors.
• Ensure all required reporting is maintained.
• Drive accountability against key SLAs and KPIs, including turnaround times, accuracy rates, and error reduction.

Performance Oversight and Governance

• Own the performance of the cash posting function across all clients, ensuring outcomes align with organizational standards and contracted SLAs.
• Monitor KPIs and proactively identify underperformance, driving timely resolution before client impact occurs.
• Serve as the escalation point for cash posting concerns raised by Client Delivery Leaders, addressing issues effectively and decisively.
• Lead regular performance reviews with operational leadership, identifying risks, recommending improvements, and ensuring continuous optimization.

Program Development and Optimization

• Partner with Senior Operational Leaders to design a best-in-class cash posting program tailored to the organization’s client base and growth objectives.
• Act as the visionary for how the cash posting function evolves, defining the roadmap, operating model, and future-state structure to support scale.
• Collaborate with technology teams to drive automation, RPA, and workflow enhancements within internal systems and client EHR platforms, including Epic, Oracle, and Meditech.
• Establish scalable frameworks, policies, and training programs to ensure consistent, high-quality delivery across multiple clients.

Client Partnership and Governance

• Act as a subject matter expert and trusted advisor to clients on cash posting and reconciliation best practices.
• Participate in client governance meetings, providing transparency on performance, challenges, and improvement initiatives.
• Build strong credibility with hospital finance and revenue cycle leaders through disciplined execution, thought leadership, and proactive communication.
  

• Proven leadership experience in healthcare revenue cycle operations, specifically in cash posting, cash applications, or payment reconciliation.
• Strong working knowledge of Epic and its cash posting and reconciliation modules, with the ability to optimize workflows within Epic environments.
• Strong knowledge of banking and merchant services, including processor and gateway relationships and IT and PCI security requirements.
• Extensive experience managing both domestic and offshore teams, ensuring seamless coordination and performance across geographies.
• Ability to travel domestically and internationally as needed.
• Track record of implementing scalable frameworks, driving automation, and improving efficiency within cash posting operations.
• Strategic mindset with the ability to set a long-term vision while maintaining disciplined focus on day-to-day performance.
• Excellent client-facing skills, with proven ability to communicate effectively with CFOs, revenue cycle VPs, and finance leaders.
• Ability to provide reporting and audit support as needed.
• Demonstrated ability to expand client engagements by leveraging scalable frameworks and delivering enhanced value for both clients and the organization.
• Bachelor’s degree required.
• Advanced degree or certifications such as CRCR or HFMA preferred.

Measures of Success

• Achievement of SLA and KPI targets for cash posting accuracy, timeliness, and reconciliation.
• Reduction in unapplied cash backlog and posting exceptions.
• Growth in total revenue impact of cash posting operations within individual projects and across all supported clients.
• Demonstrated improvements in efficiency, automation adoption, and cost management.
• Positive client feedback and measurable financial impact from improved cash posting operations.