Director, Accounts Receivable Business Management

Status

Full-Time

Standard Hours per Week

40

Job Posting Category

Finance

Job Posting Description

Position Summary

The Director of Hospital Accounts Receivable Business Management is responsible for leading comprehensive cash management strategies and overseeing denials, appeals, and candidate-for-billing processes. 

Key Responsibilities

Cash Management:
•    Develop and oversee hospital cash strategies, reconciliation processes, and automation.
•    Ensure adherence to institutional policies and regulatory requirements.
•    Lead cash collection and error reduction initiatives.
•    Collaborate with Hospital Financial Reporting and Physician Organization Accounting teams.

Denial Management:
•    Conduct root cause analysis to identify denial trends and drive improvements.
•    Lead the Denial Management Oversight Committee (DMOC).
•    Develop denial accountability models across all revenue cycle areas.
•    Produce and present comprehensive denial trend reports.

Appeals Management:
•    Oversee timely and effective resolution of denied claims.
•    Monitor appeal outcomes and refine strategies.
•    Enforce accountability models across revenue cycle areas.

Candidate for Billing Oversight:
•    Manage timely resolution of edits in the candidate-for-billing process.
•    Track volumes and optimize success rates.
•    Maintain accountability across departments for performance improvement.

Stakeholder Collaboration:
•    Partner with clinical, IT, and billing teams to address denial causes and automation opportunities.
•    Align strategies across stakeholders to reduce rejections and enhance workflows.

Process Improvement:
•    Implement continuous process improvements and workflow enhancements.
•    Leverage data analytics to monitor performance and inform strategy.

Regulatory Compliance:
•    Stay current on healthcare regulatory changes.
•    Ensure all related processes meet compliance standards.

Leadership & Team Development:
•    Lead, mentor, and develop a high-performing team.
•    Foster a culture of accountability, collaboration, and innovation.

Required Qualifications

•    BA degree in Finance or related field: MA degree preferred.
•    Relevant certifications such as CPC, COC, AHIMA-CCS, RN, RT, MT, RPH, or PMP are highly desirable.
•    10 years of experience in hospital finance or revenue cycle management, with significant exposure to cash management and denial/appeals processes.
•    Proven experience in process improvement and regulatory compliance within a healthcare setting.
•    Strong leadership skills with a track record of developing high-performing teams.
•    Excellent analytical, problem-solving, and communication skills.
•    Proficiency with financial management systems and data analytics tools.
•    Ability to manage multiple projects and negotiate with peer level leaders on issues affecting both the department and the broader hospital organization.
•    Strong knowledge of end-to-end healthcare revenue cycle operations.
•    Ability to communicate effectively and collegially, including empathetic communication in challenging situations.

Boston Children’s Hospital offers competitive compensation and unmatched benefits.
 

Office/Site Location

Boston

Regular, Temporary, Per Diem

Regular

Remote Eligibility

Full-Time Remote