Position Summary
The Director of A/R & Reimbursement is a senior revenue cycle leader responsible for enterprise-wide oversight of accounts receivable, cash applications, and reimbursement performance across a multi-site orthopedic platform, including clinics and ambulatory surgery centers (ASCs). This role is both strategic and operational, charged with improving cash flow, accelerating collections, optimizing payer reimbursement, and building a high-performing, people-first culture within a distributed RCM workforce.
Key Responsibilities
Enterprise A/R & Cash Performance
- Executive oversight of professional, ASC, and ancillary A/R
- Ownership of A/R aging strategy and recovery initiatives
- Oversight of cash posting accuracy, reconciliations, refunds, and recoupments
- Monitoring KPIs including days in A/R, net collection rate, cash acceleration, and denial overturn rates
Reimbursement & Payer Optimization
- Lead underpayment identification and recovery efforts
- Contractual variance analysis and payer escalations
- Collaboration with managed care, coding, and revenue integrity teams
- Optimization of allowed amounts and reimbursement predictability
Leadership & Culture
- Lead and develop remote A/R, cash applications, and reimbursement teams
- Establish clear performance expectations and career pathways
- Foster a culture of accountability, transparency, and collaboration
Strategy & Continuous Improvement
- Data-driven performance management using dashboards and analytics
- Process redesign and automation initiatives
- Support RCM centralization, growth, and acquisitions
- Ensure compliance with payer and regulatory requirements
