Accounts Receivable Accountant Jobs
Accounts Receivable Accountant jobs are open across manufacturing, healthcare, financial services, and professional services, at levels from staff accountant to senior and manager, with specializations in collections, billing reconciliation, and ERP systems. Find a role that fits below and apply directly.
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Job Overview
The Director, Billing & Accounts Receivable Operations provides strategic and operational leadership for claim billing and third-party payer accounts receivable operations across the health system. The Director is accountable for ensuring timely, accurate, and compliant claim submission; optimizing insurance receivable performance; resolving reimbursement barriers; and achieving key revenue cycle and financial performance outcomes.
The Director leads institutional and professional billing operations, claim edit resolution, and payer accounts receivable follow-up while partnering closely with Denials Management to improve denial prevention, resolution, and root-cause remediation. This position collaborates across Revenue Integrity, Patient Access, Coding, Clinical Documentation Integrity (CDI), Managed Care, Finance, Information Technology, and operational leadership to accelerate reimbursement, reduce avoidable aging, minimize revenue leakage, and improve overall revenue cycle performance.
Success in this role is measured through key performance indicators including clean claim performance, claim submission timeliness, accounts receivable days, aging distribution, denial prevention and resolution effectiveness, productivity and quality, cash performance, and reduction of preventable write-offs.
The Director is accountable for strategic leadership, operational and financial performance, workforce development, regulatory compliance, stakeholder partnership, and continuous improvement across Billing and Accounts Receivable operations.
Job Requirements
Education
- Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management, or related field required.
- Master’s degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management, or related field preferred.
Experience
- 7–10 years of progressive healthcare experience required; Revenue Cycle experience preferred.
- 5–7 years of leadership experience required, preferably within a complex healthcare or revenue cycle environment.
- 1-2 years’ Experience with Epic Resolute Hospital Billing and/or Professional Billing operations preferred.
Knowledge, Skills & Abilities
- Strong knowledge of healthcare claim billing, reimbursement methodologies, payer adjudication processes, accounts receivable management, and denial prevention and resolution.
- Thorough understanding of Medicare, Medicaid, managed care, commercial insurance, governmental reimbursement requirements, CMS regulations, billing compliance requirements, and payer contract provisions.
- Strong analytical capabilities with the ability to interpret operational, financial, payer, and revenue cycle performance data and translate findings into actionable strategies.
- Demonstrated success leading large or complex operational teams through organizational change, process redesign, performance improvement, and transformation.
- Strong operational improvement, problem-solving, and process redesign capabilities.
- Working knowledge of Epic Resolute, payer portals, claim clearinghouses, reporting tools, and workflow management systems.
- Strong project management and change leadership capabilities.
- Excellent communication, presentation, relationship management, and executive reporting skills.
- Proficiency in Microsoft Excel, Word, and PowerPoint.
Preferred Certifications
- Certified Revenue Cycle Representative (CRCR), HFMA
- Certified Healthcare Financial Professional (CHFP), HFMA
- American Association of Healthcare Administrative Management (AAHAM) certification
Job Responsibilities
Strategic Leadership
- Develop and execute strategic and operational plans supporting organizational reimbursement, cash flow, and revenue cycle objectives.
- Provide leadership and direction to managers and operational teams responsible for institutional and professional billing and payer accounts receivable follow-up.
- Establish performance expectations, accountability measures, and leadership and professional development plans.
- Foster a culture of accountability, engagement, collaboration, continuous improvement, and operational excellence.
- Serve as a key Revenue Cycle leader and trusted advisor to executive leadership regarding billing, payer reimbursement, and accounts receivable performance.
- Anticipate emerging operational, reimbursement, regulatory, and payer-related risks and develop strategies to mitigate potential financial impact.
- Promote and model the TriHealth Way of Leading and TriHealth Way of Serving.
Billing & Accounts Receivable Operations
- Direct institutional and professional claim billing operations, including claim submission, claim edit resolution, and third-party payer follow-up.
- Ensure claims are submitted timely, accurately, and in accordance with regulatory, contractual, and payer requirements.
- Establish and monitor productivity, quality, service-level, and financial performance expectations.
- Lead strategies to reduce avoidable accounts receivable aging, accelerate reimbursement, and minimize preventable write-offs.
- Partner with Denials Management leadership to identify denial trends, strengthen prevention and resolution strategies, support appeals processes, and address upstream root causes.
