Director of Collections; AR; Conservative Division

Department: RCM:
Collections

Employment Type:

Full Time

Location:

Headquarters - Matawan

Compensation: $130,000 - $160,000 / year

Director of Collections (AR) - Conservative Division Alliance Health System

Reports to:

SVP of RCM Mission

At Alliance Orthopedics, our mission is to help patients get better faster while delivering a high-quality, compliant, and patient-centered financial experience. Our collections team plays a critical role in ensuring that services rendered are accurately followed through to payment, supporting both patient care and organizational growth.

The Director of Collections is responsible for leading and optimizing all accounts receivable (AR) collections activities following claim submission. This role is focused on driving claims to cash through effective follow‑up, denial resolution, and team performance, ensuring timely and accurate reimbursement.

The Director leads a large, multi-functional collections team and is accountable for productivity, quality, and financial outcomes within AR workflows. This individual partners cross-functionally to identify upstream opportunities, but remains focused on execution within the collections function.

This role requires a hands‑on, data‑driven leader who can motivate teams, standardize processes, and consistently deliver performance across all AR buckets.

• 1. Drive AR Collections Performance (Claims to Cash)
  • Lead all collections efforts related to outstanding AR, including follow‑up, denials, underpayments, and account resolution
  • Ensure timely action on claims across all aging buckets, with targeted strategies for high‑value and aged AR
  • Establish clear expectations and accountability for productivity and quality within the team
  • Drive improvements in key collections KPIs, including:
    • Net collections
    • AR aging (60/90/120+)
    • Denial resolution rates
    • Productivity and quality metrics
• 2. Lead, Coach, and Develop the Collections Team
  • Manage and develop managers, leads, and collectors across onshore and offshore teams
  • Set clear performance expectations and provide consistent coaching and feedback
  • Build a culture of accountability, ownership, and continuous improvement
  • Ensure teams are supported with the tools, training, and guidance needed to perform effectively
• 3. Standardize Workflows & Improve Execution
  • Ensure consistent execution of collections workflows across all teams and divisions
  • Implement and enforce standardized processes for:
    • Account follow‑up cadence
    • Denial management
    • Documentation and audit readiness
  • Identify inefficiencies in current workflows and implement operational improvements within the collections function
• 4. Data‑Driven Leadership & KPI Management
  • Monitor and analyze AR performance to identify trends, risks, and opportunities
  • Utilize reporting and dashboards to guide team priorities and daily workflow direction
  • Ensure consistent KPI reporting and weekly visibility into team performance
  • Hold teams accountable to performance targets through structured review and follow‑up cadence
• 5. Cross‑Functional Partnership (Aligned, Not Owned)
  • Partner with Billing, Verifications, Coding, and Operations to resolve recurring issues impacting collections
  • Provide feedback on upstream opportunities that impact AR performance (e.g., denials, missing documentation, payer trends)
  • Support organizational initiatives and workflow changes impacting collections execution
• 6. Compliance & Patient‑Focused Approach
  • Ensure all collections activities are compliant with healthcare regulations and company policies
  • Maintain accurate documentation to support audit readiness and payer requirements
  • Promote a patient‑centered approach in all communications and account handling
  • Balance financial…