Manager, Revenue Cycle - Cash Application & Payment Integrity

Cardinal Health; Des Moines (IA); On-site; USD 89,000 - 114,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

401k savings plan

Health savings account (HSA)

Paid time off plan

Flexible spending accounts (FSAs)

Disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Job summary

Cardinal Health in Des Moines, IA, seeks a Manager, Revenue Cycle – Cash Applications & Payment Integrity to lead cash posting, reconciliation, and refunds across DME and Pharmacy businesses. You will design scalable processes, ensure accurate remittance routing, and maintain strong controls in a multi‑system payment environment.

The role emphasizes payment accuracy, automation, and collaboration with IT, Treasury, and Finance to resolve issues and optimize the revenue cycle.

Qualifications

• 5+ years in healthcare Revenue Cycle with leadership of Cash Applications preferred.
• Bachelor's degree or equivalent work experience is preferred.
• Deep knowledge of EFT/deposit, 835 receipt, EDI routing/splitting, reconciliation and posting.
• Automation-focused mindset with ability to drive solutions with minimal oversight.

Responsibilities

• Lead Cash Applications across DME and Pharmacy businesses, ensuring timely posting and reconciliation.
• Own end-to-end deposit reconciliation across bank deposits, EFTs, lockboxes, remittance files, and Revenue Cycle platforms.
• Establish controls for cash handling from deposit/EFT to 835 posting and final posting.
• Identify and resolve missing, duplicate, misrouted, unapplied, or unreconciled payments.
• Standardize reconciliation processes, controls, SLAs, and reporting across businesses.
• Serve as RCM SME for 835 ERA/EFT workflows (receipt, routing, posting, reconciliation).
• Oversee 835 remittance routing and splitter functionality across multiple systems.
• Partner with IT, clearinghouses, Treasury, and Finance to resolve payment issues.
• Monitor failed files, splitter exceptions, unmatched EFTs, and reconciliation breaks.
• Lead system implementations, integrations, testing, cutover, and stabilization for Cash Applications.
• Design scalable future-state processes for remittance routing, posting, reconciliation, and exceptions.
• Drive ERA/EFT adoption, auto-posting, and straight-through processing.
• Identify opportunities to automate manual processes.

Skills

Cash applications leadership

835 ERA/EFT processing

EDI remittance workflows

Payment reconciliation

Automation in RCM

Education

Bachelor's degree or equivalent

Tools

EDI systems

Banking integrations

Revenue cycle software

Job description

US-Nationwide-FIELD

Full time

20188147

What Revenue Cycle Management (RCM) contributes to Cardinal Health

Revenue Cycle Management (RCM) is responsible for managing the financial lifecycle of patient accounts and ensuring timely and accurate payment for services provided. This job family is focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue in a manner that is compliant with payer rules and requirements. The revenue cycle shadows the entire patient care journey and begins with patient intake and ends when the patient’s account balance is zero. This team also encompasses a payer administration function that ensures we are successfully operationalizing payer rules and requirements as well as facilitating payer relations and escalation efforts.

Job Summary

The Manager, Revenue Cycle – Cash Applications & Payment Integrity will lead cash application, deposit reconciliation, credit balance, and refund operations across the NewCo DME and Pharmacy businesses.

This role is responsible for ensuring payments and remittances are accurately received, routed, reconciled, posted, and resolved across a complex environment of multiple businesses, systems, banking relationships, clearinghouses, and payer payment methodologies. This leader will play a critical role in designing scalable processes and controls for an increasingly complex multi‑system payment environment.

Responsibilities

• Lead Cash Applications across DME and Pharmacy businesses, ensuring timely and accurate posting and reconciliation.

• Own end-to-end deposit reconciliation across bank deposits, EFTs, lockboxes, clearinghouses, remittance files, and Revenue Cycle platforms.

• Establish controls to ensure cash is accounted for from deposit/EFT through 835 receipt and final system posting.

• Identify and resolve missing, duplicate, misrouted, unapplied, or unreconciled payments.

• Standardize reconciliation processes, controls, SLAs, and reporting across businesses.

• Serve as the RCM operational SME for 835 ERA/EFT workflows, including receipt, routing, posting, and reconciliation.

• Understand and oversee EDI/remittance splitter functionality used to route 835 transactions across multiple businesses and systems.

• Partner with IT, clearinghouses, vendors, Treasury, and Finance to resolve missing or unmatched payments and remittances.

• Establish monitoring for failed files, splitter exceptions, unmatched EFTs, missing 835s, and reconciliation breaks.

• Understand complex transactions including PLBs, recoupments, reversals, offsets, takebacks, and $0 remits.

• Lead Cash Applications requirements and workflow design through Revenue Cycle system implementations, integrations, testing, cutover, and stabilization.

• Design scalable future‑state processes for remittance routing, posting, reconciliation, and exception management.

• Drive increased ERA/EFT adoption, auto‑posting, automated reconciliation, and straight‑through processing.

• Proactively identify opportunities to simplify and automate manual processes.

• Oversee credit balance identification, validation, and resolution.

• Ensure appropriate handling of payer and patient refunds, recoupments, overpayments, and unapplied cash.

• Establish controls to prevent duplicate refunds, posting errors, and inappropriate adjustments.

• Partner with Finance and Compliance on financial controls and audit requirements.

• Lead and develop Cash Applications teams across multiple businesses.

• Establish productivity, quality, reconciliation, and performance standards.

• Develop KPIs around posting timeliness, reconciliation, unapplied cash, exceptions, credits, and refunds.

• Proactively identify operational risks and drive issues through resolution.

• Partner effectively across Revenue Cycle, Finance, Treasury, IT, Pharmacy, and other functions.

Qualifications

• 5+ years of hands‑on experience in healthcare Revenue Cycle, with a specific focus on leading the entire Cash Applications function preferred.

• Bachelor's degree in related field, or equivalent work experience, preferred.

• Comprehensive understanding of the payment lifecycle, including EFT/deposit and 835 receipt, EDI routing/splitting, reconciliation, posting, credits, refunds, and final financial control.

• Deep Revenue Cycle expertise, an automation‑first mindset, and the ability to independently identify issues and drive solutions with minimal oversight.

• Strong expertise in 835 ERA/EFT transactions, EDI remittance workflows, payment/remittance splitting, and deposit‑to‑post reconciliation.

• Demonstrated aptitude in EDI/remittance splitting and complex deposit reconciliation.

• Proficiency in managing credit balances and refund processes within a healthcare environment.

• Experience with system conversions relevant to revenue cycle operations.

• A track record of implementing or leveraging automation to enhance revenue cycle efficiency.

Anticipated salary range

$89,000 - $114,480

Bonus eligible

Yes

Benefits

• Medical, dental and vision coverage

• Paid time off plan

• Health savings account (HSA)

• 401k savings plan

• Access to wages before pay day with myFlexPay

• Flexible spending accounts (FSAs)

• Short- and long-term disability coverage

• Work-Life resources

• Paid parental leave

• Healthy lifestyle programs

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Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities.

We are a crucial link between the clinical and operational sides of healthcare, delivering end‑to‑end solutions and data‑driving insights that advance healthcare and improve lives every day. With deep partnerships, diverse perspectives and innovative digital solutions, we build connections across the continuum of care.

With more than 50 years of experience, we seize the opportunity to address healthcare's most complicated challenges — now, and in the future.

View Cardinal Health on YouTube (http://youtube.com/user/CardinalHealth)

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