Director of A/R & Reimbursement

Growth Orthopedics; Austin (TX); Hybrid; USD 150,000 - 230,000; Full time

Job summary

Growth Orthopedics is seeking a Director of A/R & Reimbursement to lead enterprise-wide revenue cycle performance across clinics and ambulatory surgery centers. You will strategically optimize cash flow, accelerate collections, and drive payer reimbursement improvements while building a high-performing, people-first distributed RCM organization.

You will oversee professional, ASC, and ancillary A/R, monitor KPI trends, and partner with coding, payer relations, and revenue integrity to enhance

Qualifications

• 10+ years of progressive revenue cycle experience in healthcare.
• Proven leadership of A/R and reimbursement functions.
• Experience managing remote RCM teams.
• Deep knowledge of orthopedic and ASC reimbursement.

Responsibilities

• Provide executive leadership over enterprise A/R and cash performance across clinics and ASCs.
• Oversee A/R aging strategy, cash posting accuracy, and reconciliations.
• Drive underpayment recovery, payer escalations, and contractual variance analyses.
• Lead data-driven performance management with dashboards and analytics.
• Foster a remote-first culture with clear career pathways and accountability.

Skills

Leadership

Remote teams

A/R management

Payer reimbursement

Tools

RCM analytics tools

Job description

Director of A/R & Reimbursement | Growth OrthopedicsPosition SummaryThe 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 ResponsibilitiesEnterprise 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 ratesReimbursement & 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 predictabilityLeadership & 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 collaborationStrategy & 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 requirementsQualificationsRequired• 10+ years of progressive revenue cycle experience• Strong leadership in A/R and reimbursement• Experience managing remote RCM teams• Deep knowledge of orthopedic and ASC reimbursement• Exceptional communication and change leadership skillsPreferred• Multi-site orthopedic or MSO experience• Familiarity with RCM analytics tools and clearinghouses