Candidates must reside within the Eastern or Central Time Zone. This is a remote position that requires occasional travel to our Pittsburgh corporate office as needed.Work Schedule: Monday-Friday, 8:00 AM-5:00 PM ESTWhat you'll do:The provides strategic and operational leadership for the funded medical accounts receivable function. This role is accountable for building a high-performing collections organization, accelerating cash, reducing preventable write-offs, strengthening payer and patient collection practices, and ensuring disciplined execution across Medicare, Medicaid, commercial insurance, and patient receivables.The Director translates company objectives into an effective collections strategy, operating model, performance framework, and continuous improvement roadmap. The role partners closely with Funding, Billing, Finance, Accounting, Customer Service, Sales, Compliance, and Technology teams to remove barriers across the order-to-cash lifecycle and support scalable growth.
As a Director, Funded Billing & Collections, you will be responsible for:1. Strategy and Business Leadership- Own and execute the funded collections strategy in alignment with company financial and operational objectives.
- Establish annual and multi-year priorities for cash acceleration, aging reduction, denial recovery, write-off prevention, productivity, quality, and customer experience.
- Translate business goals into clear operating plans, performance expectations, resource requirements, and measurable outcomes.
- Serve as a strategic partner to the Senior leaders on accounts receivable risk, trends, opportunities, and corrective actions.
- Identify emerging payer, regulatory, technology, and operational risks and lead timely mitigation plans.
- Champion an enterprise view of the order-to-cash process, connecting upstream activities to downstream collections outcomes.
2. Revenue Cycle and Portfolio Performance- Provide executive oversight of funded receivables from Medicare, Medicaid, commercial payers, and patients.
- Ensure accounts are prioritized and worked promptly using defined segmentation, work queues, escalation paths, and follow-up standards.
- Lead performance against key indicators, including cash collections, days sales outstanding, aging, denial inventory, appeal outcomes, productivity, quality, and write-offs.
- Oversee denial and underpayment resolution strategies, payer escalation, appeal frameworks, and root-cause reduction activities.
- Direct the review and approval workflow for write-offs within established authority levels, ensuring appropriate documentation, approvals, and accurate system processing.
- Partner with Accounting on collectability reviews, reserves, reconciliations, audit support, and period-end reporting.
- Ensure reporting accurately reflects collection activity, risk, progress, and financial impact.
3. Operational Excellence, Scalability, and Technology- Design and maintain a scalable collections operating model with clear roles, decision rights, service expectations, and controls.
- Lead continuous improvement initiatives that reduce manual effort, eliminate rework, improve data quality, and strengthen first-time-right performance.
- Sponsor digitalization, automation, workflow, reporting, and system enhancement initiatives in partnership with Technology and business stakeholders.
- Create and govern policies, standard operating procedures, work instructions, templates, and controls for collections and appeals.
- Use data and trend analysis to identify systemic defects, quantify impact, prioritize improvements, and monitor sustained results.
- Ensure business continuity, workload balancing, and appropriate coverage during periods of absence or increased demand.
4. Cross-Functional Partnership- Build effective partnerships across Funding, Billing, Finance, Accounting, Customer Service, Sales, Compliance, and Technology.
- Lead recurring cross-functional reviews to resolve aging barriers, improve handoffs, and prevent recurring collection issues.
- Create shared accountability for upstream documentation, authorization, billing, payer enrollment, and data issues that affect collectability.
- Ensure collections requirements are incorporated into process, product, system, and policy changes.
- Represent the collections function in interdepartmental meetings, initiatives, audits, and training sessions.
- Promote transparent communication and bridge organizational silos to support company-wide goals.
5. People Leadership and Organizational Capability- Build, lead, engage, and retain a high-performing funded collections organization.
- Define the organizational structure, staffing plan, role clarity, competencies, and succession needs required to support the business.
- Recruit, onboard, develop, and coach leaders and team members while establishing clear expectations and accountability.
- Create a performance culture grounded in timely feedback, measurable goals, quality, ownership, collaboration, and continuous learning.
