DIRECTOR , ACCOUNTS RECEIVABLE

Essen Medical Associates; New York (NY); On-site; USD 140,000 - 190,000; Full time

Job summary

Essen Health Care in New York seeks a Director of Accounts Receivable to lead high-volume AR operations across payer types including Medicare, Medicaid, and managed care. The role prioritizes process improvements, automation, and coordinating onshore and offshore teams to optimize collections and cash posting.

The ideal candidate brings 7–10 years in AR, strong leadership, and expertise in eCW and ERP systems, with an MBA a plus.

Qualifications

• 7–10 years of progressive AR experience with leadership
• At least 2+ years leading offshore teams
• Proficiency in EHR systems and AR software (eCW preferred)
• Strong leadership, analytical, and communication skills
• Experience with process improvement and automation in AR
• Bachelor’s degree in Accounting/Finance; MBA a plus

Responsibilities

• Lead and manage all AR operations: billing, collections, posting, reconciliation, bad debt management
• Monitor AR aging, DSO, and implement collections improvements
• Oversee monthly revenue close, GL reconciliations, and AR reporting to execs
• Develop KPI dashboards to drive cash flow improvements
• Remain SME on Medicare/Medicaid/Managed Care billing guidelines
• Coordinate with Operations and offshore teams to streamline workflows
• Create and maintain SOPs for AR processes
• Provide leadership and coaching to AR staff and drive continuous improvement
• Collaborate with Revenue Cycle, Operations, and Finance to resolve issues
• Support audits and ad-hoc reporting requests

Skills

Leadership

Offshore team oversight

Analytical skills

Communication skills

Process improvement

Education

Bachelor’s degree in Accounting/Finance

MBA (plus)

Tools

eCW

Excel

Power BI

Job description

Overview

Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents.

Founded in 1999, we’ve grown from a single primary care office into a network of 50+ locations offering urgent care, primary care and specialty services, from women’s health to endocrinology and psychiatry. We also provide nursing home support, care management, and in-home care through our Essen House Calls program. Guided by a Population Health model, our team of 500+ providers deliver care in-person, at home, or via telehealth, ensuring patients get the support they need when and where they need it.

We’re looking for talented, motivated individuals to join our growing team. Whether you’re a medical provider, administrator, or operations professional, there’s a career here for you. Join us in making a real difference in the health of our community.

Job Summary

Position title: Director, Accounts Receivable

Job summary: A high-impact leadership opportunity for an experienced Accounts Receivable Director to oversee collections and AR operations in a high-volume, fast-paced outpatient healthcare environment. This role is ideal for a strategic leader who excels in process improvement, automation, and systems optimization, with a proven track record of successfully managing large AR portfolios and leading both onshore and offshore teams.

The Director of Accounts Receivable ensures timely and accurate billing, collections, and cash posting across all payer types — including Medicare, Medicaid, Managed Care, and Private Payers — while maintaining financial health, regulatory compliance, and operational efficiency.

Responsibilities

• Lead and manage all aspects of Accounts Receivable (AR) operations, including billing, collections, payment posting, reconciliation, underpayment resolution, and bad debt management.

• Monitor AR aging reports and key performance metrics to reduce Days Sales Outstanding (DSO) and bad debt through effective collection strategies and performance improvements.

• Oversee monthly revenue close processes, ensure accurate GL reconciliation, and deliver timely AR-related financial reports to executive leadership.

• Develop and maintain KPI dashboards to ensure data integrity, identify trends, and drive strategic improvements in collections and cash flow.

• Serve as a subject matter expert on Medicare, Medicaid, and Managed Care billing guidelines, ensuring compliance and resolution of denials, rejections, and appeals.

• Coordinate closely with Operations leaders and offshore teams to streamline workflows, strengthen accountability, and enhance AR performance across all regions.

• Create, standardize, and maintain SOPs for AR processes to ensure global consistency and operational excellence.

• Provide leadership, coaching, and performance feedback to AR staff; conduct regular team meetings and foster a culture of accountability, accuracy, and continuous improvement.

• Collaborate with cross-functional departments — including Revenue Cycle, Operations, and Finance — to resolve complex issues and improve the customer and provider experience.

• Support internal and external audits and ad-hoc reporting requests, ensuring accuracy and timely delivery.

Qualifications

Qualifications:

• Minimum of 7-10 years of progressive experience in accounts receivable.
• At least 2+ years in a leadership role, including strong offshore team oversight
• Proficiency in EHR systems and AR software (eCW required).
• Strong leadership, analytical, and communication skills.
• Expertise in Process Improvement
• Bachelor’s degree in Accounting, Finance, or related field (MBA a plus)
• Ability to meet deadlines in a fast-paced environment and drive process improvements.

Preferred Qualifications:

• Experience in large outpatient healthcare settings (preferred over hospital, home health, or charitable organizations).

• Demonstrated success managing large-scale AR operations with measurable results in collections and DSO reduction.

• Proven ability to coordinate with Operations and offshore teams to drive efficiencies and align with business goals.

• Strong acumen for automation, AI integration, and revenue cycle technology; prior experience implementing or leveraging these tools is highly desirable.

• eClinicalWorks (eCW) experience preferred, but not required.

• Strong analytical, problem-solving, and leadership skills, with the ability to communicate effectively across all organizational levels.

Technical Skills

• Proficient in eCW.
• Advanced Excel Skills (Pivot Tables, VLOOKUPs, etc.)
• Familiarity with Power BI, PowerPoint, and Microsoft Teams

Equal Opportunity Employer

ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER

Essen Health Care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.