Billing and Collections Manager **Must be located in Nebraska

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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