- Ensure regular communication, team forums, leadership routines, and recognition practices are in place.
- Oversee performance documentation and development planning in accordance with company policies.
- Develop training and knowledge resources for Collections and partner teams, including new-hire training and role-based learning.
6. Compliance, Controls, and Risk Management- Ensure compliance with company policies, contractual requirements, third-party payer rules, and applicable state and federal laws and regulations.
- Maintain effective operational controls, documentation standards, approval practices, and audit readiness.
- Partner with Compliance and Legal resources, as appropriate, to address payer, regulatory, customer, and operational risk.
- Ensure escalated customer, internal stakeholder, and payer concerns are addressed promptly, consistently, and professionally.
- Promote appropriate handling of confidential information and adherence to privacy and security requirements.
What you'll bring:Core Performance Outcomes- Improved cash realization and predictability across funded receivables.
- Reduced aging, avoidable denials, rework, and preventable write-offs.
- Consistent execution of collection standards, controls, and escalation pathways.
- Clear, timely, and actionable performance reporting for leadership.
- Scalable processes and technology-enabled workflows that support business growth.
- A capable, engaged, accountable, and well-developed collections organization.
- Stronger cross-functional alignment across the order-to-cash lifecycle.
Minimum QualifciaitonsEducation and Experience- Bachelor's degree in Business, Finance, Healthcare Administration, Accounting, or a related field, or an equivalent combination of education and relevant experience.
- Minimum of seven years of progressive healthcare revenue cycle, medical collections, or accounts receivable experience, including at least four years leading teams in a complex payer environment.
- Demonstrated experience leading managers or multi-layered teams and driving measurable operational improvement.
- Strong knowledge of Medicare, Medicaid, commercial payer, patient receivable, denial management, appeal, and reimbursement practices.
- Knowledge of Durable Medical Equipment billing, prior authorization, and payer funding requirements preferred.
- Experience with contractual adjustments, refunds, write-offs, cash application, and financial controls preferred.
Technical and Analytical Capabilities- Advanced proficiency in Microsoft Excel, Word, PowerPoint, Outlook, and collaboration tools.
- Experience with healthcare billing, collections, payer, workflow, and reporting applications.
- Demonstrated ability to interpret operational and financial data, identify trends, assess risk, and convert insights into action.
- Experience partnering with Technology teams on automation, workflow, reporting, systems integration, or process enhancement initiatives.
- Ability to build and communicate executive-level reporting, business cases, and recommendations.
Leadership Competencies- Strategic and Business Oriented: Connects collections priorities to company strategy, financial performance, customer outcomes, and scalable growth.
- Ownership and Execution: Takes accountability for results, establishes a clear path forward, removes barriers, and follows through on commitments.
- Analytical and Structured: Creates clarity and operating discipline, uses evidence to make decisions, and balances detail with enterprise perspective.
- People Leadership: Develops leaders and teams, delegates effectively, coaches consistently, and creates an environment where people can perform, learn, and thrive.
- Change Leadership: Leads effectively through change, builds commitment, and sustains improvements in a dynamic environment.
- Communication and Influence: Communicates clearly across levels and functions, presents recommendations with confidence, and builds alignment around shared goals.
- Collaboration and Integrity: Builds trust, welcomes constructive challenge, acts ethically, and represents the team and company professionally.
- Resilience and Capacity: Prioritizes effectively, maintains sound judgment under pressure, and leads through competing demands.
Work Environment- Ability to work effectively with interruptions and competing priorities in a fast-paced environment.
- Ability to work collaboratively across functions, locations, and levels of the organization.
- Ability to sit at a desk for prolonged periods.
- Ability to travel to Corporate office per business requirements.
Acknowledgment This job description summarizes the primary responsibilities and qualifications of the position. Responsibilities may evolve based on business needs, and other duties may be assigned.
Apply today! We believe in empowering individuals - including our own employees - to reach their full potential. So, if you want to change lives while growing your own career, we'd love to hear from you.
