Director, Revenue Cycle AR & Payment Posting

GI Alliance Southlake, Texas, United States

About this position

Director, Revenue Cycle AR & Payment Posting


Job Details

Job Location: Fully Remote • GIA Cedar Ridge Admin - Southlake, TX 76092
Position Type: Full Time
Job Shift: Day

Description

Description


GI Alliance is seeking an experienced Director, Revenue Cycle.


Duties of this position include, but are not limited to, the following:


Position purpose
The Director of Revenue Cycle – AR & Payment Posting is responsible for the end-to-end performance of post-billing revenue cycle operations, including payment posting, unapplied cash, denial recovery, aging AR, refund accuracy, and reconciliation processes. This role ensures timely, accurate, and compliant cash posting while driving measurable improvements in AR velocity, collectability, and financial transparency.
The Director partners closely with executive leadership, finance, physician practices, and external vendors to identify root causes, implement standardized workflows, and optimize performance through data-driven decision-making and continuous improvement.
Key Responsibilities
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Operational Leadership
  • Direct and oversee all Accounts Receivable and Payment Posting operations, including EFT/ERA posting, manual posting, unapplied cash resolution, refunds, and deposit reconciliation.
  • Ensure accurate and timely posting of all payments across payor sources, lockboxes, portals, and practice-level deposits.
  • Maintain strong controls over cash integrity, reconciliation, and audit readiness.

    • Performance Management & Analytics
  • Establish, monitor, and continuously improve key AR and payment posting KPIs, including:
    • Days in AR
    • Aged AR (90+)
    • Unapplied cash
    • Posting lag
    • Denial recovery rates
    • Refund turnaround times
  • Lead detailed monthly operational reviews focused on trend analysis, root-cause identification, and corrective action plans.
  • Utilize data-driven insights to improve cash flow, reduce revenue leakage, and enhance forecast accuracy.

  • Days in AR
  • Aged AR (90+)
  • Unapplied cash
  • Posting lag
  • Denial recovery rates
  • Refund turnaround times

    • Compliance & Risk Management
  • Ensure compliance with all applicable regulatory, contractual, and payer requirements related to billing, posting, refunds, and credit balances.
  • Maintain and update policies and procedures to reflect regulatory changes and internal controls.
  • Partner with Compliance and Finance to support audits, reconciliations, and financial reporting accuracy.

    • Process Improvement & Standardization
  • Drive operational rigor through standardized workflows, best-practice adoption, and scalable process design across practices and regions.
  • Lead initiatives to reduce posting backlogs, resolve legacy AR, and eliminate recurring issues through disciplined root-cause analysis.
  • Collaborate with technology and vendor partners to optimize automation, system configuration, and posting efficiency.

    • People & Vendor Leadership
  • Build, develop, and lead high-performing AR and Payment Posting teams aligned with GI Alliance’s mission, vision, and values.
  • Partner with Human Resources to assess staffing models, capacity needs, and skill mix to support performance goals.
  • Manage subordinate leaders and external vendors, ensuring accountability, productivity, and service-level adherence.

    • Cross-Functional Collaboration
  • Work closely with Finance, Coding, Charge Entry, Front-End Revenue Cycle, and Practice Operations to ensure seamless revenue flow.
  • Partner with executive leadership and department heads to align operational priorities with enterprise financial objectives.

    • Other Duties
  • Support special projects and strategic initiatives as assigned.
  • Serve as a subject-matter expert for AR and payment posting within the enterprise.


    • Qualifications

    Qualifications



    Education: Bachelors Degree preferred.


    Experience: Five (5) years in healthcare revenue cycle experience required; equivalent management experience


  • Knowledge of medical terminology, CPT codes, and ICD-10 codes preferred
  • Knowledge of Microsoft Office Products- ability to create and build spreadsheets in Excel
  • Demonstrates competence in management and leadership skills to develop and implement organizational strategies and opportunities for improving company growth.
  • Maintain current knowledge and adhere to appropriate regulatory standards such as Medicare.
  • Ability to analyze data and develop systems to accurately control financial activity within a hospital setting.
    • Excellent communication skills, both written and verbal.
    • Proficient technical (computer) skills.
    • Ability to multi-task and prioritize.
    • Self-motivated with initiative.
    • Strong sense of ethics.
    • Ability to manage conflict and resolve problems.

  • Excellent communication skills, both written and verbal.
  • Proficient technical (computer) skills.
  • Ability to multi-task and prioritize.
  • Self-motivated with initiative.
  • Strong sense of ethics.
  • Ability to manage conflict and resolve problems.

    • GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.


    Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.


    NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.

    No phone calls or agencies, please.


    EEO/AA-M/F/disabled/protected veteran