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Supervisor, Cash Applications Systems

University Hospitals
United States, Ohio, Shaker Heights
3605 Warrensville Center Road (Show on map)
Feb 18, 2026
Description

Note that this role is hybrid and is expectated is to be in the office 3-4 days/week.

What You Will Do

The Supervisor, Cash Applications oversees the day to day accurate and timely posting of all cash receipts for hospital and physician services including insurance payments, patient payments, adjustments, and refunds. This role actively supervises daily cash application operations, ensures compliance with System policies and regulatory requirements, and supports revenue cycle integrity by maintaining accurate financial records and resolving posting discrepancies. Serves as subject matter expert and primary go to person for staff level questions, training, and education.

Essential Function

  • Supervise daily cash posting activities for insurance payments, patient payments, electronic remittance advice (ERA), lockbox, EFT, credit cards, and checks.

  • Ensure accurate posting of payments, contractual adjustments, denials, and refunds in accordance with payer contracts and System policies.

  • Monitor unapplied cash, credit balances, and posting errors; ensure timely resolution.

  • Oversee reconciliation of daily deposits to lockbox reports.

  • Directly oversee staff members, and is responsible for ensuring their work output is satisfactory, their concerns are resolved, and service level expectations are met. This includes conducting routine staff audits for productivity and tracking results.

  • Actively involved in training, communication and resolving issues with contractors assigned to cash applications work flows.

  • Communicate productivity standards, perform routine audits and measures employee performance accordingly.

  • Lead work flow efforts for cash applications team; analyzing, reassigning and adjusting based on work needs.

  • Identify problem areas and develop plan of action to ensure benchmark standards are obtained and maintained.

  • Participate in and leads departmental meetings and or meetings with contractors.

  • Maintains strict confidentiality in regard to patient's personal, medical and financial information.

  • Acts as a role model for professionalism through appropriate conduct and demeanor at all times.

    Additional Responsibilities

  • Prepare and review daily, weekly, and monthly cash application and reconciliation reports, scorecards, KPIs.

  • Identify opportunities to improve efficiency, accuracy, and automation within cash application processes including trends, variances, and process gaps; recommend corrective actions as needed.

  • Support implementation of revenue cycle systems, bank systems, upgrades, and workflow enhancements.

  • Assist with payer testing, ERA/EFT setup, and system configuration changes.

  • Conduct performance evaluations and provide ongoing coaching and feedback.

  • Assist with hiring, onboarding, and staff development initiatives.

  • Meets regularly with direct reports to review accomplishments and set goals.

  • Processes payroll and approves time off requests for direct reports.

  • Ensure equal accountability across the teams.

  • Provides escalated customer support service.

  • Performs and initiates special projects.

    Other duties

  • Ensure compliance with internal controls and must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

  • Maintain segregation of duties and audit-ready documentation.

  • Support any and all internal and external audit processes

  • Assist with department budget and planning staffing levels

  • Partner with Finance, Patient Accounting, Follow Up, Credit, and Billing teams to resolve discrepancies and improve work flows and cash flow.

  • Performs other duties as assigned.

Additional Responsibilities

  • Performs other duties as assigned.
  • Complies with all policies and standards.
  • For specific duties and responsibilities, refer to documentation provided by the department during orientation.
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
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