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

Qualifications

Required 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 Preferred Multi-site orthopedic or MSO experience Familiarity with RCM analytics tools and clearinghouses