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Role Description

The Assistant Vice President of Revenue Cycle – PB AR is responsible for the overall leadership, performance, and strategic direction of Professional Billing Accounts Receivable operations for assigned client(s). This role oversees day-to-day PB AR operations, drives performance against cash, aging, and denial KPIs, and partners closely with client leadership to improve outcomes.

• Provide leadership to onsite revenue cycle teams.
• Ensure consistent execution of best practices.
• Influence change across people, process, and technology to maximize cash flow, reduce AR aging, and improve the patient and provider experience.

Key Responsibilities

• PB AR Strategy & Performance Leadership:
  • Define and execute the strategic direction, priorities, and continuous improvement initiatives for Professional Billing AR operations.
  • Analyze PB AR performance trends (aging, denials, cash, write-offs) and provide data-driven recommendations to clients and internal leadership.
  • Develop and maintain operational integration plans with clear objectives, timelines, and measurable outcomes.
  • Ensure consistent achievement of client goals and compliance with Service Level Agreements (SLAs).
• Client Partnership & Communication:
  • Serve as a senior client-facing leader for PB AR operations.
  • Present key performance indicators (KPIs), risks, and improvement plans to client leadership.
  • Partner with clients on initiatives related to:
    • AR aging reduction
    • Denial prevention and resolution
    • Self-pay follow-up and patient experience
    • Cash acceleration and bad debt reduction
  • Provide weekly and monthly reporting with clear insights, actions, and progress updates.
• Operational Oversight:
  • Provide direct oversight of PB AR operations across onsite and centralized environments.
  • Identify operational gaps and lead process improvements across registration, charge capture, coding, billing, follow-up, and cash posting as they impact PB AR.
  • Monitor cash flow and proactively address risks to performance or service delivery.
  • Escalate and manage resolution of significant operational issues (e.g., AR backlogs, denial spikes, cash delays).
• People Leadership & Talent Development:
  • Directly manage PB Revenue Cycle Onsite Directors and senior PB AR leaders.
  • Own performance management, coaching, development planning, and KPI accountability.
  • Lead succession planning and coverage strategies to minimize disruption from vacancies.
  • Partner in the recruitment, selection, and onboarding of PB AR leadership roles.
  • Foster a culture of accountability, collaboration, and continuous improvement.
• Growth & Organizational Contribution:
  • Participate in and support sales efforts, client renewals, and expansion opportunities related to PB revenue cycle services.
  • Share best practices, successes, and challenges across Ensemble clients and internal teams.
  • Participate in monthly client and internal leadership calls to support enterprise alignment.

Qualifications

• Significant leadership experience in Professional Billing Accounts Receivable within healthcare revenue cycle operations.
• Proven success driving improvements in AR aging, denials, and cash collections.
• Strong strategic, analytical, and operational leadership skills.
• Ability to influence change across cross-functional teams in complex environments.
• Excellent communication skills with the ability to present complex information clearly.

Requirements

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).
• Revenue cycle certification such as CRCR or other relevant professional certification.
• Experience leading large, multi-site or client-based PB AR operations.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Investment in professional development with opportunities for professional certification and tuition reimbursement.
• Quarterly and annual incentive programs for employees who exceed expectations.