Director, Accounts Receivable

This is a fully remote position, open to applicants in United States.

📋 Description

• Provide strategic and operational guidance for hospital accounts receivable performance across designated clients and facilities.

• Oversee billing, claims adjustments, insurance follow-up, denials and appeals, underpayments, credit balances, payer escalations, and vendor-supported tasks.

• Set performance objectives and operational routines for cash collections, accounts receivable days, aging, denial rates, avoidable write-offs, productivity, quality, and recovery opportunities.

• Track outcomes and intervene when performance deviates from the plan.

• Manage recurring revenue cycle reporting and utilize account-level and trend analyses to identify root causes and prioritize corrective measures.

• Drive initiatives to expedite cash flow, resolve aged and complex receivables, minimize preventable denials, recover underpayments, and tackle reimbursement obstacles.

• Act as the primary accounts receivable partner for hospital executives and operational leaders.

• Convey performance, risks, opportunities, commitments, and decisions through executive reporting and operational reviews.

• Collaborate with cross-functional teams in revenue cycle, clinical, finance, technology, compliance, and managed care.

• Mentor and develop managers and teams through expectation setting, prioritization, coaching, feedback, succession planning, and accountability.

• Create, implement, and maintain standardized workflows, controls, escalation procedures, and best practices.

• Support patient accounting system implementations, business office transitions or consolidations, automation efforts, and reporting improvements.

• Assess and manage vendors related to collections, eligibility, underpayments, and outsourcing.

• Ensure compliance with laws, regulations, payer requirements, contracts, client policies, internal controls, and Ovation Healthcare standards.

• Perform additional duties and lead further initiatives as assigned.

⛳️ Requirements

• Bachelor’s degree in business, healthcare administration, finance, accounting, or a related field, or a combination of education and relevant experience.

• At least seven years of progressive experience in hospital revenue cycles, including a minimum of three years in leading accounts receivable, billing, follow-up, denials, or related office functions.

• Proven experience in leading managers and teams, managing client or facility relationships, and presenting financial and operational performance to senior executives.

• Advanced understanding of hospital revenue cycle operations, payer reimbursement, claims adjudication, denials and appeals, underpayments, credit balances, contractual adjustments, and third-party collections.

• Capability to enhance accounts receivable performance through data analysis, disciplined operational routines, root-cause corrections, and accountable action plans.

• Strong financial and analytical skills, including the ability to interpret A/R aging, cash trends, payer behavior, denial patterns, productivity, quality, and recovery opportunity data.

• Proficiency in Microsoft Excel and PowerPoint.

• Experience with hospital patient accounting and electronic health record systems.

• Familiarity with Rural Health Clinic reimbursement methodologies, Medicare and Medicaid billing requirements, provider-based and independent clinic billing practices, and regulatory compliance.

• Ability to lead remote and geographically dispersed teams, manage competing priorities, resolve conflicts, and achieve results in a client-service and matrixed environment.

• Strong written, verbal, facilitation, and presentation abilities.

• Sound judgment, integrity, discretion, and a willingness to engage directly in complex operational matters.

• Approximately 10%–20% travel may be required.

• Experience in a multi-facility, outsourced revenue cycle, consulting, or shared-services setting is preferred.

• Familiarity with Epic, Oracle Health/Cerner, and MEDHOST is preferred.

• Knowledge of Critical Access Hospital reimbursement and Method I and Method II billing requirements is preferred.

• Professional certification such as CRCR, CHFP, or HFMA-related certification is preferred.

🏝️ Benefits

• Comprehensive health and wellness benefits, including medical, dental, vision, life insurance, and short and long-term disability coverage.

• Health Savings Account (HSA) with employer contributions.

• Flexible spending accounts for healthcare and dependent care.

• Wellness platform with premium incentives.

• Employee assistance support.

• Voluntary supplemental plans such as accident, critical illness, hospital indemnity, and child disability insurance.

• Robust and flexible paid time off offerings.

• Company-paid holidays.

• 401(k) plan with discretionary employer match opportunities.

• Opportunities for professional development.

• Company-issued equipment.