Supervisor, Cash Applications

Vidant Health•Greenville, NC

49d•Onsite

About The Position

The Supervisor of Cash Applications is responsible for overseeing the daily operations of the cash posting function within the hospital revenue cycle. This role ensures the timely, accurate, and compliant posting of payments, adjustments, and denials to patient accounts across all payers and service lines. The supervisor will lead a team of cash application specialists, coordinate workflow to meet department performance metrics, and collaborate with other revenue cycle leaders to resolve posting discrepancies, improve processes, and support accurate financial reporting.

Requirements

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.

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.