Director of Accounts Receivable - Virtual Office - PO BOX San Diego, California, United States
2 days ago
Job description
DescriptionPosition Summary
The Director of Accounts Receivable (AR) is responsible for leading and optimizing all back-end revenue cycle operations for a multi-site ABA organization. This role oversees billing, claims submission, denial management, payment posting, follow-up, payer relations, and AR analytics to ensure timely reimbursement and sustainable cash flow.
The Director will drive KPI performance across payer portfolios (commercial, Medicaid, TRICARE, etc.), reduce days in AR, improve clean claim rates, and strengthen compliance with ABA-specific payer requirements, authorizations, and documentation standards. This leader partners cross-functionally with Clinical, Patient Access, Authorization, Credentialing, and Executive teams to ensure end-to-end revenue integrity.
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Key Responsibilities
Revenue Cycle & AR Leadership
· Own end-to-end Accounts Receivable performance across all ABA markets.
· Lead billing, payment posting, AR follow-up, denial management, and appeals teams.
· Drive reduction in AR days, denial rates, and aging >90 days.
· Monitor and improve clean claim rate and first-pass resolution.
· Ensure timely submission of claims in compliance with payer contracts and ABA-specific requirements.
Denials & Payer Strategy
· Develop structured denial prevention and appeals strategy, especially around:
o Authorization-related denials
o Medical necessity documentation
o Credentialing issues
o Coordination of benefits
· Establish payer escalation pathways and manage high-impact payer relationships.
· Identify root causes and implement upstream process corrections.
Financial Performance & Reporting
· Own AR forecasting, cash projections, and variance analysis.
· Deliver weekly and monthly executive reporting on KPIs:
o AR Days
o Net Collection Rate
o Denial Rate
o Cash Acceleration
o Cost to Collect
· Manage departmental P&L, staffing models, productivity benchmarks, and vendor oversight.
Compliance & Risk Mitigation
· Ensure adherence to payer policies, Medicaid regulations, HIPAA, and state-specific ABA billing guidelines.
· Partner with Compliance and Clinical teams to mitigate audit risk.
· Standardize documentation requirements to protect reimbursement.
Team Leadership & Development
· Lead, mentor, and develop AR managers and supervisors.
· Build productivity standards, QA programs, and structured coaching models.
· Align onshore/offshore or outsourced partners to performance expectations.
· Foster a culture of accountability, collaboration, and continuous improvement.
Cross-Functional Collaboration
· Partner with:
o Patient Access / Authorization teams to reduce upstream defects
o Clinical leaders to address documentation gaps
o Credentialing to prevent billing holds
o Finance for cash forecasting and budget alignment
· Create feedback loops to eliminate revenue leakage.
QualificationsRequired Qualifications
· Bachelor's degree required; Master's preferred.
· 7+ years of progressive Revenue Cycle leadership experience.
· 5+ years managing AR / Billing / Denials in healthcare.
· Experience managing multi-site or multi-state operations.
· Strong knowledge of commercial and Medicaid payer rules.
· Proven success reducing AR days and denial rates.
· Demonstrated ability to manage P&L and productivity standards.
· Experience with RCM systems, clearinghouses, and reporting dashboards.
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Preferred Qualifications
· Experience in ABA, behavioral health, pediatric therapy, or outpatient healthcare.
· Experience managing offshore or BPO vendor teams.
· Certification in revenue cycle, collections, or healthcare finance.
· Strong background in payer contract analysis and reimbursement optimization.
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Key Competencies
· Data-driven decision maker
· Operational excellence mindset
· Strong executive presence
· Process improvement & workflow optimization
· High accountability and ownership
· Change leadership
· Regulatory and compliance expertise
PHYSICAL REQUIREMENTS
· Ability to exert up to 10 pounds of force and lift/move up to 15 pounds
· Ability to sit for long periods of time (up to 3 hours at a time) during the scheduled workday
Additional Information
ACES is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender, gender identity, sexual orientation, marital status, national origin, disability, age or covered veteran status.
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