Director, Accounts Receivable

Description

Who We're Looking To Add To Our Growing Team: 

nimble solutions (“nimble” and f/k/a National Medical) is currently seeking an Director, Accounts Receivable. nimble provides revenue cycle outsourcing services to ambulatory surgery centers (“ASCs”), surgical practices, surgical hospitals, and anesthesia groups. This is a great opportunity to join a market-leading brand serving a high growth end market while gaining valuable experience working closely with leadership.

As the Director, Accounts Receivable you will oversee, develop, and be accountable for $10-$20 million client revenue and lead a team of 5-15 individuals. This individual should have a successful track record of driving results to meet performance SLA’s, expertise in RCM accounts receivable and claims, and demonstrated ability to lead, develop, and grow a team. You will be focused on optimizing our operation, partnering with the Vice President, Accounts Receivable to create and drive strategy.

On a typical day, you'll be responsible for:   

People Leadership

• Responsible for meeting
• Budget/forecast 
• Aged AR less than 20%
• Productivity and 95% or above QA expectations
• Leads, develops, and assists Assistant Directors, Account Performance Managers and Accounts Receivable Representatives with daily responsibilities
• Drives performance through established department KPIs (key performance indicators) and holds team accountable
• Ensures Assistant Directors provides leadership and drives training plan for new Accounts Receivable team members (in partnership with 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 team and leadership if the goals are not met

Analytics

• Partners with 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 team is creating and executing reports weekly, monthly, quarterly, etc. AR reports for clients 

Subject Matter Expert

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

Process

• Creates and drives policies, procedures and best practices and revises as necessary
• Ensures change management best practice is followed and monitored to adhere adoption of processes
• Enforces and hold team accountable for adhering to and driving process

Client Services

• Partners closely with Client Management leadership to pro-actively identify items that may lead to client risk, maintain/exceed client satisfaction, 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 client risk SLA is met

Requirements

• 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 preferred
• Epic experience strongly preferred
• Experience creating and delivering client facing content and client presentations

Key Competencies

• Drives Results. Consistently achieves results, even under difficult circumstances. Fosters a sense of urgency in the team for reaching goals and meeting deadlines. Readily acts on challenges, Identifies, and seizes new opportunities; Leads others to persist despite setbacks or obstacles; Establishes cl