Director, Cash & Credits Management

Med-Metrix

. Provide strategic oversight of cash posting, payment reconciliation, unapplied cash, credit balance resolution, patient and insurance refunds, payer recoupments, and related shared services functions .

Posted 9/25/2026full-timeRemote • New Jersey • United StatesLeadWebsite

About the role

Key responsibilities & impact

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 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 regulatory, client, and organizational compliance
Partner with clients, Revenue Cycle Operations, Finance, Systems, and executive leadership to resolve challenges and improve financial performance and service delivery
Serve as escalation point for complex cash, reconciliation, credit, refund, and recoupment issues
Lead and develop managers and operational teams; establish expectations, accountability, collaboration, and continuous improvement
Support workforce planning, employee development, and succession planning
Identify and implement workflow redesign, automation, system enhancements, and standardized operating practices
Establish and monitor KPIs for cash posting, reconciliation, unapplied cash, credit balances, refunds, recoupments, quality, productivity, and client service
Analyze operational and financial data to identify trends, risks, and improvement opportunities
Provide executive reporting and actionable recommendations
Protect and disclose patients’ PHI in accordance with HIPAA standards
Perform other duties as assigned

Requirements

What you’ll need

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred; equivalent experience considered
7+ years of experience in healthcare revenue cycle operations, with specific experience in cash management, credit resolution, and accounts receivable
2+ years of leadership or supervisory experience required
Strong understanding of payer reimbursement methodologies, including Medicare, Medicaid, Managed Care, and Commercial
Expertise in payment analysis versus contract rates, insurance follow-up processes, and governmental compliance protocols
Comfortable with reporting tools and revenue cycle management systems
Proficiency in Microsoft Office Suite, with strong Excel skills
Strong interpersonal, written, and verbal communication skills
Strong problem-solving and creative skills, with sound judgment and ability to make decisions based on accurate and timely analyses
High level of integrity and dependability, with a strong sense of urgency and results orientation
Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
Must comply with Information Security and HIPAA policies and procedures
Must limit viewing of PHI to the minimum necessary to perform assigned duties

Benefits

Comp & perks

Occasional travel to corporate offices and/or client sites may be required
Use of a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes