Director of A/R & Reimbursement

Growth Orthopedics•Austin, TX

8d•Onsite

About The Position

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.

Requirements

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

Nice To Haves

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

Responsibilities

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
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
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
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