Brown’s Medical Imaging (BMI) is seeking a hands-on, results-driven Billing and Collections Manager to lead and transform the accounts receivable function across our equipment sales, service contracts, and parts business lines.
This role will be responsible for driving down DSO, improving cash flow predictability, and building scalable collections processes in a fast-growing, operationally complex environment. The Collections Manager will lead a team of three and partner closely with Sales, Service, and Finance leadership to resolve billing issues, enhance customer experience, and ensure disciplined cash collections.
This is a builder role—ideal for someone who has successfully implemented structure, accountability, and technology within a growing organization.
Key Responsibilities
1. Drive Cash Collections & Reduce DSO
Own BMI’s collections strategy across:
Capital equipment sales (large-dollar)
Service contracts (recurring revenue / MSA structures)
Parts and ad hoc T&M service billing
Develop targeted collection strategies by revenue stream and customer type (IDNs, hospitals, imaging centers, physician groups)
Actively manage high-dollar and aged receivables, including direct customer engagement
Establish clear escalation protocols for delinquent accounts
2. Build & Standardize Collections Processes
Design and implement formal collections workflows, including:
Call cadence and follow-up schedules
Dispute identification and resolution processes
Promise-to-pay tracking and accountability
Create a collections waterfall / roll-forward
Partner with Accounting to support:
Bad debt reserve methodology (GAAP / CECL alignment)
Clean cutoff and accurate aging classification
Identify root causes of delays (billing errors, contract setup, service documentation gaps)
Initiate credit memos and write offs
• Lead & Develop the Collections Team
Manage, coach, and develop a team of three collections specialists
Establish clear KPIs, including:
DSO reduction targets
Calls / touches per account
Promise-to-pay conversion rates
Dispute resolution timelines
Implement performance management routines (weekly pipeline reviews, aging reviews)
Build a culture of accountability, urgency, and customer professionalism
4. Leverage Technology (Microsoft Dynamics 365)
Optimize use of Microsoft Dynamics 365 (Business Central and/or CE) and iSolutions for:
A/R aging and collections dashboards
Customer communication tracking
Automated reminders and workflows
Partner with Finance Systems to:
Improve reporting visibility (aging, collections effectiveness)
Build dashboards and exports for leadership reporting
Utilize Excel and/or BI tools to create actionable insights and trend analysis
5. Cross-Functional Partnership
Collaborate with
Sales Team – align on customer communication and escalation strategy
Service Operations – resolve service-related billing disputes and contract issues
Accounting/Finance – ensure billing accuracy and alignment with revenue recognition
Support customer onboarding and contract setup to prevent downstream A/R issues
6. Reporting & Insights
Deliver weekly and monthly reporting to Controller/CFO, including:
DSO trends and drivers
Aging by bucket and customer segment
Cash collections vs. forecast
Dispute volumes and root causes
Provide actionable recommendations to improve working capital performance
Qualifications
5–8+ years of A/R and collections experience, including team leadership
Proven success in reducing DSO and improving collections performance
Experience building or improving collections processes in a growing, operationally complex business
Strong analytical skills with deep experience in aging analysis and KPI tracking
Advanced Excel capabilities (pivot tables, lookups, reporting)
Experience in
Medical imaging, healthcare services, or capital equipment businesses
Managing collections across equipment + recurring service revenue streams
Hands-on experience with Microsoft Dynamics 365 (Business Central and/or CE)
Service agreements / MSAs; Milestone or capital project-based billing; Healthcare customer dynamics (hospitals, IDNs, outpatient imaging centers)
Measurable reduction in DSO
Decrease in >90-day aging balances
Improved cash collections vs. forecast
Reduction in billing disputes and resolution cycle time
Implementation of standardized collections processes and reporting
Increased team product
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