Manager Cash Applications - Physician Revenue Cycle Management

w is an exciting time to join Strivant Health!

Does this describe you?

  • A love of defining, developing and executing vision and strategy
  • Be a part of knowledge sharing and open to new ideas!
  • Leadership attitude - Inspire a highly-motivated team
  • The ideal candidate will be passionate about mentoring relationships and providing quality services. You will be client and team centric and enjoy working in a fast paced environment that requires strong technical and business judgment, as well as great communication and leadership skills.

If so, we'd like to hear from you. We are looking for like-minded individuals to become part of our dynamic, enthusiastic and growing team! Please submit your resume today.

Who we are:

Strivant Health partners with physician practices to improve revenue cycle operations by optimizing people, processes and technology. We provide best in class Medical Billing, Cash Applications, Collections, Call Center, Credentialing and Analytics that are all designed to focus on maximizing our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine, rather than the business of medicine. We have worked with over 4,000 providers representing 25 different specialties and over 30 technology platforms in our 20+ years of business.

Benefits: Strivant Health offers its employees excellent benefits including Health, Dental, Vision, Life, AD&D, 401(k), paid holidays, PTO.

Location: This position is a hybrid position working a two to three days a week onsite in Nashville, TN. The remaining days of the week you work remote from your home office.

Hours: Monday - Friday. 8:00 AM-4:30 PM

Status: Full Time, benefits eligible


The Manager of Cash Applications leads Strivant Health’s cash applications practices and objections in a way to provide an employee-oriented; high-performance culture that emphasizes empowerment, quality, productivity, and standards; goal attainment, and the recruitment and ongoing development of a superior workforce. This role performs leadership responsibilities on implementing, managing, and controlling company assets and people. This includes daily management of staffing, scheduling, and workflow issues related to Strivant Health client cash posting. Includes daily monitoring of both electronic and manual posting activities, unapplied accounts, refund of unidentified monies, credit balances and reconciliations. Provides routine reporting to leadership. Delegates to appropriate levels within the team.

The Manager of Cash Applications collaborates with other organizational leadership to design and implement workflows and department guidelines/policies. Reviews productivity reports and manages staff and Cash Applications onshore and offshore vendors to assure they maintain quality, customer service and production standards. Ensures professional, compassionate, and quality customer service is provided to clients, providers, and other Strivant Health departments and team members.


  • Along with Director, translates shared vision/big ideas into practical action plan programs – how things are supposed to be done
  • Influences culture by communicating shared vision and inspiring team to commit to department plan programs.
  • Defines team and individual incumbent participation expectations.
  • Creates a recognition and reward program for team and individual accomplishments.
  • Creates a learning environment supportive of maximum productivity and quality.
  • Monitors individual incumbent performance along with Team Leads.
  • Identifies trends and opportunities for improvement.
  • Conducts interviews and approves hiring selection.
  • Conducts performance improvement counseling.
  • Conducts 30-60 day Steps to Success documents, including 90-day performance reviews and annual performance reviews.
  • Works with HR on performance improvement plans and terminations, when needed.
  • Builds and maintains a high performing team, while developing the next set of leaders.
  • Oversees the following areas: payments, adjustments, and denials to customers' accounts. Check, credit card and EFT exceptions. Reconciliation of all electronic postings for applicable Payors. As well as overseeing any refunds processing.
  • Maintains policy and procedure oversight with onsite and remote staff.
  • Managers Cash Applications vendors to assure Strivant Health can maintain quality, customer service and production standards set forth to provide the SLA for our clients.
  • Responsible for refunds to be processed in an appropriate amount of time to remain compliant.
  • Responds to internal departments regarding payment and/or questions/issues.
  • Ensures that all Team Leads Performs audits to ensure that all activities from lock box, vouchers and Cashier’s Office (live checks and credit cards) are balanced.
  • Ensures that all Team Leads Analyze and resolve moderately complex electronic posting reconciliations and conducts reviews of own entry to prevent errors.
  • Reconciles unidentified accounts weekly to avoid unidentified payments remaining in the account longer than 15 days.
  • Performs audits to ensure that all activities from lock box, vouchers and Cashier’s Office (live checks and credit cards) are balanced.
  • Identifies root cause issues and effectively resolve complex misdirected payment issues; categorize error reasons and coordinate with other management or other team members to ensure process improvements are completed.
  • Effectively communicate issues to leadership, including concerns from the team, systems issues or escalated account issues. Also provides well develop solutions. Also provides well develop solutions and submits help desk tickets.
  • Develops and maintains relationship with key partners both internally and externally.
  • Supports goal initiatives, client implementations, and client supervision.
  • Focuses on increased efficiency and accuracy of department and client workflow.
  • Recognizes process problems and assists in developing collaborative approaches to resolve the problematic issues. In doing so, identifies opportunities for process improvements and ways to implement improvement.
  • Along with Director, leverages technology to automate manual aspect. Reviews/assesses and implements systems and processes within the Cash Applications Department that will improve productivity and/or financial performance.
  • Along with Director, drives development and application of policies and procedures around cash posting, reconciliations, and refund issue escalation.
  • Drive performance metrics to ensure benchmark goals are met.
  • Approaches employees in an open manner, welcoming their feedback and participation.
  • Reviews all payers quarterly to ensure that we have them set up for EFT/ERA and have provider portal access.
  • Incumbents are required to have physical attendance onsite as needed at a Strivant Health approved office location to perform the duties of the role by regularly interacting with managers, other staff members, & clients.
  • Performs other related duties or special projects assigned by leadership as required or requested.


  • Bachelor's degree in Business Administration, Healthcare Administration or other related degree preferred, or equivalent combination of education and experience
  • 5 years of leadership experience in a healthcare revenue cycle management cash applications environment required
  • A minimum of 3 years of experience in a physician revenue cycle management cash applications role
  • Prior experience working with offshore teams, preferred
  • Prior experience translating cash posting error trends into process improvements results with little supervision
  • Passionate about helping others and can communicate in a direct yet empathetic manner
  • Ability to influence & motivate others to take positive steps to change direction to achieve desired outcomes
  • Prior supervisory experience including training, mentoring, and coaching staff
  • Excellent time management skills
  • Ability to recognize need for process improvements and offer suggestions for solutions with a positive, caring and customer-service-oriented attitude.
  • Strong planning and organizational skills with the ability to manage multiple priorities
  • Attention to detail with the ability to identify/resolve problems and document the outcome
  • Strong written and verbal communication skills
  • Solid analytical and problem-solving skills to recognize trends
  • Ability to multi-task and work independently
  • Ability to act as a role model for behavior for the entire department while projecting positive outlook, approachable, and professionalism
  • Intermediate skills with Microsoft Office applications: Word, Excel
  • 5% to 10% travel as needed by airplane and automobile for onsite meetings or training sessions for Strivant Health business needs.

We are looking forward to reviewing your resume!

No agencies, please!

Search tags: Customer Service Rep, Patient Access, Patient Financial Rep, Scheduling Rep, Revenue Cycle, RCM, Accounts Receivables Rep, Patient Account Rep, Patient Service Rep, Account Rep, Medical Coding, Medical Credentialing, Medical Referrals, Medical Billing, Physician Billing, Hospital Billing, Patient Verification.

Job Type: Full-time

Nashville TN
Job Type
Full-Time Regular
Exempt or Non-Exempt?
8:00 AM - 4:30 PM, Central Time
Scheduled Days
Monday - Friday
Position Id