Director, Accounts Receivable
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Job Description
Director leading hospital accounts receivable operations for Ovation Healthcare, which strengthens independent community healthcare. Driving cash recovery, denials reduction, analytics, and client performance.
Responsibilities:
- Provide strategic and operational leadership for hospital accounts receivable performance across assigned clients and facilities
- Direct billing, claim edits, insurance follow-up, denials and appeals, underpayments, credit balances, payer escalations, and vendor-supported activities
- Establish performance targets and operating routines for cash collections, A/R days, aging, denial rate, avoidable write-offs, productivity, quality, and recovery opportunities
- Monitor results and intervene when performance is off plan
- Own recurring revenue cycle reporting and use account-level and trend analysis to identify root causes and prioritize corrective actions
- Lead initiatives to accelerate cash, resolve aged and complex receivables, reduce preventable denials, recover underpayments, and address reimbursement barriers
- Serve as the primary accounts receivable partner to hospital executives and operational leaders
- Communicate performance, risks, opportunities, commitments, and decisions through executive reporting and operating reviews
- Partner with cross-functional revenue cycle, clinical, finance, technology, compliance, and managed care stakeholders
- Lead and develop managers and teams through expectations, prioritization, coaching, feedback, succession planning, and accountability
- Design, implement, and sustain standardized workflows, controls, escalation paths, and best practices
- Support patient accounting system implementations, business office transitions or consolidations, automation, and reporting enhancements
- Evaluate and manage collection, eligibility, underpayment, and outsourcing vendors
- Ensure compliance with laws, regulations, payer requirements, contracts, client policies, internal controls, and Ovation Healthcare standards
- Perform other duties and lead additional initiatives as assigned
Requirements:
- Bachelor’s degree in business, healthcare administration, finance, accounting, or a related field, or an equivalent combination of education and relevant experience
- Minimum of seven years of progressive hospital revenue cycle experience, including at least three years leading accounts receivable, billing, follow-up, denials, or related business office functions
- Demonstrated experience leading managers and teams, managing client or facility relationships, and presenting financial and operational performance to senior executives
- Advanced knowledge of hospital revenue cycle operations, payer reimbursement, claim adjudication, denials and appeals, underpayments, credit balances, contractual adjustments, and third-party collections
- Ability to improve accounts receivable performance through data analysis, disciplined operating routines, root-cause correction, and accountable action plans
- Strong financial and analytical capability, including interpretation of A/R aging, cash trends, payer behavior, denial patterns, productivity, quality, and recovery opportunity data
- Proficiency with Microsoft Excel and PowerPoint
- Experience with hospital patient accounting and electronic health record platforms
- Knowledge of Rural Health Clinic reimbursement methodologies, Medicare and Medicaid billing requirements, provider-based and independent clinic billing practices and regulatory compliance
- Ability to lead remote and geographically dispersed teams, manage competing priorities, resolve conflict, and deliver results in a client-service and matrixed environment
- Strong written, verbal, facilitation, and presentation skills
- Sound judgment, integrity, discretion, and willingness to engage directly in complex operational issues
- Approximately 10%–20% travel may be required
- Experience in a multi-facility, outsourced revenue cycle, consulting, or shared-services environment is preferred
- Epic, Oracle Health/Cerner, and MEDHOST experience is preferred
- Knowledge of Critical Access Hospital reimbursement and Method I and Method II billing requirements is preferred
- Professional certification such as CRCR, CHFP, or HFMA-related certification is preferred
Benefits:
- Comprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage
- HSA with employer contributions
- Flexible spending accounts for health care and dependent care accounts
- Wellness platform with premium incentives
- Employee assistance support
- Voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance
- Robust and flexible paid time off offerings
- Company paid holidays
- 401(k) plan with discretionary employer match opportunities
- Professional development opportunities
- Company issued equipment
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