Director of Patient Financial Services

Position Summary

The Director of Patient Financial Services is responsible for optimizing revenue cycle performance, ensuring all financial transactions are accurately recorded and reported, and maintaining compliance with all applicable regulatory requirements. This position will lead the development and implementation of policies and procedures related to patient financial services, while driving operational efficiencies and supporting organizational financial goals. Additional responsibilities include staff leadership and development, budget preparation, and detailed financial analysis to support strategic decision-making.

Key Duties and Responsibilities

Essential Duties

• Direct, supervise, and evaluate all Business Office operations, including patient registration, insurance verification, charge capture, billing, coding coordination, accounts receivable, collections, payment posting, and customer service functions.
• Develop, implement, and maintain policies, procedures, and internal controls to ensure efficient and compliant revenue cycle operations.
• Monitor and optimize key revenue cycle performance indicators, including cash collections, days in accounts receivable, denial rates, bad debt, and reimbursement trends.
• Analyze financial and operational data to identify opportunities for improvement processes, revenue enhancement, cost reduction, and increased organizational effectiveness.
• Ensure timely and accurate billing, collection, and reporting of all patient accounts in accordance with federal, state, and payer regulations.
• Oversee denials management processes, appeals activities, and payer contract performance to maximize reimbursement and minimize revenue leakage.
• Collaborate with clinical, operational, and executive leadership to improve financial outcomes, patient satisfaction, and organizational performance.
• Lead, mentor, and develop Business Office staff through coaching, performance management, training, and succession planning initiatives.
• Establish productivity standards and performance expectations for department personnel while fostering a culture of accountability, teamwork, and continuous improvement.
• Prepare, manage, and monitor departmental budgets, staffing plans, and operational expenses to ensure fiscal responsibility.
• Provide regular financial and operational reports, analyses, and recommendations to the Market CFO and executive leadership team.
• Ensure compliance with all applicable regulatory requirements, including Medicare, Medicaid, commercial payer guidelines, HIPAA, CMS regulations, and ASC billing requirements.
• Coordinate internal and external audits and implement corrective action plans as necessary.
• Oversee vendor relationships, revenue cycle technology solutions, and system optimization efforts to support operational objectives.
• Participate in strategic planning initiatives and organizational projects related to revenue cycle management, financial performance, and operational growth.
• Maintain current knowledge of healthcare reimbursement methodologies, regulatory changes, industry trends, and best practices.
• Address and resolve complex patient account issues, payer disputes, and escalated financial concerns in a professional and timely manner.
• Utilize electronic health records (EHR), HST
• Maintain confidentiality of patient, employee, and organizational information in accordance with HIPAA and organizational policies.
• Perform other duties as assigned to support organizational goals and operational needs.

Qualifications, Education, Experience and Ability

• Bachelor's degree in healthcare administration, Business, Accounting, Finance, or a related field required.
• Minimum of three (3) years of management-level experience and five (5) years of hospital revenue cycle experience, with demonstrated expertise in billing and collections
• Comprehensive knowledge of Patient Financial Services (PFS) operations, including billing, collections, and cash posting processes.
• Working knowledge of patient registration, financial systems, and daily cash reconciliation practices
• Proven ability to manage and perform against key performance indicators (KPIs), including development and execution of action plans.
• Strong understanding of regulatory requirements related to patient accounting, including Medicare, Medicaid, and Managed Care processes.
• Excellent interpersonal and communication skills, with the ability to collaborate effectively with leadership, physicians, staff, patients, and the public.
• Ability to read, analyze, and interpret financial reports, contracts, and legal documents.
• Demonstrated ability to work independently, think critically, and develop innovative solutions in complex or undefined situations.
• Strong organizational skills with the ability to prioritize effectively in a fast-paced environment with competing demands.
• Advanced analytical and problem-solving capabilities
• Commitment to staff development, with a passion for coaching and mentoring team members
• Strong customer service orientation
• Advanced computer proficiency, including Microsoft Office Suite, advanced Excel skills, data analysis, and template development.
• Experience with HST systems preferred.

Environmental and Physical Requirements

• The employee works in a temperature-controlled environment.
• Sitting frequently. Walking and/or standing occasionally. Must be able to bend and stoop.
• Reaches over the head less.
• Candidate must be able to read, write and speak English fluently, have cognitive skills for math, reading, filing and sterile technique skills.
• Vision for near, mid-range, far and accommodation.
• Communication skills to deal well with employees, patients, families and physicians. Hearing for low, medium, and high pitch.
• There is potential for contact with chemicals, blood borne pathogens, and exposure to infectious disease.
• Employees should be able to lift 25 pounds using proper lifting technique several times during their shift.

Equal Employment Opportunity (EEO) & Americans with Disabilities Act (ADA) Statement

Our hospital is committed to fostering an inclusive and diverse workplace. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by applicable law. Additionally, we provide reasonable accommodation for qualified individuals with disabilities in the application and employment process. If you require assistance or accommodation due to a disability, please contact Human Resources so that we may engage in an interactive process to determine appropriate accommodation.