Director Of Collections Jobs in Port Richey, FL (NOW HIRING)

About BeFit Rehabilitation

BeFit Rehabilitation provides Medicare Part B outpatient physical, occupational, and speech therapy within assisted living facilities across the Tampa/Clearwater area. As we scale, we're building the operational infrastructure to match our clinical growth — this role is central to that effort.

Position Summary

The Regional Director of Operations owns the operational and financial performance of BeFit's therapy teams across all locations. This is not a clinical-oversight-only role — it is a hands-on operational leadership position responsible for staffing efficiency, revenue cycle performance, and regulatory compliance, with direct accountability for the P&L of each care team. The ideal candidate has run multi-site outpatient therapy operations before, understands Medicare Part B billing and PTA/COTA supervision rules deeply, and has a track record of turning around underperforming locations or teams.

This role reports directly to the President and will work closely with billing, HR, and clinical leadership.

Key Responsibilities

Staffing & Productivity Management

• Own visit-per-hour and revenue-per-hour benchmarks for every clinical team; identify and correct gaps between hours paid and billable production
• Right-size supervising-therapist-to-assistant ratios based on actual patient census and caseload, not headcount assumptions
• Partner with clinical leadership to set and enforce productivity standards across PT, OT, and ST disciplines
• Build and maintain a recurring reporting cadence (weekly/monthly) that surfaces cost-per-hour vs. collections-per-hour by team and by office

Revenue Cycle & AR Oversight

• Own aging AR across all payers; drive resolution of denied and zero-paid claims, with particular focus on Medicare Part B and any payer showing systemic non-payment
• Work directly with billing/clearinghouse partners on root-cause analysis of denial patterns (not just resubmission)
• Establish escalation protocols for payers showing abnormal payment failure rates
• Monitor and report true collection rates against payer-adjudicated allowables (not charge amounts)

Compliance & Documentation

• Ensure correct and consistent use of billing modifiers across all supervising clinicians
• Audit documentation-to-billing alignment periodically to catch under- or over-utilization of assistant modifiers before it becomes an audit risk
• Maintain compliance with CMS supervision, evaluation-complexity coding, and Part B billing requirements across all offices

Financial Accountability

• Build and maintain a per-team/per-office P&L model (labor cost vs. collections) and present it to leadership on a regular cycle
• Flag underperforming teams early, with a specific, data-backed diagnosis (productivity vs. collections vs. staffing mix) rather than a general "revenue is down" alert
• Partner with leadership on compensation structure design (salary vs. per-visit vs. per-unit) to ensure pay models align incentives with actual reimbursement economics

Team Leadership & Multi-Site Operations

• Serve as the operational point of contact across all facility partnerships
• Support hiring, onboarding, and performance management for clinical and support staff in partnership with HR
• Identify and roll out best practices from top-performing teams to underperforming ones

Qualifications

Required

• 5+ years in outpatient therapy operations management, ideally spanning multiple sites or facilities
• Deep working knowledge of Medicare Part B billing, PTA/COTA supervision and reimbursement rules (including CQ/CO modifier requirements), and CPT coding for PT/OT/ST
• Demonstrated experience building or managing productivity and financial performance metrics for clinical teams (not just clinical quality metrics)
• Track record of identifying and resolving AR/denial issues at scale
• Comfortable working directly from raw billing, payroll, and revenue data not just dashboards

Preferred

• Experience specifically in ALF, SNF, or senior-living-adjacent outpatient therapy settings
• Prior experience turning around an underperforming location, region, or book of business
• Familiarity with per-visit and per-unit compensation models for PT/OT/ST staff and their financial implications
• Clinical licensure (PT, OT, or SLP) is a plus but not required if operational/financial background is strong

What Success Looks Like

First 90 days: Full visibility into every team's cost-per-hour vs. collections-per-hour; a clear, documented diagnosis of the 2-3 highest-impact underperforming teams or offices.

6 months: Measurable improvement in the lowest-performing teams' hours-to-collections ratio; AR aging materially reduced on the largest payer categories; a standing compliance review process for assistant modifier usage in place.

Ongoing: A durable, repeatable operating rhythm — not a one-time fix — where staffing decisions, compensation structure, and payer issues are caught and addressed before they become a multi-month drag on the P&L.

Compensation & Location

Florida based

Salary, full benefits, and performance based bonus