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DIRECTOR , ACCOUNTS RECEIVABLE
Company : Essen Health Care
Location : Bronx, NY, 10451
Job Type : Full Time
Date Posted : 1 January 2026
Overview
Company Overview: At Essen Health Care, we care for that!
As the largest privately held multispecialty medical group in the Bronx, we provide high-quality, compassionate, and accessible medical care to some of the most vulnerable and under-served residents of New York State. Guided by a Population Health model of care, Essen has five integrated clinical divisions offering urgent care, primary care, and specialty services, as well as nursing home staffing and care management. Founded in 1999, our over 20-year commitment has fueled an unwavering dedication toward innovating a better healthcare delivery system. Essen has expanded from a single primary care office to an umbrella organization offering specialties from women’s health to endocrinology, from psychiatry to a vast array of other specialties. All clinical services are offered via telehealth or in-person at over 35 medical offices and at home through the Essen House Calls program.
Essen House Calls provides in-home primary and specialty care in the New York Metro area. We are looking for the most talented and effective individuals to join our rapidly growing company. From medical providers to administration & operational staff, there is a career here for you. Join our team today!
Job Summary
Position title: Director, Accounts Receivable
Job summary: A high-impact leadership opportunity for an experienced Accounts Receivable Director to oversee collections and AR operations in a high-volume, fast-paced outpatient healthcare environment. This role is ideal for a strategic leader who excels in process improvement, automation, and systems optimization, with a proven track record of successfully managing large AR portfolios and leading both onshore and offshore teams.
The Director of Accounts Receivable ensures timely and accurate billing, collections, and cash posting across all payer types — including Medicare, Medicaid, Managed Care, and Private Payers — while maintaining financial health, regulatory compliance, and operational efficiency.
Responsibilities
Lead and manage all aspects of Accounts Receivable (AR) operations, including billing, collections, payment posting, reconciliation, underpayment resolution, and bad debt management.
Monitor AR aging reports and key performance metrics to reduce Days Sales Outstanding (DSO) and bad debt through effective collection strategies and performance improvements.
Oversee monthly revenue close processes, ensure accurate GL reconciliation, and deliver timely AR-related financial reports to executive leadership.
Develop and maintain KPI dashboards to ensure data integrity, identify trends, and drive strategic improvements in collections and cash flow.
Serve as a subject matter expert on Medicare, Medicaid, and Managed Care billing guidelines, ensuring compliance and resolution of denials, rejections, and appeals.
Coordinate closely with Operations leaders and offshore teams to streamline workflows, strengthen accountability, and enhance AR performance across all regions.
Create, standardize, and maintain SOPs for AR processes to ensure global consistency and operational excellence.
Provide leadership, coaching, and performance feedback to AR staff; conduct regular team meetings and foster a culture of accountability, accuracy, and continuous improvement.
Collaborate with cross-functional departments — including Revenue Cycle, Operations, and Finance — to resolve complex issues and improve the customer and provider experience.
Support internal and external audits and ad-hoc reporting requests, ensuring accuracy and timely delivery.
Qualifications
Qualifications:
- Minimum of 7-10 years of progressive experience in accounts receivable.
- At least 2+ years in a leadership role, including strong offshore team oversight
- Proficiency in EHR systems and AR software (eCW required).
- Strong leadership, analytical, and communication skills.
- Expertise in Process Improvement
- Bachelor’s degree in Accounting, Finance, or related field (MBA a plus)
- Ability to meet deadlines in a fast-paced environment and drive process improvements.
Preferred Qualifications:
Experience in large outpatient healthcare settings (preferred over hospital, home health, or charitable organizations).
Demonstrated success managing large-scale AR operations with measurable results in collections and DSO reduction.
Proven ability to coordinate with Operations and offshore teams to drive efficiencies and align with business goals.
Strong acumen for automation, AI integration, and revenue cycle technology; prior experience implementing or leveraging these tools is highly desirable.
eClinicalWorks (eCW) experience preferred, but not required.
Strong analytical, problem-solving, and leadership skills, with the ability to communicate effectively across all organizational levels.
Technical Skills
- Proficient in eCW.
- Advanced Excel Skills (Pivot Tables, VLOOKUPs, etc.)
- Familiarity with Power BI, PowerPoint, and Microsoft Teams
Equal Opportunity Employer
ESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER
Essen Health Care is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically diverse population.
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Frequently asked questions
Bronx's healthcare sector is growing, increasing demand for experienced accounts receivable directors. Candidates with leadership experience in outpatient settings and expertise in Medicare/Medicaid billing often stand out, though competition remains moderate due to specialized skill requirements and the area's diverse healthcare ecosystem.
Employers in Bronx typically value candidates with accounting or finance degrees, supplemented by certifications like CPA or healthcare revenue cycle credentials. Mastery of EHR systems like eClinicalWorks and proficiency in automation tools can give applicants a distinct advantage in this market.
Key competencies include managing high-volume AR operations, leading cross-functional and offshore teams, optimizing billing and collections workflows, and ensuring compliance with Medicare, Medicaid, and managed care guidelines. Strategic focus on reducing DSO and improving cash flow is also crucial.
Successful directors often advance to senior finance roles such as VP of Revenue Cycle or CFO positions, especially within large healthcare organizations. Demonstrated skills in process innovation and team leadership can accelerate upward mobility in financial management tracks.
Essen Health Care emphasizes serving underserved populations in the Bronx, demanding sensitivity to healthcare disparities. The role integrates telehealth and in-home care billing complexities, requiring adaptability to diverse payer models and collaboration within a large multispecialty medical group.
Managing AR here involves navigating multi-payer systems including Medicare and Medicaid, coordinating offshore teams, and implementing automation in a fast-paced outpatient environment. Balancing compliance with process improvements while supporting diverse clinical divisions adds complexity.
Directors in this field typically earn between $120,000 and $150,000 annually in the Bronx, depending on experience and organizational size. Specialized healthcare knowledge and offshore team management skills may push compensation toward the higher end of this spectrum.
Automation and AI streamline billing, reduce manual errors, and accelerate cash posting, directly impacting DSO reduction. Leaders who effectively integrate these technologies can optimize workflows, enhance data accuracy, and enable teams to focus on complex exception handling.
Proficiency in eClinicalWorks (ECW) is highly advantageous, alongside advanced Excel skills for data analysis and reporting. Familiarity with Power BI and Microsoft Teams supports KPI dashboard creation and collaborative communication, vital for overseeing extensive AR operations.
Local knowledge helps navigate regional payer nuances, patient demographics, and regulatory landscapes unique to New York State. Understanding the Bronx's socioeconomic factors can improve collection strategies and foster better collaboration with community providers and payers.