Director , Accounts Receivable

Essen Medical Associates•Bronx, NY

11d

About The Position

A high-impact leadership opportunity for an experienced Accounts Receivable Director to oversee collections and AR operations in a high-volume, fast-paced outpatient healthcare environment . This role is ideal for a strategic leader who excels in process improvement, automation, and systems optimization, with a proven track record of successfully managing large AR portfolios and leading both onshore and offshore teams. The Director of Accounts Receivable ensures timely and accurate billing, collections, and cash posting across all payer types — including Medicare, Medicaid, Managed Care, and Private Payers — while maintaining financial health, regulatory compliance, and operational efficiency.

Requirements

Minimum of 7-10 years of progressive experience in accounts receivable.
At least 2+ years in a leadership role, including strong offshore team oversight
Proficiency in EHR systems and AR software (eCW required).
Strong leadership, analytical, and communication skills.
Expertise in Process Improvement
Bachelor’s degree in Accounting, Finance, or related field (MBA a plus)
Ability to meet deadlines in a fast-paced environment and drive process improvements.

Nice To Haves

Experience in large outpatient healthcare settings (preferred over hospital, home health, or charitable organizations).
Demonstrated success managing large-scale AR operations with measurable results in collections and DSO reduction.
Proven ability to coordinate with Operations and offshore teams to drive efficiencies and align with business goals.
Strong acumen for automation, AI integration, and revenue cycle technology ; prior experience implementing or leveraging these tools is highly desirable.
eClinicalWorks (eCW) experience preferred, but not required.
Strong analytical, problem-solving, and leadership skills, with the ability to communicate effectively across all organizational levels.
Proficient in eCW.
Advanced Excel Skills (Pivot Tables, VLOOKUPs, etc.)
Familiarity with Power BI, PowerPoint, and Microsoft Teams

Responsibilities

Lead and manage all aspects of Accounts Receivable (AR) operations, including billing, collections, payment posting, reconciliation, underpayment resolution, and bad debt management.
Monitor AR aging reports and key performance metrics to reduce Days Sales Outstanding (DSO) and bad debt through effective collection strategies and performance improvements.
Oversee monthly revenue close processes, ensure accurate GL reconciliation, and deliver timely AR-related financial reports to executive leadership.
Develop and maintain KPI dashboards to ensure data integrity, identify trends, and drive strategic improvements in collections and cash flow.
Serve as a subject matter expert on Medicare, Medicaid, and Managed Care billing guidelines, ensuring compliance and resolution of denials, rejections, and appeals.
Coordinate closely with Operations leaders and offshore teams to streamline workflows, strengthen accountability, and enhance AR performance across all regions.
Create, standardize, and maintain SOPs for AR processes to ensure global consistency and operational excellence.
Provide leadership, coaching, and performance feedback to AR staff; conduct regular team meetings and foster a culture of accountability, accuracy, and continuous improvement.
Collaborate with cross-functional departments — including Revenue Cycle, Operations, and Finance — to resolve complex issues and improve the customer and provider experience.
Support internal and external audits and ad-hoc reporting requests, ensuring accuracy and timely delivery.