Role Description
The Director, Accounts Receivable provides strategic and operational leadership for hospital accounts receivable performance across assigned clients and facilities. This role is accountable for:
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Accelerating cash
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Reducing preventable denials and aging
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Improving net revenue realization
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Ensuring consistent execution across billing, insurance follow-up, denials and appeals, underpayments, credit balances, and payer escalations
The Director leads a metrics-driven operating model, translates data into clear priorities and action plans, develops managers and teams, and partners with hospital executives, internal revenue cycle leaders, and vendors to deliver measurable financial and service outcomes. The role also identifies root causes, standardizes effective practices, and advances technology and process improvements that strengthen revenue cycle performance.
Qualifications
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Advanced knowledge of hospital revenue cycle operations, payer reimbursement, claim adjudication, denials and appeals, underpayments, credit balances, contractual adjustments, and third-party collections
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Demonstrated ability to improve accounts receivable performance through data analysis, disciplined operating routines, root-cause correction, and accountable action plans
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Strong financial and analytical capability, including interpretation of A/R aging, cash trends, payer behavior, denial patterns, productivity, quality, and recovery opportunity data
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Proficiency with Microsoft Excel and PowerPoint and the ability to convert complex analysis into concise executive-level reporting and recommendations
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Experience with hospital patient accounting and electronic health record platforms; Epic, Oracle Health/Cerner, and MEDHOST experience is preferred
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Knowledge of Critical Access Hospital reimbursement and Method I and Method II billing requirements is preferred (Dependent on client-specific engagement)
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Knowledge of Rural Health Clinic reimbursement methodologies, Medicare and Medicaid billing requirements, provider-based and independent clinic billing practices and regulatory compliance
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Ability to lead remote and geographically dispersed teams, manage competing priorities, resolve conflict, and deliver results in a client-service and matrixed environment
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Strong written, verbal, facilitation, and presentation skills, including the ability to communicate with hospital executives, physicians, operational leaders, payers, and vendors
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Sound judgment, integrity, discretion, and a willingness to engage directly in complex operational issues when needed
Requirements
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Bachelorβs degree in business, healthcare administration, finance, accounting, or a related field, or an equivalent combination of education and relevant experience
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Minimum of seven years of progressive hospital revenue cycle experience, including at least three years leading accounts receivable, billing, follow-up, denials, or related business office functions
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Demonstrated experience leading managers and teams, managing client or facility relationships, and presenting financial and operational performance to senior executives
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Experience in a multi-facility, outsourced revenue cycle, consulting, or shared-services environment is preferred
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Professional certification such as CRCR, CHFP, or HFMA-related certification is preferred
Benefits
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Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage
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HSA with employer contributions, flexible spending accounts for health care, and dependent care accounts
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Wellness platform with premium incentives
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Employee assistance support and additional voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance
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Robust and flexible paid time off offerings and company paid holidays
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401(k) plan with discretionary employer match opportunities
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Professional development opportunities
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Company issued equipment