Director, Cash & Credits Management- Remote

About the role

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.

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