Supervisor, Cash Applications

Job Description Position Summary The Supervisor of Cash Applications is responsible for overseeing the daily operations of the cash posting function within the hospital revenue cycle. This role ensures the timely, accurate, and compliant posting of payments, adjustments, and denials to patient accounts across all payers and service lines. The supervisor will lead a team of cash application specialists, coordinate workflow to meet department performance metrics, and collaborate with other revenue cycle leaders to resolve posting discrepancies, improve processes, and support accurate financial reporting. Responsibilities Supervise the daily cash application process for all hospital and professional billing accounts, including payments, contractual adjustments, denials, and refunds. Ensure payments are posted accurately and within established timelines to meet month-end closing deadlines and cash reconciliation requirements. Monitor and reconcile electronic remittance advice (ERA), lockbox deposits, manual check postings, and credit card payments. Review and resolve unidentified and unapplied cash in a timely manner. Oversee posting of government, commercial, and patient payments according to payer-specific rules and contractual terms. Screens, interviews and hire applicants. Assist new employees in their training and development. Lead, mentor, and evaluate cash application staff, providing training, feedback, and performance coaching. Assign and balance workloads to ensure efficiency, accuracy, and adherence to departmental standards. Promote a culture of accountability, quality, and continuous improvement within the team. Partner with Patient Financial Services, Revenue Integrity, and Finance teams to address payment posting issues and ensure proper account resolution. Communicate effectively with payers, banks, and internal stakeholders regarding posting delays, discrepancies, or technical issues. Work with IT and vendors (e.g., Epic and SSI) to troubleshoot and optimize payment posting workflows. Develop and implement process improvements to increase accuracy, reduce manual posting, and optimize the use of automation tools. Promotes a positive image and supports management in goals and objectives. Ensure compliance with hospital policies, revenue cycle procedures, and applicable regulatory requirements. Assist in audits and provide documentation related to payment posting and reconciliation. Minimum Requirements Bachelor's Degree with health management or financial emphasis and/or 5 years of related work experience required. 3 years or more cash applications experience in a hospital business office, other medical billing office, or fast pace high-volume accounts receivable organization. At least three (3) years of progressive healthcare management experience, preferably in a Revenue Cycle cash posting setting. Necessary skills for the position include: Must be a people person. A successful candidate must have clear motivational team leadership and conflict resolution skills. Managerial and leadership skills are essential for success in this role. Systems skills. The interaction of systems and the associated processes are keys to success. This person must have extensive experience with EPIC, but this may be waived with extensive experience elsewhere in similar platforms. Functional skills. A highly preferable trait would be someone who has extensive, progressive experience in a revenue cycle setting with a focus on analytics, management of targets and quality assurance. Analytical ability. With ECU Health's focus on a highly data intensive approach and the use of analytics to focus efforts - this Manager must have more than adequate ability with analytics and the systems which drive those analytics. High Professionalism. The manager must portray a high professional demeanor, set a solid example for the team internally and externally. Other Information Onsite role (based out of Greenville, NC) Monday - Friday day shift Great Benefits #LI-AH2 ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research. General Statement It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position. Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification. We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Created: 2026-03-10