The posting
Job Purpose The Director, Cash & Credits Management provides strategic leadership and operational oversight for all cash posting, reconciliation, unapplied cash, credit balance resolution, refund administration, payer recoupments, and payment integrity functions within the Shared Services organization. The Director, Cash & Credits Management is responsible for ensuring accurate, timely, and compliant management of healthcare reimbursement transactions across multiple clients, specialties, and practice management systems. The Director, Cash & Credits Management leads managers and operational teams responsible for enterprise-wide cash and credit processes while driving standardization, scalability, process improvement, and operational excellence. Duties & Responsibilities
Provide strategic oversight of cash posting, payment reconciliation, unapplied cash, credit balance resolution, patient and insurance refunds, payer recoupments, and related shared services functions Establish operational standards, service level expectations, and performance goals to support efficient, scalable, and high-quality service delivery across multiple clients and systems Ensure accuracy and integrity of payment posting, balancing, reconciliation, and credit management activities Develop and maintain financial controls and support audit readiness and compliance with regulatory requirements, client obligations, and organizational policies Partner with clients, Revenue Cycle Operations, Finance, Systems, and executive leadership to resolve operational challenges and improve financial performance and service delivery Serve as the escalation point for complex cash, reconciliation, credit, refund, and recoupment issues Lead and develop managers and operational teams by establishing performance expectations, fostering accountability, and promoting collaboration and continuous improvement Support workforce planning, employee development, and succession planning initiatives Identify opportunities to improve efficiency, quality, and scalability through workflow redesign, automation, system enhancements, and standardized operating practices Partner with technology and operational teams to implement solutions that improve financial outcomes, operational performance, and scalability Establish and monitor key performance indicators for cash posting, reconciliation, unapplied cash, credit balances, refunds, recoupments, quality, productivity, and client service Analyze operational and financial performance data to identify trends, risks, and opportunities for improvement Provide executive reporting and actionable recommendations to support organizational objectives and continuous improvement initiatives Other duties as assigned Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties
Qualifications
Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred; equivalent experience considered 7+ years of experience in healthcare revenue cycle operations required—with specific experience in cash management, credit resolution, accounts receivable 2+ years of leadership or supervisory experience in a physician or hospital setting required
Strong understanding of payer reimbursement methodologies (Medicare, Medicaid, Managed Care, Commercial) Expertise in payment analysis vs contract rates, insurance follow-up processes, and governmental compliance protocols. Excellent leadership, coaching, and team-building capabilities Ability to synthesize and communicate complex payer trends and operational data to internal and external stakeholders
Comfortable with reporting tools and revenue cycle management systems Proficiency in Microsoft Office Suite, with strong Excel skills Strong interpersonal skills, ability to communicate well at all levels of the organization Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses High level of integrity and dependability with a strong sense of urgency and results oriented Excellent written and verbal communication skills required
Working Conditions
Occasional travel to corporate offices and/or client sites may be required Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress Work Environment: The noise level in the work environment is usually minimal
Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.