- Collaborate with Revenue Integrity, Patient Access, Coding, CDI, Managed Care, Finance, Information Technology, and operational leaders to identify and resolve systemic reimbursement barriers.
- Develop, standardize, and maintain departmental workflows, policies, procedures, performance standards, and internal controls.
- Leverage data and analytics to identify performance gaps, prioritize opportunities, evaluate root causes, and implement sustainable operational improvements.
Financial & Performance Management
- Develop and manage departmental operating budgets in alignment with organizational financial objectives.
- Monitor labor expense, staffing, productivity, quality, cash, accounts receivable, and overall operational performance.
- Evaluate resource utilization and adjust staffing and operating models based on volumes, performance requirements, and changing business needs.
- Identify opportunities to improve efficiency and reduce cost while maintaining quality, service, compliance, and reimbursement integrity.
- Support organizational cash flow and revenue cycle goals through effective management of billing and accounts receivable operations.
- Establish performance reporting that clearly communicates trends, risks, root causes, financial impacts, and corrective actions.
- Present performance outcomes and improvement strategies to Revenue Cycle and executive leadership.
Workforce Planning & Leadership
- Determine staffing requirements, organizational structure, leadership resources, and capabilities necessary to achieve current and future operational objectives.
- Recruit, develop, mentor, and retain high-performing leaders and team members.
- Establish leadership development and succession plans that strengthen the Revenue Cycle leadership pipeline.
- Conduct performance management activities and ensure accountability for established operational, quality, and behavioral expectations.
- Promote employee engagement, professional development, continuous learning, and a culture of performance excellence.
- Lead teams effectively through organizational, technology, workflow, and process changes.
- Ensure compliance with organizational Human Resources policies and leadership practices.
Stakeholder & Payer Partnership
- Build strong, collaborative relationships with clinical, operational, financial, technology, and Revenue Cycle stakeholders.
- Communicate operational performance, financial risks, reimbursement barriers, and strategic priorities to key stakeholders and senior leadership.
- Support payer escalation strategies involving systemic reimbursement, claims-processing, contractual, or adjudication issues.
- Partner across functions to drive resolution of issues affecting claim submission, reimbursement, accounts receivable, denials, and cash performance.
- Present operational metrics, performance trends, financial impacts, risks, and improvement plans to Revenue Cycle and executive leadership.
- Participate in enterprise-wide initiatives supporting organizational, operational, and financial objectives.
Compliance & Risk Management
- Ensure Billing and Accounts Receivable operations comply with applicable federal, state, payer, contractual, and organizational requirements.
- Maintain appropriate operational controls supporting billing accuracy, reimbursement integrity, and prevention of inappropriate or avoidable write-offs.
- Identify, monitor, and mitigate operational and compliance risks associated with claim submission and payer receivable management.
- Support internal audits, external audits, payer reviews, and regulatory requests.
- Develop and oversee corrective action plans when operational, financial, or compliance risks are identified.
- Partner with appropriate compliance, legal, finance, and operational stakeholders to address identified risks and maintain sustainable controls.
Other Related Information:
Direct Report FTEs = 3-9 Indirect Report FTEs = 100-149 Work Environment: Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 25 pounds occasionally. Work is performed in an office environment. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations. Able to effectively manage exposure to potentially infectious material per OSHA guidelines.
Working Conditions:
Bending - Rarely
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Frequently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Consistently
Kneeling - Occasionally
Lifting <10 Lbs. - Frequently
Lifting 50+ Lbs. - Rarely
Lifting <50 Lbs. - Occasionally
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Frequently
Standing - Frequently
Stooping - Rarely
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Frequently
Visual Acuity: Far - Rarely
Visual Acuity: Near - Frequently
Walking - Frequently
Leadership Performance Standards
TriHealth leaders create a culture of engagement, safety & reliability and high performance by consistently modeling and utilizing the following TriHealth Way leadership competencies, tactics and ALWAYS Behaviors to drive strategic pillar results:
Achievement of Annual Pillar Goals:
1) Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance
Leadership Competencies:
TriHealth Way of Leading
TriHealth Way of Serving
Transformation Change
Drive for Results
Build Organizational Talent
Conduct department huddles. Generally, clinical departments hold daily huddles, non-clinical hold weekly huddles.
Regularly Round on Team Members, using questions from the rounding log.
- 25 or fewer team members = monthly
- 26-50 team members = every other month
- 51+ (and optional team members) = quarterly
Lead monthly team meetings using meeting agenda template; review stoplight report; cascade key leadership messages.
