Description

 

Job Description  

nimble solutions (“nimble” and f/k/a National Medical) is currently seeking a Director, Accounts Receivable-nimble international to join our team. 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 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 thei Senior Vice President, Accounts Receivable to create and drive strategy. 

Responsibilities?? 

People Leadership? 

  • Responsible for meeting? 
  • Budget/forecast?? 
  • Aged AR 20%? 
  • Productivity and 95% or  QA expectations? 
  • Leads, develops, and assists Assistant Directors, 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.? 

Financial & AR Performance 

  • Own cash collections, AR aging, inventory reduction and client financial KPIs. 
  • Establish performance targets and corrective action plans. 
  • Identify revenue leakage and opportunities to improve cash realization. 

Operational Excellence & Productivity 

  • Drive productivity, capacity utilization, quality and SLA performance. 
  • Optimize staffing and workforce allocation based on workload and business priorities. 
  • Establish standardized operating models and best practices across teams. 

Transformation & Automation 

  • Lead AR transformation initiatives using automation, analytics and technology. 
  • Identify opportunities to eliminate manual work and improve first-pass resolution. 
  • Partner with Technology, Analytics and Operations to implement scalable solutions. 

Leadership & Talent Development 

  • Build a strong leadership pipeline through ADs, Managers and team leaders. 
  • Establish succession planning and talent development. 
  • Create a culture of accountability, continuous improvement and high performance. 

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.? 

Qualifications?? 

  • 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.?