Director of Accounts Receivable

About Optima Medical:

Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. Optima Medical is currently seeking an Accounts Receivable Director to add to our growing team.

About the Role:
The Accounts Receivable Director will oversee all aspects of Optima Medical’s back-end revenue cycle operations across our 30 primary care locations. This role ensures efficient, compliant, and financially optimized processes for accounts receivable follow up, denials management, payment posting, and patient collections. The ideal candidate is a strategic leader with hands-on experience in healthcare revenue cycle management (RCM), strong analytical skills, and a proven ability to improve systemwide workflows in a fast-growing medical organization.

Job Responsibilities:

● Oversee all back-end revenue cycle functions including accounts receivable, denials management, payment posting, and patient collections
● Assist in the implementation and development of RCM policies, procedures, and best practices to maximize reimbursement and minimize denials
● Lead, mentor, and develop RCM team members to improve accuracy and efficiency
● Monitor KPIs and metrics (AR aging, denial rates, days in AR, collection efficiency, etc.) and present regular performance updates to executive leadership
● Identify gaps, inefficiencies, or compliance risks within workflows and lead system-wide process improvements
● Collaborate with internal teams and external parties to escalate and resolve issues
● Conduct root-cause analysis on denials and implement corrective action plans
● Ensure compliance with all state and federal regulations, including Medicare/Medicaid guidelines
● Work collaboratively with Operations, IT, and EMR teams to optimize revenue cycle performance within the eCW platform
● Drive continuous improvement initiatives to support Optima Medical’s growth and operational goals

Qualifications and Requirements:

● 5+ years of progressive experience in healthcare revenue cycle management; primary care or multi-site outpatient experience strongly preferred
● 3+ years in a leadership or management role overseeing RCM personnel
● Strong understanding of billing, coding (ICD-10, CPT, HCPCS), payor rules, Medicare/Medicaid, and compliance requirements
● Proven track record of improving RCM performance in a high-volume clinical setting
● Experience with EMR/PM systems (SequelMed or eCW experience a plus)
● Strong analytical ability with experience using dashboards, reports, and KPI tracking
● Excellent leadership, communication, and cross-functional collaboration skills
● Ability to thrive in a fast-paced, growing organization and manage multiple priorities simultaneously
● Bachelor’s degree in healthcare administration, business, finance, or related field preferred (but equivalent experience will be considered)

Why Join Our Team?

● Substantial growth opportunities
● Leadership and mentoring
● Resources to further career development
● Fun work environment (events, holiday parties)
● Benefits (medical/vision/dental/401k/paid holidays)
● Supportive and positive work environment