Director of A/R & Reimbursement

Job DetailsJob Location: Legal Address - Austin, TX 78751Position Summary The Director of A/R & Reimbursement is a senior revenue cycle leader responsible for enterprise-wide oversight of accounts receivable, cash applications, and reimbursement performance across a multi-site orthopedic platform, including clinics and ambulatory surgery centers (ASCs). This role is both strategic and operational, charged with improving cash flow, accelerating collections, optimizing payer reimbursement, and building a high-performing, people-first culture within a distributed RCM workforce. Key Responsibilities Enterprise A/R & Cash Performance • Executive oversight of professional, ASC, and ancillary A/R • Ownership of A/R aging strategy and recovery initiatives • Oversight of cash posting accuracy, reconciliations, refunds, and recoupments • Monitoring KPIs including days in A/R, net collection rate, cash acceleration, and denial overturn rates Reimbursement & Payer Optimization • Lead underpayment identification and recovery efforts • Contractual variance analysis and payer escalations • Collaboration with managed care, coding, and revenue integrity teams • Optimization of allowed amounts and reimbursement predictability Leadership & Culture • Lead and develop remote A/R, cash applications, and reimbursement teams • Establish clear performance expectations and career pathways • Foster a culture of accountability, transparency, and collaboration Strategy & Continuous Improvement • Data-driven performance management using dashboards and analytics • Process redesign and automation initiatives • Support RCM centralization, growth, and acquisitions • Ensure compliance with payer and regulatory requirements     QualificationsRequired • 10+ years of progressive revenue cycle experience • Strong leadership in A/R and reimbursement • Experience managing remote RCM teams • Deep knowledge of orthopedic and ASC reimbursement • Exceptional communication and change leadership skills Preferred • Multi-site orthopedic or MSO experience • Familiarity with RCM analytics tools and clearinghouses