Director of A/R & Reimbursement

Director of A/R & Reimbursement | Growth Orthopedics Position Summary

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