Associate Director Cash Management and Resolution

The Associate Director, Cash Management is responsible for the strategic and operational leadership of cash management functions across the network revenue cycle, ensuring timely, accurate, and complete application and reconciliation of payments and adjustments for all sources.

This role provides leadership and oversight for cash posting, payment reconciliation, unapplied and unidentified cash, credit balances and refunds, vendor management for associated cash management workflows and other related revenue cycle activities. The Associate Director is accountable for establishing efficient and standardized workflows, maintaining strong financial controls, reducing rework, and ensuring cash management activities support accurate patient and payer account balances and financial reporting at all times.

The Associate Director partners closely with Revenue Cycle, Finance, Accounting, Operations, Information Technology, and payer teams to identify root causes, resolve systemic issues, and implement process and technology improvements.

KPA1 - Operational Leadership & Cash Management

·        Provide leadership and oversight for daily cash management operations, including electronic and manual payment posting, ERA/EFT processing, lockbox activity, adjustments, unapplied cash, unidentified payments, credit balances, and refunds.

·        Ensure payments and adjustments are posted accurately and timely to the appropriate patient accounts and general ledger periods.

·        Maintain effective processes for daily, monthly, and period-end reconciliation of cash activity.

·        Establish clear ownership and escalation processes for payment discrepancies and unresolved cash.

·        Monitor cash posting backlogs, exceptions, and reconciliation variances and ensure timely resolution.

·        Ensure appropriate controls are maintained to safeguard financial accuracy and minimize risk.

KPA 2 - Performance & Process Improvement

·        Establish and monitor key performance indicators related to cash posting accuracy, timeliness, productivity, unapplied cash, credit balances, reconciliation, and other operational measures.

·        Identify recurring issues, workflow gaps, and sources of rework and lead initiatives to address root causes.

·        Standardize workflows and best practices across teams to improve consistency, efficiency, and accuracy.

·        Leverage technology, automation, and system capabilities to reduce manual processes and improve operational performance.

·        Partner with IT and Revenue Cycle leadership on system enhancements, testing, implementations, and optimization initiatives.

·        Use data and trend analysis to identify opportunities for improvement and communicate findings and recommendations to leadership.

KPA 3 - Financial Controls & Reconciliation

·        Partner with Finance and Accounting to ensure cash activity is appropriately reconciled and accurately reflected in financial reporting.

·        Maintain processes and controls for researching and resolving unidentified and unapplied cash.

·        Ensure appropriate review and resolution of credit balances and refunds in accordance with organizational policies, payer requirements, and applicable regulations.

·        Support internal and external audits and ensure appropriate documentation and controls are maintained.

·        Identify financial risks, trends, or material variances and escalate concerns to Revenue Cycle and Finance leadership.

KPA4 - Team Leadership & Development

·        Lead, coach, and develop cash management leaders and team members, establishing clear performance expectations and accountability.

·        Promote a culture of collaboration, continuous improvement, and shared ownership of Revenue Cycle outcomes.

·        Ensure team members receive appropriate training, tools, and standardized workflows to perform their responsibilities effectively.

·        Encourage employees to raise questions, identify inefficient processes, and bring forward ideas that reduce rework and improve outcomes.

·        Evaluate staffing, workload, and productivity to ensure resources are aligned with operational needs.

KPA 5 Cross-Functional Collaboration

·        Partner with Patient Financial Services, Billing, Denials, Finance, Accounting, Operations, Clinical Operations, IT, and other stakeholders to resolve issues affecting cash application and reconciliation.

·        Collaborate with payer and banking partners, as appropriate, to resolve payment, remittance, EFT, and reconciliation issues.

·        Evaluate upstream and downstream impacts when implementing workflow changes to ensure improvements do not create unintended consequences elsewhere in the revenue cycle.

·        Communicate performance, risks, barriers, and improvement opportunities to Revenue Cycle leadership.

·        Bachelor's degree in Business Administration, Finance, Accounting, Healthcare Administration, or a related field, or an equivalent combination of education and relevant experience.

·        Sitting

·        Keyboard use

·        Minimal lifting

·        Long screen exposure

·        Time management

·        Effective written/verbal communication

·        Policy interpretation

·        Home office setup

·        Minimal external environmental exposure

·        5+ years of healthcare revenue cycle experience, including cash posting, cash management, payment reconciliation, or related functions.

·        3+ years of leadership experience managing teams and/or leaders.

·        Strong knowledge of healthcare reimbursement, payer remittances, ERA/EFT transactions, adjustments, refunds, and account reconciliation.

·        Experience managing operational performance through metrics, analytics, and reporting.

·        Strong analytical, problem-solving, process improvement, communication, and leadership skills.

·        Experience in multi-site physician practices, oncology networks, hospitals, or complex healthcare environments.

·        Proficiency with enterprise billing, practice management, and revenue cycle systems.

·        Experience with automation, workflow optimization, and technology-driven improvements.

·        Knowledge of 835 remittance files, electronic payments, lockbox processes, and financial reconciliation.

·        None required.

·        Cash Posting and Reconciliation

·        Revenue Cycle Management

·        Financial Reconciliation

·        Cash Management

·        Credit Balance and Refund Management

·        Error Identification and Resolution

·        Process Improvement and Standardization

·        Workflow Automation

·        Performance and Productivity Management

·        Team Leadership and Development

This position description reflects the general duties and responsibilities necessary to perform the principal functions of the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be inherent in the job. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. The responsibilities listed may be subject to change at any time and individuals may be asked to perform duties outside of their regular responsibilities to support the ongoing business operation needs.

The essential functions described herein are intended to define the fundamental duties of the position and serve as the minimum requirements for performance. They do not represent an exhaustive list of all job duties that may be required. AON complies with the Americans with Disabilities Act (ADA) and applicable state and local laws. The Company will engage in an interactive process to evaluate and, where appropriate, provide reasonable accommodations to qualified individuals with disabilities, provided such accommodations do not impose an undue hardship on the business.

·        Flexible hours

·        Ergonomic home office guidance

·        Communication software accessibility