Director of A/R & Reimbursement

Growth Orthopedics•Austin, TX

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 strategic and operational role focuses on improving cash flow, accelerating collections, optimizing payer reimbursement, and building a high-performing, people-first culture within a distributed revenue cycle management workforce.

Requirements

10+ years of progressive revenue cycle experience.
Strong leadership experience 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

Provide executive oversight of professional, ASC, and ancillary accounts receivable.
Own accounts receivable aging strategy and recovery initiatives.
Oversee cash posting accuracy, reconciliations, refunds, and recoupments.
Monitor key performance indicators, including days in A/R, net collection rate, cash acceleration, and denial overturn rates.
Lead underpayment identification and recovery efforts.
Conduct contractual variance analysis and manage payer escalations.
Collaborate with managed care, coding, and revenue integrity teams.
Optimize 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.
Use dashboards and analytics for data-driven performance management.
Lead process redesign and automation initiatives.
Support RCM centralization, growth, and acquisitions.
Ensure compliance with payer and regulatory requirements.