Director of Accounts Receivable

Posted Monday, January 12, 2026 at 7:00 AM

Orion Associates provides business management services like Payroll administration, Training, Human Resources, and more for our various other companies:
Meridian Services, Zenith Services, Morning Sun Financial Services, and Little Stars. All of our companies work together to administer high quality professional services for staff while also supporting people with disabilities, the elderly, and their families.

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Director of Accounts Receivable

Schedule: Monday-Friday typical daytime business hours. Work from home eligible after 90 days of employment.

Wage: $84,000 annual salary including Full-Time benefits and Paid Time Off

The Director of Accounts Receivable provides leadership, oversight, and hands‑on management of the Accounts Receivable function across multiple entities and billing models. This role is highly deadline‑driven, requires active supervision, and plays a critical role in ensuring accurate showc. It supervises a team of approximately 12 AR professionals and works closely with Finance leadership, program teams, and external agencies to maintain cash flow, reduce aging, and enforce accountability across billing operations.

• 7+ years of progressive experience in Accounts Receivable, billing, or revenue cycle management
• Demonstrated experience supervising teams in a high‑volume, deadline‑driven environment
• Strong working knowledge of medical billing, Medicaid billing, or human services billing
• Proven ability to manage performance, enforce deadlines, and provide direct oversight
• Excellent organizational, analytical, and problem‑solving skills
• Strong communication skills, with comfort interacting with county/state agencies, case managers, auditors, and internal leadership
• Advanced computer skills, including heavy spreadsheet usage and comfort working across multiple systems
• Ability to balance hands‑on operational work with leadership and process improvement
• Provide direct leadership, supervision, and performance management for the Accounts Receivable department, including Specialists, Coordinators, and Supervisors
• Establish clear expectations, workflows, and deadlines to ensure timely and accurate billing and collections across all entities
• Oversee billing for Medicaid, county/state programs, insurance, and private pay accounts, ensuring compliance with all applicable regulations and timely filing limits
• Monitor AR aging, denials, write‑offs, and cash receipts; identify trends and drive corrective action
• Enforce accountability through consistent follow‑up, escalation, and documentation when deadlines or standards are not met
• Partner with program leadership and Finance to resolve billing issues, documentation gaps, and systemic challenges
• Develop, maintain, and improve AR policies, procedures, and internal control
• Ensure accurate reporting and provide regular AR status updates and analysis to the CFO
• Support audits, reviews, and external inquiries related to billing and receivables
• Actively participate in system improvements, process automation, and cross‑department initiatives impacting billing and revenue cycle performance

• Background in medical billing, social services billing, or healthcare revenue cycle
• Experience with Medicaid waiver programs, county‑based billing, or self‑direction services
• Experience with Great Plains, EDI billing, or similar financial systems
• Prior experience supporting audits or regulatory reviews
• Knowledge of human services or developmental disability service models

• Medical,