Model, coach and validate team members use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors and Always HEARD).
Recognize team members for safety wins, positive performance and demonstrating SERVE and ALWAYS behaviors, TriHealth Way of Leading, Serving and Delivering Care.
Job Overview
The Director, Billing & Accounts Receivable Operations provides strategic and operational leadership for claim billing and third-party payer accounts receivable operations across the health system. The Director is accountable for ensuring timely, accurate, and compliant claim submission; optimizing insurance receivable performance; resolving reimbursement barriers; and achieving key revenue cycle and financial performance outcomes.
The Director leads institutional and professional billing operations, claim edit resolution, and payer accounts receivable follow-up while partnering closely with Denials Management to improve denial prevention, resolution, and root-cause remediation. This position collaborates across Revenue Integrity, Patient Access, Coding, Clinical Documentation Integrity (CDI), Managed Care, Finance, Information Technology, and operational leadership to accelerate reimbursement, reduce avoidable aging, minimize revenue leakage, and improve overall revenue cycle performance.
Success in this role is measured through key performance indicators including clean claim performance, claim submission timeliness, accounts receivable days, aging distribution, denial prevention and resolution effectiveness, productivity and quality, cash performance, and reduction of preventable write-offs.
The Director is accountable for strategic leadership, operational and financial performance, workforce development, regulatory compliance, stakeholder partnership, and continuous improvement across Billing and Accounts Receivable operations.
Job Requirements
Education
- Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management, or related field required.
- Master’s degree in Healthcare Administration, Business Administration, Finance, Accounting, Health Information Management, or related field preferred.
Experience
- 7–10 years of progressive healthcare experience required; Revenue Cycle experience preferred.
- 5–7 years of leadership experience required, preferably within a complex healthcare or revenue cycle environment.
- 1-2 years’ Experience with Epic Resolute Hospital Billing and/or Professional Billing operations preferred.
Knowledge, Skills & Abilities
- Strong knowledge of healthcare claim billing, reimbursement methodologies, payer adjudication processes, accounts receivable management, and denial prevention and resolution.
- Thorough understanding of Medicare, Medicaid, managed care, commercial insurance, governmental reimbursement requirements, CMS regulations, billing compliance requirements, and payer contract provisions.
- Strong analytical capabilities with the ability to interpret operational, financial, payer, and revenue cycle performance data and translate findings into actionable strategies.
- Demonstrated success leading large or complex operational teams through organizational change, process redesign, performance improvement, and transformation.
- Strong operational improvement, problem-solving, and process redesign capabilities.
- Working knowledge of Epic Resolute, payer portals, claim clearinghouses, reporting tools, and workflow management systems.
- Strong project management and change leadership capabilities.
- Excellent communication, presentation, relationship management, and executive reporting skills.
- Proficiency in Microsoft Excel, Word, and PowerPoint.
Preferred Certifications
- Certified Revenue Cycle Representative (CRCR), HFMA
- Certified Healthcare Financial Professional (CHFP), HFMA
- American Association of Healthcare Administrative Management (AAHAM) certification
Job Responsibilities
Strategic Leadership
- Develop and execute strategic and operational plans supporting organizational reimbursement, cash flow, and revenue cycle objectives.
- Provide leadership and direction to managers and operational teams responsible for institutional and professional billing and payer accounts receivable follow-up.
- Establish performance expectations, accountability measures, and leadership and professional development plans.
- Foster a culture of accountability, engagement, collaboration, continuous improvement, and operational excellence.
- Serve as a key Revenue Cycle leader and trusted advisor to executive leadership regarding billing, payer reimbursement, and accounts receivable performance.
- Anticipate emerging operational, reimbursement, regulatory, and payer-related risks and develop strategies to mitigate potential financial impact.
- Promote and model the TriHealth Way of Leading and TriHealth Way of Serving.
Billing & Accounts Receivable Operations
- Direct institutional and professional claim billing operations, including claim submission, claim edit resolution, and third-party payer follow-up.
- Ensure claims are submitted timely, accurately, and in accordance with regulatory, contractual, and payer requirements.
- Establish and monitor productivity, quality, service-level, and financial performance expectations.
- Lead strategies to reduce avoidable accounts receivable aging, accelerate reimbursement, and minimize preventable write-offs.
- Partner with Denials Management leadership to identify denial trends, strengthen prevention and resolution strategies, support appeals processes, and address upstream root causes.
- Collaborate with Revenue Integrity, Patient Access, Coding, CDI, Managed Care, Finance, Information Technology, and operational leaders to identify and resolve systemic reimbursement barriers.
