Vice President, Invoice to Cash

Vice President, Invoice to Cash
The Vice President, Invoice to Cash (I2C) is a senior operating executive responsible for leading both the Accounts Receivable, Cash Applications, and Requestor Management teams. This combined department of ~50 staff are responsible for working with a wide range of medical record requestors (insurance companies, attorneys, and their retrieval agents) with a mix of high touch account management for the high-volume requestors and a long tail mass touch approach for long tail of low volume requestors.

Key metrics and activities that this role will be responsible for include: measuring and tracking Days Sales Outstanding (DSO) by cohort, percent of request volume actively managed, enhancing the monthly billing and statement process, maintaining unapplied cash at a 3-day level, and bringing more automation/technology to this function. This role is intentionally hands-on and detail-oriented, requiring deep engagement in daily collections activity, aging trends, customer disputes, and cash forecasting. In a private-equity-backed environment, this leader is expected to operate as a player-coach who can personally diagnose issues, drive execution, and hold teams accountable for results.

Duties & Responsibilities:

Hands-On Accounts Receivable Leadership & DSO Ownership (Primary Mandate), with Cash Applications and Requestor Management as secondary mandates
Own enterprise-wide accounts receivable (AR) performance with direct, personal accountability for DSO reduction, and past-due aging
Engage directly in weekly aging reviews, top delinquent account analysis, and high-risk customer situations
Design and enforce disciplined collections operating rhythms, including daily, weekly, and monthly execution cadences
Define, track, and actively manage KPIs including DSO, aging mix, Collection Effectiveness Index (CEI), dispute cycle time, and billing accuracy
Lead hands-on improvements across collections, billing accuracy, cash application, and dispute workflows. Ensure improvements are embedded into daily execution, not just documented in policy
Expand and mature the requestor management/data integrity process and team including management of sales tax-exempt requestors
Partner with R&D team to design AR/collections modules within our platform
Oversee daily cash application activities for all payment channels, including ACH, wire transfers, lockbox, credit cards, checks, and electronic payment platforms
Ensure timely and accurate posting of customer and requestor payments to accounts receivable.
Establish and maintain strong internal controls for cash receipt processing
Lead implementation and optimization of cash application technologies, including AI-driven cash application tools and/or robotic process automation (RPA)
Collaborate as a peer to the Controller, SVP of Finance, and VP of FP&A as a leader in the finance organization
Perform other duties, as assigned, to ensure effective operation of the department and the Company
Live by and promote Verisma Core Values

Minimum Qualifications:

Bachelor’s degree in Accounting, Finance, or Business, required
12-15+ years of progressive experience in Management of Order/Invoice to Cash, Accounts Receivable, Collections, or Finance
CPA strongly preferred
Proven ability to lead and develop large, multi-functional teams with a data driven mindset
Experience in Release of Information, Revenue Cycle, Record Retrieval, or Healthcare, preferred
Technically proficient with data analysis tools such as Advance Excel, Power BI, SQL, etc.
Travel 5 to 10% of the time