Director of AR Operations & Revenue Integrity

ReFocus Eye Health; Waterbury (CT); In loco; USD 180.000 - 240.000; Tempo pieno

Descrizione del lavoro

ReFocus Eye Health seeks a Director of AR Operations & Revenue Integrity to lead payment posting, reconciliations, and A/R management across a multi-location ophthalmology practice. You will drive underpayment recovery, refunds, and vendor partnerships, ensuring payment integrity and strong financial performance.

The ideal candidate will have extensive revenue cycle leadership in healthcare, deep knowledge of reimbursement for ophthalmology services, and a track record of building standardized

Competenze

• Deep, hands-on knowledge of payment posting, A/R management, denial management, underpayment recovery, and refund processes.
• Experience leading multi-site ophthalmology or similar high-volume medical group operations.
• Ability to develop standardized processes and improve KPIs with data-driven methods.

Mansioni

• Lead payment posting and reconciliations across insurance, patient, and lockbox payments.
• Direct strategies for aged A/R reduction, denial management, and appeals.
• Oversee underpayment recovery, contract terms, and refund processes.
• Build dashboards and KPIs to monitor days in A/R and net/gross collection rates.

Formazione

Bachelor's degree in Healthcare Administration, Business, Finance, or Accounting

CRCR/CPC/CPMA/CHFP certification

Strumenti

Excel

Power BI

Tableau

Descrizione del lavoro

Description

The Director of AR Operations & Revenue Integrity leads the functions that determine whether the practice collects

every dollar it is owed: payment posting and reconciliation, accounts receivable management, underpayment

recovery, and credit balances and refunds. Working with managed care, compliance, finance, and operational

leadership, this leader builds standardized, scalable processes across a large, multi-location ophthalmology

practice, protects payment integrity, and manages RCM vendors and technology partners.

The ideal candidate is an innovative, collaborative, results-driven leader who understands the complexity of

ophthalmology reimbursement, including medical vs. routine vision coverage, surgical global periods, injectable

drug billing, and diagnostic testing, and who turns that knowledge into measurable financial performance.

RESPONSIBILITIES:

Payment Posting and Reconciliation

• › Ensure timely, accurate posting of insurance, patient, and lockbox payments, including ERA/EOB and manual posting.
• › Oversee daily deposit reconciliation among bank deposits, clearinghouse and lockbox files, and the PM system in partnership with Finance and Accounting.
• › Establish controls for adjustments, contractual write-offs, payment variances, and unapplied or misapplied cash.
• › Monitor payer remittance trends, including recoupments, offsets, and takebacks, and ensure timely and accurate handling.

Accounts Receivable Management

• › Direct strategies for aged A/R reduction, claim follow-up, denial management, and appeals.
• › Define work queue prioritization, follow-up cadences, and escalation paths by payer, balance, and aging.
• › Partner with Coding, Billing, Credentialing, and Managed Care to resolve payer issues and systemic barriers to payment.
• › Feed denial and payment trends back to front-end, coding, and clinical operations teams to drive upstream corrective action.

Underpayment Recovery

• › Build and oversee a structured program to identify, quantify, and recover underpayments by comparing payments to contracted rates and fee schedules.
• › Partner with Managed Care to maintain accurate contract terms, load fee schedules, and elevate payer contract compliance issues.
• › Track recovery rates, payer-specific trends, and the financial impact of underpayment findings, and report results to executive leadership.

Monitor reimbursement for high-volume ophthalmology services, including cataract surgery, diagnostic testing, intravitreal injections, and injectable drugs.

Credit Balances and Refunds

• › Oversee the identification, review, and timely resolution of insurance and patient credit balances.
• › Ensure refunds and payer overpayment returns are accurate, properly approved, and processed within regulatory and payer timelines.
• › Maintain compliance with Medicare and Medicaid overpayment return rules, payer-specific refund policies, and unclaimed property (escheatment) obligations.
• › Analyze root causes of credits, such as duplicate payments, coordination of benefits issues, posting errors, and incorrect contractual adjustments, and drive prevention.

Revenue and Payment Integrity

• › Ensure payments, adjustments, and write-offs are accurate, supported, and compliant, with internal controls and audit routines for posting, adjustments, refunds, and write-off approvals.
• › Partner with Coding, Compliance, and Revenue Cycle leaders to share audit findings, payer policy changes, and denial and underpayment insights.
• › Partner with Compliance on overpayment investigations, self-disclosure considerations, and corrective action plans.

Standardization, KPIs, and Performance Improvement

• › Develop, document, and maintain standard operating procedures and best practices for posting, A/R follow-up, underpayment recovery, and refunds across all locations.
• › Define, track, and report KPIs, including days in A/R, A/R aging (% over 90 and 120 days), net and gross collection rate, posting accuracy and lag, unapplied cash, denial overturn rate, underpayment recovery rate, credit balance agingand refund turnaround time.
• › Build dashboards and scorecards for leadership, analyze trends by payer, location, provider, and service line, and hold teams accountable to targets.
• › Lead continuous improvement initiatives using data analysis, automation, and lean/process improvement methodologies.
• › Identify and pilot innovative solutions, including Robotic Process Automation (RPA), AI-assisted workflows, and advanced analytics, to improve accuracy, productivity, and cost to collect.

Vendor and Technology Management

• › Manage relationships, contracts, SLAs, and performance of RCM vendors, including clearinghouses, lockbox providers, underpayment recovery partners, payment processors, outsourced A/R partners, and refund/escheatment service providers.
• › Evaluate vendors and tools, lead RFPs, and recommend decisions based on performance and ROI.
• › Partner with IT and system owners on PM/EHR optimization, configuration, upgrades, and reporting

Leadership and Compliance

• › Lead, coach, and develop a high-performing team, setting clear goals and fostering a culture of accountability and collaboration.

REQUIREMENTS:

• › Bachelor's degree in Healthcare Administration, Business, Finance, Accounting, or a related field, or equivalent experience.
• › 8+ years of progressive revenue cycle experience, including 4+ years in a management or director-level role.
• › Deep, hands-on knowledge of payment posting, A/R management, denial management, underpayment recovery, and credit balance and refund processes.
• › Working knowledge of payer contracts, reimbursement methodologies, and regulatory requirements for overpayment refunds.
• › Demonstrated experience leading multi-site operations in a large physician group, specialty practice, or MSO.
• › Proven track record of building standardized processes, improving KPIs, and delivering measurable financial results.
• › Experience managing vendors and contracts.
• › Strong analytical skills and proficiency in reporting and dashboard tools (Excel, Power BI, Tableau, or similar).
• › Excellent communication, leadership, and stakeholder management skills.

Preferred

• › Ophthalmology or other surgical/procedural specialty experience, including injectable drug and medical/vision plan billing.
• › Experience building or managing an underpayment recovery or contract compliance program.
• › Experience with practice acquisitions and system integrations/conversions.
• › Experience with ophthalmology-specific PM/EHR platforms (e.g., Nextech, ModMed, Compulink, Epic, or similar).
• › Certification such as CRCR, CPC, CPMA, or CHFP; Lean Six Sigma.
• › Experience with automation, AI-enabled tools, or RCM technology implementations.
• › Private equity-backed or high-growth practice environment experience.