- Develop, standardize, and maintain departmental workflows, policies, procedures, performance standards, and internal controls.
- Leverage data and analytics to identify performance gaps, prioritize opportunities, evaluate root causes, and implement sustainable operational improvements.
Financial & Performance Management
- Develop and manage departmental operating budgets in alignment with organizational financial objectives.
- Monitor labor expense, staffing, productivity, quality, cash, accounts receivable, and overall operational performance.
- Evaluate resource utilization and adjust staffing and operating models based on volumes, performance requirements, and changing business needs.
- Identify opportunities to improve efficiency and reduce cost while maintaining quality, service, compliance, and reimbursement integrity.
- Support organizational cash flow and revenue cycle goals through effective management of billing and accounts receivable operations.
- Establish performance reporting that clearly communicates trends, risks, root causes, financial impacts, and corrective actions.
- Present performance outcomes and improvement strategies to Revenue Cycle and executive leadership.
Workforce Planning & Leadership
- Determine staffing requirements, organizational structure, leadership resources, and capabilities necessary to achieve current and future operational objectives.
- Recruit, develop, mentor, and retain high-performing leaders and team members.
- Establish leadership development and succession plans that strengthen the Revenue Cycle leadership pipeline.
- Conduct performance management activities and ensure accountability for established operational, quality, and behavioral expectations.
- Promote employee engagement, professional development, continuous learning, and a culture of performance excellence.
- Lead teams effectively through organizational, technology, workflow, and process changes.
- Ensure compliance with organizational Human Resources policies and leadership practices.
Stakeholder & Payer Partnership
- Build strong, collaborative relationships with clinical, operational, financial, technology, and Revenue Cycle stakeholders.
- Communicate operational performance, financial risks, reimbursement barriers, and strategic priorities to key stakeholders and senior leadership.
- Support payer escalation strategies involving systemic reimbursement, claims-processing, contractual, or adjudication issues.
- Partner across functions to drive resolution of issues affecting claim submission, reimbursement, accounts receivable, denials, and cash performance.
- Present operational metrics, performance trends, financial impacts, risks, and improvement plans to Revenue Cycle and executive leadership.
- Participate in enterprise-wide initiatives supporting organizational, operational, and financial objectives.
Compliance & Risk Management
- Ensure Billing and Accounts Receivable operations comply with applicable federal, state, payer, contractual, and organizational requirements.
- Maintain appropriate operational controls supporting billing accuracy, reimbursement integrity, and prevention of inappropriate or avoidable write-offs.
- Identify, monitor, and mitigate operational and compliance risks associated with claim submission and payer receivable management.
- Support internal audits, external audits, payer reviews, and regulatory requests.
- Develop and oversee corrective action plans when operational, financial, or compliance risks are identified.
- Partner with appropriate compliance, legal, finance, and operational stakeholders to address identified risks and maintain sustainable controls.
Other Related Information:
Direct Report FTEs = 3-9 Indirect Report FTEs = 100-149 Work Environment: Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 25 pounds occasionally. Work is performed in an office environment. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations. Able to effectively manage exposure to potentially infectious material per OSHA guidelines.
Working Conditions:
Bending - Rarely
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Frequently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Consistently
Kneeling - Occasionally
Lifting <10 Lbs. - Frequently
Lifting 50+ Lbs. - Rarely
Lifting <50 Lbs. - Occasionally
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Frequently
Standing - Frequently
Stooping - Rarely
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Consistently
Color Vision - Frequently
Visual Acuity: Far - Rarely
Visual Acuity: Near - Frequently
Walking - Frequently
Leadership Performance Standards
TriHealth leaders create a culture of engagement, safety & reliability and high performance by consistently modeling and utilizing the following TriHealth Way leadership competencies, tactics and ALWAYS Behaviors to drive strategic pillar results:
Achievement of Annual Pillar Goals:
1) Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance
Leadership Competencies:
TriHealth Way of Leading
TriHealth Way of Serving
Transformation Change
Drive for Results
Build Organizational Talent
Conduct department huddles. Generally, clinical departments hold daily huddles, non-clinical hold weekly huddles.
Regularly Round on Team Members, using questions from the rounding log.
- 25 or fewer team members = monthly
- 26-50 team members = every other month
- 51+ (and optional team members) = quarterly
Lead monthly team meetings using meeting agenda template; review stoplight report; cascade key leadership messages.
