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nimble solutions · 2 months ago

Director, Accounts Receivable - Revenue Cycle

United States

Full-time

Remote

Lead/Staff, Director/Executive

5+ years exp

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers and surgical clinics. The Director, Accounts Receivable will oversee client revenue, lead a team, and focus on optimizing operations and driving strategy in partnership with executive leadership.

BillingInformation TechnologySoftware

Growth Opportunities

Responsibilities

Responsible for meeting

Budget/forecast

Aged AR is less than 20%

Productivity and 95% or greater QA expectations

Leads, develops, and assists Manager(s), Team Lead(s), and Accounts Receivable Representatives with daily responsibilities

Drives performance through established department KPIs (key performance indicators) and holds the team accountable to meet expectations

Develops, implements, and monitors resolution plans when KPIs are not being met

Ensures manager(s) provide leadership and drive the training plan for new Accounts Receivable team members (in partnership with the training team)

Develops and coaches underperforming team members by providing direct feedback and coaching

Accountable for driving team members to meet and exceed goals and provide detailed feedback to the team and leadership if the goals are not met

Partners with the analytics team to review and analyze reports and data to maximize efficiency and direct focus to appropriate areas of concern

Reviews data and creates and drives action plans to resolve accounts and issues

Identify denial trends, report on global payer issues, and implement recovery plans

Ensure the team is creating and executing reports weekly, monthly, quarterly, etc. AR reports for clients

Acts as a resource for all Accounts Receivable team members for questions regarding billing policies, state guidelines, reimbursement analysis, and assists with the resolution of challenging accounts and claims

Creates and drives policies, procedures, and best practices, and revises as necessary

Ensures change management best practice is followed and monitored to ensure the adoption of processes

Enforces and holds the team accountable for adhering to and driving processes

Partners closely with Client Management leadership to proactively identify items that may lead to client risk, maintain/exceed client satisfaction, and address any questions related to AR/AR performance

Maintains knowledge of client-specific SOWs

Presents account performance to clients and internal leadership

Subject matter expert on client accounts, responsible for oversight

Accountable for ensuring the client risk SLA is met

Qualification

Accounts ReceivableRevenue Cycle ManagementLeadership ExperienceAnalytic SkillsHealthcare Industry KnowledgeMicrosoft Office SuiteHIPAA ComplianceClient ServicesProcess ImprovementCommunication SkillsCustomer Focus

Required

At least 5 years of experience in Accounts Receivable, with at least 3 years in a leadership position

5+ years of Accounts Receivable and Claims experience in the healthcare industry

Strong analytic skills and proven success leading process improvement initiatives and project management

Knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Worker's Compensation requirements and procedures, and diagnosis and medical terminology

Intermediate level of expertise with Microsoft Office Suite

Knowledge of and ability to comply with HIPAA, HITECH, and patient confidentiality policies

Advanced knowledge of the revenue cycle is required; experience with ASC billing is preferred

Experience creating and delivering client-facing content and client presentations