Director, Accounts Receivable, ASC

Job Description

Job Description

Description:

**Local candidates able to work a hybrid schedule from our Chesterfield HQ are preferred; however, we will also consider remote applicants ***

Who We Are:

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 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 focus on optimizing our operations and 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 the team accountable
• Ensures Assistant Directors/Managers provide leadership and drive the training plan for new Accounts Receivable team members (in partnership with the 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 the team and leadership if the 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
• Identify denial trends, report on global payer issues, and implement recovery plans
• Ensure the 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 the resolution of challenging accounts and claims.

Process

• Creates and drives policies, procedures, and best practices, and revises as necessary
• Ensures change management best practices are followed and monitored to ensure adoption of processes
• 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/exceed client satisfaction, and 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 the client risk SLA is met

• 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 in 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 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 in 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

Location

• In-office hybrid position in Chesterfield location or remote for non-local candidates. Role may require light travel to company offices, key company, and industry events.

Start Date

• Immediately