Model, coach and validate team members use of TriHealth Way behaviors (AIDET + Promise, Always Behaviors and Always HEARD).
Recognize team members for safety wins, positive performance and demonstrating SERVE and ALWAYS behaviors, TriHealth Way of Leading, Serving and Delivering Care.
See All 507+ Accounts Receivable Accountant Jobs
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Find JobsAccounts Receivable Accountant Job Market
Who's Hiring
Top Industries Hiring
- Technology & Software
- Staffing & Recruiting
- Healthcare & Medical Services
- Fashion & Apparel
- Marketing & Advertising
What Employers Look For
The qualifications that appear most often in accounts receivable accountant jobs.
- Bachelor's degree in accounting, finance, or a closely related field
- Proficiency in ERP systems such as SAP, Oracle, NetSuite, or QuickBooks
- Experience managing high-volume invoicing and customer account reconciliation
- Strong knowledge of GAAP as applied to revenue recognition and collections
- Advanced Excel skills including pivot tables, VLOOKUP, and data validation
- CPA credential or active candidacy preferred for senior-level positions
Tips for Your Accounts Receivable Accountant Job Search
Quantify your collections and recovery metrics
Hiring managers want to see the dollar volume you managed, your average days sales outstanding, and your collection rate. Pull those numbers from your most recent role and put them in your bullet points, not buried in a summary.
List every ERP and billing platform you know
Many accounts receivable accountant postings filter candidates by specific software. Call out your experience with Oracle, SAP, NetSuite, QuickBooks, or any industry-specific billing tool by name rather than writing a generic 'ERP experience' line.
Apply early to roles that fit
Migrate Mate lists accounts receivable accountant openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by industry billing complexity
Healthcare AR, construction contract billing, and subscription-revenue tech companies each require different reconciliation skills. Tailor your resume to the specific invoicing model of each employer so your experience reads as a direct match, not a generalist background.
Prepare for a practical reconciliation exercise
Many employers give candidates a short take-home or live test involving an aging schedule, a discrepancy in a customer account, or a month-end close entry. Practice working through an unapplied cash scenario and explaining your reasoning out loud before your interview.
Negotiate by citing close cycle efficiency gains
When discussing compensation, anchor your ask to measurable process improvements you have delivered, such as reducing the close cycle or cutting disputed invoice volume. Concrete operational wins carry more weight in AR negotiations than years of experience alone.
Accounts Receivable Accountant Jobs: Frequently Asked Questions
Which companies are hiring the most accounts receivable accountants?
The most active employers for accounts receivable accountants right now are IAB Solutions, Onco360, and Alteva RCM, and the most openings are in Texas, California, and New York, based on current listings on Migrate Mate as of November 2026. Healthcare systems, national staffing firms, and large manufacturers tend to post accounts receivable roles consistently throughout the year.
How many accounts receivable accountant jobs are remote?
About 38% of accounts receivable accountant openings are fully remote or hybrid as of November 2026, with availability varying by industry and employer size. Collections-focused and cash application roles tend to be the most accessible remotely, while positions tied to on-site billing departments or physical lockbox processing are more likely to require in-person work.
How do you become an accounts receivable accountant?
Earn a bachelor's degree in accounting or finance, then build hands-on experience with invoicing, cash application, and account reconciliation in an entry-level role such as billing coordinator or AR clerk. Gaining proficiency in at least one major ERP system strengthens your candidacy considerably. Pursuing a CPA or CMA credential opens doors to senior positions and supervisory roles over time.
How do you get hired as an accounts receivable accountant with little or no experience?
Start by applying to AR clerk, billing specialist, or collections assistant roles, which share core skills with accountant-level positions and are generally more open to candidates building their resume. Coursework in accounting software, an associate's or bachelor's degree in progress, and any internship involving invoicing or cash handling all count as relevant experience. Highlight accuracy, attention to detail, and any customer-facing communication you have done.
What does the accounts receivable accountant interview process look like?
Most employers start with a phone screen focused on your software background and volume of transactions managed, followed by one or two rounds of interviews covering technical accounting knowledge and your approach to disputed invoices or unresolved credits. Many companies include a practical component, such as a sample aging report analysis or a written reconciliation exercise, before extending an offer.
Where can I find and apply to accounts receivable accountant jobs?
You can find and apply to accounts receivable accountant jobs on Migrate Mate, which lists current openings from employers across the United States. Search for roles that match your experience level, industry background, and preferred location, then apply directly to each listing that fits.
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