Manager, Patient Billing Cash & Corp Accounting (Remote Considered)

About the Role

Manages daily cash balancing between the general ledger and bank for all non-insurance cash across Trinity Hospitals and Medical Group revenue received in a centralized bank account. Performs daily cash posting reconciliation to ensure cash is balanced and reconciled to the bank, achieving a three-way match with the TogetherCare (Epic) posting process. Ensures internal controls and cash balancing meet organizational goals for stewardship of resources and sound financial practices.

This position works closely with the Manager of Accounting for System Office and Shared Services and coordinates with the Director of Cash Application and Customer Service in the PBS, responsible for balancing cash to the TogetherCare accounts receivable trial balance.

Responsibilities

• Manages and oversees day-to-day cash reconciliation of all incoming cash payments to patient pay non-insurance accounts, balancing bank and general ledger to achieve strong internal controls (approximately $500 million annually, 7,000–10,000 transactions daily).
• Manages and oversees patient accounts receivable refunds for cash payments to patient and insurance balances, reconciling refunds processed by an outside agency to the general ledger.
• Supervises cash posting accountant(s), ensuring all cash posting activities are reconciled between bank and general ledger in a timely, accurate, and compliant manner.
• Develops plans for recurring cash transfers to Ministries and works with the Manager of Accounting to ensure appropriate controls and intercompany balances.
• Communicates with Ministry finance personnel to ensure accurate monthly recording of intercompany transactions and to investigate and resolve intercompany issues.
• Coordinates with the Director of Cash Application and Customer Services to balance the TogetherCare (Epic) accounts receivable sub-ledger and ensure timely resolution of discrepancies.
• Develops and manages accounting policies and procedures for central cash and refund accounts, ensuring appropriate internal controls.
• Manages the accounting process for the central bank account and refund accounts, ensuring stewardship of financial resources and reporting controls.
• Reviews cash deposit trends, recommends resolutions to improve reconciliation efficiency, and collaborates with leadership to address issues.
• Participates in designing and improving cash posting processes and systems to enhance internal controls, productivity, and quality.
• Leads continuous quality improvement initiatives across the cash posting team and other PBS departments to streamline processes.
• Manages the refund process for reissues, voids, and escheats in compliance with state regulations.
• Supervises the daily functions, responsibilities, and career development of cash reconciliation accountant(s), including hiring, work allocation, performance reviews, and quality assurance.
• Maintains knowledge of applicable federal, state, and local laws, Trinity Health’s Integrity and Compliance Program, and Code of Conduct to ensure adherence.

Requirements

• Bachelor’s degree in Accounting or Finance, with a minimum of five (5) years of progressively responsible management-level accounting experience (or equivalent combination of education and experience).
• CPA or equivalent experience preferred.
• Experience in a healthcare organization with multi-entity financial statements is desired.
• Comprehensive knowledge of revenue cycle functions and systems, particularly cash reconciliation and refunds or related revenue cycle management.
• Strong working knowledge of generally accepted accounting principles (GAAP) and ability to develop, review, and interpret bank statements, general ledger transactions, and financial information.
• Understanding of financial information systems, sub-ledgers, and their integration into financial statements.
• Advanced Excel skills; knowledge of PeopleSoft and Epic Revenue Cycle preferred.
• Strong conceptual and analytical skills, with the ability to communicate effectively across diverse backgrounds and management levels.
• Ability to coordinate, obtain, and analyze data from internal and external sources.
• Effective critical thinking, problem-solving, and decision-making skills.
• Strong quantitative and analytical abilities for processing and displaying data.
• Comfortable operating in a collaborative, shared leadership environment.
• Ability to achieve results without direct line accountability and flexibility to respond to shifting priorities.
• Personal presence characterized by honesty, integrity, and caring, with the ability to inspire and motivate others.

Physical and Mental Requirements

• Operates in a typical office environment (well-lit, temperature-controlled, and hazard-free).
• Frequent communication (in person and via phone) with personnel across all locations on product support issues.
• Manual dexterity required for keyboard operation.
• Hearing necessary for extensive telephone and in-person communication.
• Ability to concentrate, meet deadlines, and work on multiple projects simultaneously in an environment with frequent interruptions.
• Must organize and set own work priorities and adapt to changing priorities.
• Ability to work concurrently on various tasks in a potentially stressful environment with diverse personalities and work styles.
• Compliance with Trinity Health policies and procedures.