Director of Cash Reconciliation

Role Overview

• Oversee all payment posting (ERA, EOB, EFT, patient payments)
• Ensure timely and accurate posting of payments
• Reconcile bank deposits with system records
• Investigate and resolve payment discrepancies
• Manage underpayments, overpayments, and unapplied cash
• Establish internal controls and audit readiness processes
• Partner with AR, billing, and finance teams
• Manage and oversee both offshore and onshore cash posting teams

Requirements

• Bachelor’s degree preferred in Healthcare Administration, Accounting, Finance, or related field; relevant experience may substitute for formal education
• 8–10+ years of revenue cycle experience, with focus on payment posting and reconciliation
• Strong understanding of EOBs/ERAs, cash application, and reconciliation processes
• Experience managing high-volume posting teams (onshore/offshore)
• Strong attention to detail, reporting, and process optimization skills

Benefits

• Flexible work arrangements
• Professional and collaborative environment