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

About the role

Manages daily cash balancing between general ledger and bank for all non-insurance cash for all 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 and three-way matched to 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 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, reconciling refunds processed by an outside agency to the general ledger.
• Supervises cash posting accountant(s) to ensure timely, accurate, and compliant reconciliation between bank and general ledger.
• Develops plans for recurring cash transfers to Ministries, working with the Manager of Accounting to ensure appropriate controls and intercompany balances.
• Coordinates with Ministry finance personnel to ensure accurate monthly recording of intercompany transactions and resolves intercompany issues.
• Works with the Director of Cash Application and Customer Services to balance the TogetherCare (Epic) accounts receivable sub-ledger and resolve discrepancies.
• Develops and manages accounting policies and procedures for central cash and refund accounts, ensuring appropriate internal controls.
• Reviews cash deposit trends, recommends resolutions to improve reconciliation efficiency, and collaborates with leadership.
• Participates in designing and improving cash posting processes and systems to enhance internal controls and productivity.
• Leads continuous quality improvement initiatives across the cash posting team and other departments.
• Manages refund processes for reissues, voids, and escheats in compliance with state regulations.
• Supervises 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.

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.
• Healthcare organization experience, particularly with multi-entity financial statements, is desired.
• Comprehensive knowledge of revenue cycle functions, including cash reconciliation and refunds or related management functions.
• Strong working knowledge of generally accepted accounting principles (GAAP) and ability to 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 process and analyze data from diverse sources.
• Effective communication skills for interacting with management and professionals at all levels.
• Critical thinking, problem-solving, and decision-making abilities.
• Ability to operate in a collaborative, shared leadership environment and achieve results without direct line accountability.
• Flexibility to adapt to shifting priorities and meet senior management requirements.
• Personal presence characterized by honesty, integrity, and the ability to inspire and motivate others.

Working Conditions

• 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.
• Manual dexterity required for keyboard operation; hearing necessary for extensive communication.
• Ability to concentrate, meet deadlines, and manage multiple projects simultaneously in a potentially stressful environment.
• Must adapt to frequent interruptions and work with individuals of diverse personalities and work styles.