Director, Accounts Receivable - Revenue Cycle Management

Company Overview

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 who trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

Job Overview

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 the[i] Senior Vice President, Accounts Receivable to create and drive strategy. This role will work closely with Accounts Receivable onshore department leaders/team.

Responsibilities

People Leadership

• Responsible for meeting
  • Budget/forecast
• Aged AR less than 20%
• Productivity and 95% or greater 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 the team accountable
• Develops, implements, and monitors resolution plans when KPIs are not being met
• Ensures Assistant Directors provide leadership and drive training plans 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 providing 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, and 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 practice is followed and monitored to adhere adoption of processes
• Enforces and holds team accountable for adhering to and driving process
  

Qualifications

• At least 15-18 years of experience in Accounts Receivable, with at least 8 years in a leadership position.
• 15+ 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 is preferred
• Epic experience is 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 to reach goals and meet 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 position in Hyderabad location. Role requires travel to company offices, key company, and industry events.

Start Date

• Immediately