[Hiring] Director of A/R & Reimbursement @Growth Orthopedics

Role Description

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

Qualifications

• 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 skills

Preferred Qualifications

• Multi-site orthopedic or MSO experience
• Familiarity with RCM analytics tools and clearinghouses