Lead Account Receivable Clerk - Collection and Cash Apps

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

The role is responsible for managing end to end revenue cycle management (RCM) activities with a strong focus on cash application and collections. The role ensures accurate and timely posting of payments, effective follow-up on outstanding balances, and resolution of payment discrepancies to support healthy cash flow and client satisfaction.

Primary Responsibilities:

• Oversee and apply end to end cash application and reconciliation activities, ensuring accuracy across lockbox, ACH, and wire transactions
• Manage, review, and control the ACH debit processing workflow
• Lead cash reporting, data analysis, and preparation of dashboards to support decision-making
• Manage and review unapplied cash, manual adjustments, write offs, and refunds, ensuring timely resolution of discrepancies
• Manage assigned AR portfolio and perform timely collections on past due accounts
• Communicate professionally with clients via email/phone to resolve outstanding issues, billing disputes, or missing documentation
• Track and report on aging buckets; escalate high risk accounts when required
• Negotiate payment plans when appropriate, ensuring alignment with company policy
• Collaborate with onshore AR, Collections, and Billing teams to address escalations and drive process improvements
• Recommend process improvements to improve cash flow and reduce DSO
• Cash Reporting - Maintain aggregate listing of cash applied
• Support monitoring and analysis of unapplied & Unidentified cash on day-to-day basis
• Reconcile Cash - Balance cash received (bank deposits and/or treasury website) against cash applied
• Prepare various reports and support periodic pre-billing/ Post billing activities
• Modify and/or create invoices as needed to meet specific customer requirements
• Coordinates with Treasury or Banking teams on payment tracing, reversals, and reissuance if required
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

• Proficiency with ERP systems (Oracle & GetPaid) and Excel
• Advanced Excel skills (pivot tables, VLOOKUP/XLOOKUP, data analysis)
• Ability to manage multiple priorities, tight deadlines, and month end close activities
• Attention to detail, analytically minded
• Self-driven, self-managed and team player
• Understanding of accounts receivable, banking processes, and payment methods
• Excellent verbal, written, and interpersonal communication skills

• Commerce degree (B.com/M.com), Accounting, Finance, or related field preferred
• 4+ years of hands-on experience in Cash Application, with exposure to Collections and RCM/O2C processes
• Advanced Excel skills (VLOOKUP, Pivot Tables, reconciliation)
• Open for evening shifts -: 15:30 to 01:00 (late night shift 17:45 to 03:30 during closing period)

• Oracle Financial experience
• Understanding of RCM & collections workflows
• Accounting background