Director of Accounts Receivable

ROM TECHNOLOGIES INC•Clearwater, FL

1d•Onsite

About The Position

The Director of A/R Revenue Cycle is responsible for providing strategic and operational leadership over Accounts Receivable, Billing, and Charge Capture functions. This role ensures accurate, compliant, and timely revenue realization by overseeing post‑billing and pre‑claims processes including charge integrity, claim submission, payment posting, denials management, appeals, and recoupments. The position supports ROMTech’s clinician guided at‑home rehab care model by optimizing reimbursement outcomes, reducing preventable denials, accelerating cash collections, and ensuring compliance with federal, state, and payer requirements.

Requirements

Expert knowledge of Medicare, Medicaid, and commercial payer billing and reimbursement rules
Strong analytical, operational, and problem‑solving capabilities
Proven ability to lead large, cross‑functional revenue cycle teams
Advanced understanding of denials prevention, AR management, and payer behavior
Strong communication, collaboration, and change‑management skills
Experience leveraging data analytics and dashboards to drive performance
8+ years of progressive experience in healthcare Revenue Cycle Management
Significant leadership experience overseeing billing, charge capture, and accounts receivable functions
Demonstrated success reducing denials and improving AR and cash performance

Nice To Haves

Experience with RPA technologies and workflow automation tools
Familiarity with DME billing processes and payer‑specific requirements
Advanced financial modeling or forecasting experience
Experience supporting high‑growth or scaled healthcare organizations
Experience with multi‑payer, multi‑state reimbursement environments
Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field
Master’s degree preferred
Revenue cycle or healthcare finance certifications such as CRCR, CPB, CPC, CHFP, or similar

Responsibilities

Provide executive oversight of charge capture, billing, claims submission, and accounts receivable operations.
Develop and standardize workflows across the revenue cycle continuum to improve accuracy, productivity, and compliance.
Partner with coding, clinical, compliance, and operational leaders to ensure accurate charge entry, modifier usage, documentation support, and claim integrity.
Oversee daily operations of billing, AR follow‑up, payment posting, and denial management teams.
Ensure all services are accurately captured, coded, and billed within established timeframes.
Implement charge reconciliation processes to prevent missed, duplicate, or incomplete charges.
Maintain compliance with CMS, Medicaid, and commercial payer billing and reimbursement rules.
Oversee clean‑claim validation processes and front‑end edits to reduce claim rejections and maximize first‑pass yield.
Monitor daily billing volumes and submission timeliness to support cash flow objectives.
Lead AR strategy to reduce days in AR, improve aging distribution, and enhance overall collections performance.
Direct denials, appeals, and recoupment activities, ensuring timely and compliant responses.
Conduct root‑cause analysis of preventable denials and collaborate with upstream teams to implement permanent corrective actions.
Establish and monitor dashboards, KPIs, and reporting related to AR performance, denials, cash forecasting, underpayments, and payer trends.
Manage payer recoupments, offsets, overpayment demands, and post‑payment audits including RAC, UPIC, SMRC, and commercial payer audits.
Partner with Compliance and Legal to address payer disputes and mitigate organizational risk.
Oversee accurate and timely payment posting, adjustments, refunds, and reconciliation of bank deposits to payer remittances.
Improve detection of payer variances, underpayments, and incorrect contractual adjustments.
Lead initiatives to automate manual processes using RPA, workflow tools, ERA/EFT automation, and advanced billing systems.
Evaluate system functionality and recommend enhancements to improve efficiency, scalability, and data accuracy.
Lead, develop, and coach managers and supervisors across AR, Billing, Payment Posting, and Charge Capture teams.
Establish performance benchmarks and accountability measures to foster a high‑performance, results‑driven culture.
Support special projects related to revenue cycle optimization, payer strategy, and system implementations.
Assist with training initiatives and documentation updates as processes evolve.
Participate in cross‑functional initiatives supporting operational excellence and organizational growth.
Performs other related duties as assigned to support operational and business needs.