Director of Accounts Receivable

ROMTech is a medical technology company that has created and patented a revolutionary medical device and telemedical platform which delivers in-home rehabilitative care. Our disruptive technology has proven to yield faster recoveries and better outcomes with unmatched patient compliance. We began in orthopedics and have entered scale-up of our orthopedic business. We are now leveraging our core technology, infrastructure, and first mover position to enter cardiology, followed by other adjacent markets. Having created this new lane, we have a unique opportunity to serve as the global leader in the business, technology, and science of recovery, and to bring life-changing help to many millions of people. 

Job Purpose 

The Director of A/R Revenue Cycle is responsible for providing strategic and operational leadership over Accounts Receivable, Billing, and Charge Capture functions. This role ensures accurate, compliant, and timely revenue realization by overseeing post‑billing and pre‑claims processes including charge integrity, claim submission, payment posting, denials management, appeals, and recoupments. The position supports ROMTech’s clinician guided at‑home rehab care model by optimizing reimbursement outcomes, reducing preventable denials, accelerating cash collections, and ensuring compliance with federal, state, and payer requirements. 

Key Responsibilities 

Essential Duties 

• Provide executive oversight of charge capture, billing, claims submission, and accounts receivable operations. 

• Develop and standardize workflows across the revenue cycle continuum to improve accuracy, productivity, and compliance. 

• Partner with coding, clinical, compliance, and operational leaders to ensure accurate charge entry, modifier usage, documentation support, and claim integrity. 

• Oversee daily operations of billing, AR follow‑up, payment posting, and denial management teams. 

• Ensure all services are accurately captured, coded, and billed within established timeframes. 

• Implement charge reconciliation processes to prevent missed, duplicate, or incomplete charges. 

• Maintain compliance with CMS, Medicaid, and commercial payer billing and reimbursement rules. 

• Oversee clean‑claim validation processes and front‑end edits to reduce claim rejections and maximize first‑pass yield. 

• Monitor daily billing volumes and submission timeliness to support cash flow objectives. 

• Lead AR strategy to reduce days in AR, improve aging distribution, and enhance overall collections performance. 

• Direct denials, appeals, and recoupment activities, ensuring timely and compliant responses. 

• Conduct root‑cause analysis of preventable denials and collaborate with upstream teams to implement permanent corrective actions. 

• Establish and monitor dashboards, KPIs, and reporting related to AR performance, denials, cash forecasting, underpayments, and payer trends. 

• Manage payer recoupments, offsets, overpayment demands, and post‑payment audits including RAC, UPIC, SMRC, and commercial payer audits. 

• Partner with Compliance and Legal to address payer disputes and mitigate organizational risk. 

• Oversee accurate and timely payment posting, adjustments, refunds, and reconciliation of bank deposits to payer remittances. 

• Improve detection of payer variances, underpayments, and incorrect contractual adjustments. 

• Lead initiatives to automate manual processes using RPA, workflow tools, ERA/EFT automation, and advanced billing systems. 

• Evaluate system functionality and recommend enhancements to improve efficiency, scalability, and data accuracy. 

• Lead, develop, and coach managers and supervisors across AR, Billing, Payment Posting, and Charge Capture teams. 

• Establish performance benchmarks and accountability measures to foster a high‑performance, results‑driven culture. 

Other Functions 

• Support special projects related to revenue cycle optimization, payer strategy, and system implementations. 

• Assist with training initiatives and documentation updates as processes evolve. 

• Participate in cross‑functional initiatives supporting operational excellence and organizational growth. 

• Performs other related duties as assigned to support operational and business needs. 

Skills and Abilities 

Required: 

• Expert knowledge of Medicare, Medicaid, and commercial payer billing and reimbursement rules 

• Strong analytical, operational, and problem‑solving capabilities 

• Proven ability to lead large, cross‑functional revenue cycle teams 

• Advanced understanding of denials prevention, AR management, and payer behavior 

• Strong communication, collaboration, and change‑management skills 

• Experience leveraging data analytics and dashboards to drive performance 

Preferred: 

• Experience with RPA technologies and workflow automation tools 

• Familiarity with DME billing processes and payer‑specific requirements 

• Advanced financial modeling or forecasting experience 

Work Experience Requirements 

Required: 

• 8+ years of progressive experience in healthcare Revenue Cycle Management 

• Significant leadership experience overseeing billing, charge capture, and accounts receivable functions 

• Demonstrated success reducing denials and improving AR and cash performance 

Preferred: 

• Experience supporting high‑growth or scaled healthcare organizations 

• Experience with multi‑payer, multi‑state reimbursement environments 

Education Requirements 

Preferred: 

• Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field 

• Master’s degree preferred 

License and Certification Requirements 

Preferred: 

• Revenue cycle or healthcare finance certifications such as CRCR, CPB, CPC, CHFP, or similar 

Physical Demands and Working Conditions 

Office 

This position primarily operates in a professional office environment. Duties require the ability to sit for extended periods, use a computer and other office equipment, communicate effectively with internal and external stakeholders, and attend meetings. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role.