Director of A/R & Reimbursement

Orthopaedic Specialists of Austin; Austin (TX); Hybrid; USD 150,000 - 210,000; Full time

Job summary

Growth Orthopedics is seeking a Director of A/R & Reimbursement to lead revenue cycle performance across clinics and ambulatory surgery centers. This senior role drives cash flow, accelerates collections, oversees enterprise A/R, cash applications, and reimbursement, and builds a high-performing, people-first culture within a distributed RCM workforce.

You will manage remote A/R teams, establish performance expectations, and collaborate with coding, payer relations, and analytics to optimize

Qualifications

• Senior leadership experience in revenue cycle management for multi-site healthcare platforms.
• Experience overseeing A/R across professional, ASC, and ancillary services.
• Strong analytical, process improvement, and data-driven decision skills.

Responsibilities

• Oversee professional, ASC, and ancillary A/R across multiple sites.
• Own A/R aging strategy and recovery initiatives.
• Oversee cash posting accuracy, reconciliations, refunds, and recoupments.
• Monitor KPIs including days in A/R, net collection rate, cash acceleration, and denial overturns.
• Lead underpayment identification and recovery efforts.
• Contractual variance analysis and payer escalations.
• Collaborate with managed care, coding, and revenue integrity teams.
• Optimization of allowed amounts and reimbursement predictability.
• 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.
• 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.

Skills

Executive leadership

Revenue cycle management

Cash flow optimization

A/R analytics

Process improvement

Education

Bachelor's degree in healthcare administration or related field

MBA or relevant certification

Job description

Director of A/R & Reimbursement | Growth Orthopedics

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