Job Details

Details

• Department: Revenue Cycle
• Schedule: Full Time: Monday-Friday
• Location: Remote
• Salary: $129,942.00 - $183,447.00 per year
• Eligible for an annual bonus incentive

Benefits

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

The Director of Cash Application & Credit Management provides strategic leadership and operational oversight of enterprise-wide cash posting, reconciliation, and credit/refund management processes. This role ensures accuracy, timeliness, and compliance across all payment, credit, and refund workflows, while driving innovation, automation, and collaboration to optimize cash flow and support the organization's financial integrity. This is an individual contributor role with no current direct reports.

Strategic Leadership & Oversight

• 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.

Financial Integrity & Risk Management

• 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.

Cross-Functional Collaboration

• 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.

Performance Optimization & Reporting

• 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.

Requirements

Licensure / Certification / Registration:

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

Education:

• 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.

Additional Preferences

• Bachelor's degree in Finance, Accounting, Healthcare Administration, or related field; Master's preferred.

• 8–10 years of progressive revenue cycle leadership experience with significant responsibility in cash application and AR management.

• Proven success in implementing automation/technology solutions for payment posting and reconciliation.

• Strong knowledge of payer rules, healthcare reimbursement, regulatory compliance, and revenue cycle best practices.

• Exceptional leadership, communication, and collaboration skills with ability to influence across functions and at the executive level.

#InternalOps

#LI-Remote

Why Join Our Team

Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most in need. Join us and help us drive impact through reimagining how we can deliver a people-centered healthcare experience and creating the solutions to do it. Explore career opportunities across our ministry locations and within our corporate headquarters.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

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