Director of Accounts Receivable
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Job Location:
San Diego, CA - USA
Monthly Salary:
USD 95000 - 125000
Posted on:
10 hours ago
Vacancies:
1 Vacancy
Job Summary
Position Summary
The Director of Accounts Receivable (AR) is responsible for leading and optimizing all back-end revenue cycle operations for a multi-site ABA organization. This role oversees billing claims submission denial management payment posting follow-up payer relations and AR analytics to ensure timely reimbursement and sustainable cash flow.
The Director will drive KPI performance across payer portfolios (commercial Medicaid TRICARE etc.) reduce days in AR improve clean claim rates and strengthen compliance with ABA-specific payer requirements authorizations and documentation standards. This leader partners cross-functionally with Clinical Patient Access Authorization Credentialing and Executive teams to ensure end-to-end revenue integrity.
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Key Responsibilities
Revenue Cycle & AR Leadership
Own end-to-end Accounts Receivable performance across all ABA markets.
Lead billing payment posting AR follow-up denial management and appeals teams.
Drive reduction in AR days denial rates and aging >90 days.
Monitor and improve clean claim rate and first-pass resolution.
Ensure timely submission of claims in compliance with payer contracts and ABA-specific requirements.
Denials & Payer Strategy
Develop structured denial prevention and appeals strategy especially around:
o Authorization-related denials
o Medical necessity documentation
o Credentialing issues
o Coordination of benefits
Establish payer escalation pathways and manage high-impact payer relationships.
Identify root causes and implement upstream process corrections.
Financial Performance & Reporting
Own AR forecasting cash projections and variance analysis.
Deliver weekly and monthly executive reporting on KPIs:
o AR Days
o Net Collection Rate
o Denial Rate
o Cash Acceleration
o Cost to Collect
Manage departmental P&L staffing models productivity benchmarks and vendor oversight.
Compliance & Risk Mitigation
Ensure adherence to payer policies Medicaid regulations HIPAA and state-specific ABA billing guidelines.
Partner with Compliance and Clinical teams to mitigate audit risk.
Standardize documentation requirements to protect reimbursement.
Team Leadership & Development
Lead mentor and develop AR managers and supervisors.
Build productivity standards QA programs and structured coaching models.
Align onshore/offshore or outsourced partners to performance expectations.
Foster a culture of accountability collaboration and continuous improvement.
Cross-Functional Collaboration
Partner with:
o Patient Access / Authorization teams to reduce upstream defects
o Clinical leaders to address documentation gaps
o Credentialing to prevent billing holds
o Finance for cash forecasting and budget alignment
Create feedback loops to eliminate revenue leakage.
Qualifications
Required Qualifications
Bachelors degree required; Masters preferred.
7 years of progressive Revenue Cycle leadership experience.
5 years managing AR / Billing / Denials in healthcare.
Experience managing multi-site or multi-state operations.
Strong knowledge of commercial and Medicaid payer rules.
Proven success reducing AR days and denial rates.
Demonstrated ability to manage P&L and productivity standards.
Experience with RCM systems clearinghouses and reporting dashboards.
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Preferred Qualifications
Experience in ABA behavioral health pediatric therapy or outpatient healthcare.
Experience managing offshore or BPO vendor teams.
Certification in revenue cycle collections or healthcare finance.
Strong background in payer contract analysis and reimbursement optimization.
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Key Competencies
Data-driven decision maker
Operational excellence mindset
Strong executive presence
Process improvement & workflow optimization
High accountability and ownership
Change leadership
Regulatory and compliance expertise
PHYSICAL REQUIREMENTS
Ability to exert up to 10 pounds of force and lift/move up to 15 pounds
Ability to sit for long periods of time (up to 3 hours at a time) during the scheduled workday
Additional Information
ACES is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex gender gender identity sexual orientation marital status national origin disability age or covered veteran status.
Required Experience:
Director
Key Skills
- Journal Entry
- Customer Service
- Collection effort
- A/R Management
- Past due Account
- General Ledger Accounting
- Accounting
- Excel
- Payroll
- Financial statement
- Collection procedures
- Customer Account
- Delinquents Account
- Direct Reports
- Timely collections
About Company
Discover compassionate autism care and support services at ACES ABA. Join us in nurturing potential and fostering growth for individuals and families.
