Why you’ll want to work at nimble! 

Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in accelerated growth mode through acquisition and business development with a laser focus on positive culture building! 

Who we are: 

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

As the Director, Accounts Receivable, you will oversee, develop, and be accountable for $10M-$20M in 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.

Responsibilities

People Leadership

• Responsible for meeting budget/forecast targets
• Aged AR <20%
• Productivity and 95% or greater QA expectations
• Leads, develops, and assists Assistant Directors, Account Performance Managers, and Accounts Receivable Representatives with daily responsibilities, including those supporting anesthesia billing workflows
• Drives performance through established department KPIs and holds the team accountable
• Ensures Assistant Directors/Managers provide leadership and drive training plans for new Accounts Receivable team      members (in partnership with the training team), including anesthesia-specific billing and coding orientation
• 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 goals are not met

Analytics

• 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, with particular focus on anesthesia AR aging patterns and payer-specific reimbursement behavior
• Identifies denial trends — including anesthesia-specific denials such as base unit/time unit disputes, medical direction issues, and CRNA supervision edits — reports on global payer issues, and implements recovery plans
• Ensures the team is creating and executing weekly, monthly, and quarterly AR reports for clients

Subject Matter Expert

• Acts as a resource for all Accounts Receivable team members for questions regarding billing policies, state guidelines, and reimbursement analysis, with demonstrated expertise in anesthesia billing, concurrent/medically directed models, and anesthesia-specific payer contract terms
• Assists with the resolution of challenging accounts and claims, including complex anesthesia denials and reimbursement disputes

Process

• Creates and drives policies, procedures, and best practices — including anesthesia-specific workflows — and revises as      necessary
• Ensures change management best practices are followed and monitored to drive adoption
• Enforces and holds the team accountable for adhering to and driving the process

Client Services

• Partners closely with Client Management leadership to proactively identify items that may lead to client risk, maintain or exceed client satisfaction, and address questions related to AR performance, including anesthesia-specific billing concerns
• Maintains knowledge of client-specific SOWs, including contractual nuances relevant to anesthesia service lines
• Presents account performance to clients and internal leadership, including anesthesia AR metrics and recovery trend analysis
• Acts as subject matter expert on client accounts under oversight, with anesthesia billing as a core area of expertise
• Accountable for ensuring the client risk SLA is met

• At least 5 years of experience in Accounts Receivable, with at least 3 years in a leadership position
• Anesthesia experience is highly preferred
• 5+ years of Accounts Receivable and Claims experience in the healthcare industry
• Strong analytic skills and proven success in leading process improvement initiatives and project management
• Knowledge of Medicare, Medicaid, Private Insurance, Private Pay, Liability, and Workers’ 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
• 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 clear responsibilities and processes for monitoring work and measuring results.

Communicates Effectively. Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences. Provides timely and helpful information to others across the organization; Encourages the open expression of diverse ideas and opinions; Picks up on situational cues and adapts personal, interpersonal, and leadership behavior to fit.

Quality Decision-making. Makes sound decisions, even in the absence of complete information; Considers all relevant factors and uses appropriate decision-making criteria and principles; shows courage in speaking up and driving appropriate decisions for the organization based on sound risk/reward analysis.

Customer Focus. Gains insight into customer needs; Identifies opportunities that benefit the customer; Builds and delivers messaging and solutions that meet customer expectations.