Director of Finance at Fast-Growing Chain of Surgical Centers and Clinics

ABOUT US We are a dynamic and expanding clinic and ambulatory surgical center (ASC) dedicated to providing high-quality patient care in a fast-paced healthcare environment. As we grow our practice areas, add new providers, and expand facilities, we are seeking a skilled financial leader to drive our financial strategy, ensure operational efficiency, and support sustainable growth. Join our team and play a pivotal role in optimizing revenues, managing cash flow, and maintaining regulatory compliance in a collaborative, innovative setting. JOB SUMMARY We are hiring for the role of Director of Finance. This key financial leadership position oversees all aspects of financial management, accounting, forecasting, and growth initiatives for our clinic and ASC. The Director of Finance will spearhead financial modeling, cash flow optimization, and regulatory compliance while contributing to strategic decisions on expansions, acquisitions, and service line additions. This role requires a strategic thinker with strong analytical skills, who can thrive in a rapid-paced environment and foster cross-functional collaboration. KEY RESPONSIBILITIES Growth Initiatives Adding a Practice Area or New Provider: Evaluate a new provider’s practice via procedures, CPT codes, referring patterns, downstream revenues, and expenses; build out hiring term sheets and proformas. Acquiring New Practices: Evaluate practices via procedures, CPT codes, referring patterns, downstream revenues, and expenses; analyze financials to determine acquisition feasibility and approach; spearhead the acquisition and financial integration. Adding New Facility Locations: Conduct market and financial analysis to determine feasibility; secure and close financing, effectuate the closing and build; track and control expenses and timing. Forecasting & Service Line Addition Adding New Service Lines: Evaluate opportunities, expenses, and opportunity costs; spearhead the addition and financial/operational integration. Forecasting & Optimizing Revenues & Profits: Build out proformas for each service line; determine variables for revenue optimization (e.g., facility, CPT codes, wRVU, provider, payor reimbursement); determine variables for profit optimization (e.g., supply costs, bulk vs. just-in-time purchases). Build, Maintain, & Present Financial Models and Expense Records with Benchmark Reporting Develop and maintain integrated financial models that incorporate revenue projections, actuals, expense tracking, and profitability analysis, including monthly projection and actual reports for revenue, expenses, and profit; benchmark against healthcare industry standards (e.g., ASC metrics) to identify variances and optimization opportunities. Oversee detailed expense records and supporting documentation, including facility preference cards, development expenses, capital equipment expenses, loans & interest expenses, debt-to-asset ratio, and fixed asset reports; ensure these records are accurate, compliant, and integrated into broader financial models for forecasting and strategic planning. Financial Management & Accounting Oversight Prepare and monitor budgets & control expenses. Manage accounting processes, including accounts payable/receivable, payroll, and general ledger maintenance. Cash Flow Management Monitoring Cash Inflows: Oversee revenue cycle (timely and accurate billing for surgical procedures; optimize coding like CPT and ICD-10 to maximize payments from Medicare, Medicaid, and private payers); coordinate with opps. team to oversee patient payments (copays, deductibles, and self-pay fees); collaborate on payer contract negotiations for favorable terms. Liquidity Management: Maintain a line of credit or reserve fund for disruptions; monitor key metrics like days cash on hand (DCOH). Managing Cash Outflows & Negotiate Vendor Terms & Payments: Oversee operational expenses (e.g., salaries, supplies, facility maintenance); negotiate terms for high-cost equipment & services; plan for capital expenditures or facility expansions. Cash Flow Forecasting: Develop short- and long-term projections based on procedure volumes, seasonal trends, payer mix, and payment timelines; use forecasting to anticipate shortfalls, especially during audits or reimbursement delays. Compliance/Risk Management: Align cash flow practices with CMS and state regulations (e.g., CMS’s ASC Payment System); mitigate audit risks by maintaining detailed records and ensuring coding accuracy to avoid payer clawbacks. Coordinate Revenue Cycle Management and Regulatory Compliance Coordinate with RCM Teams to optimize collections and minimize denials. Manage denials and optimize cash flow. Ensure Accurate Billing and Coding for procedures. Ensure Compliance with Regulations: federal, state, and local, e.g. Medicare/Medicaid. Oversee Audits and Maintain Records to meet healthcare financial standards. Prepare Financial Reports for accreditation bodies like AAAHC. Technology Identification, Integration, and Optimization Identify Emerging Financial Technologies e.g., AI-driven forecasting tools, automated RCM software, or ERP systems like QuickBooks or healthcare-specific platforms such as Epic or Cerner) to streamline processes, reduce errors, and enhance data analytics. Implement and Integrate Technology in collaboration with IT and operations teams, e.g. cloud-based accounting systems for real-time reporting and secure transaction tracking. Optimize Existing Technology Teams by analyzing usage data, training staff on best practices, and customizing features to improve efficiency in areas like revenue forecasting, expense tracking, and compliance monitoring; conduct regular audits to ensure tech investments yield ROI and adapt to evolving healthcare regulations Bookkeeping Oversight Maintain Accurate, Up-to-Date Financial Records, including daily transaction entries, bank reconciliations, and ledger updates for real-time reflection of financial health Handle Routine Bookkeeping Tasks such as invoicing, vendor payment processing, petty cash management, and year-end closings in compliance with GAAP standards Reconcile Financial Discrepancies, prepare trial balances, and support tax filings by organizing documentation and coordinating with external accountants or auditors Qualifications and Experience Required Education: Bachelor’s degree in Finance, Accounting, Business Administration, or a related field; MBA, CPA, or CMA certification preferred. Proficiency in Healthcare Software for CPT/ICD-10 coding; inventory management, i.e. Envi

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