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About the Role
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.
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
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
- Multi-site orthopedic or MSO experience
- Familiarity with RCM analytics tools and clearinghouses
Skills
- Revenue cycle management
- Accounts receivable management
- Cash applications
- Reimbursement optimization
- Leadership
- Team development
- Performance management
- Data analysis
- Process improvement
- Compliance
- Change management
- Orthopedic reimbursement
- ASC reimbursement
Location
- Austin, TX
Work Type
- Remote
Experience Level
- Senior
- 10+ years
Salary/Compensations
- Undisclosed
About the Company
- Growth Orthopedics is a multi-site orthopedic platform including clinics and ambulatory surgery centers (ASCs).