DIRECTOR, PATIENT FINANCIAL SERVICES

Join the Team at Decatur County Memorial Hospital At Decatur County Memorial Hospital (DCMH), we are more than a healthcare providerwe are a trusted community partner committed to improving the health and well-being of the individuals and families we serve. As a critical access hospital, DCMH combines high-quality patient care, advanced medical services, and a compassionate, patient-centered approach in a welcoming rural healthcare environment. Our team is made up of dedicated professionals who are passionate about making a difference every day. We foster a culture of collaboration, respect, integrity, and continuous improvement, where employees are empowered to grow professionally while contributing to exceptional patient outcomes. DCMH offers competitive compensation and benefits, opportunities for professional development, and a supportive workplace that values each team members contributions. DCMH offers more than just a jobwe offer a rewarding career and a supportive workplace culture. Employees enjoy competitive pay, comprehensive health and wellness benefits, generous paid time off, retirement savings opportunities, professional development support, and a variety of additional benefits designed to help you achieve your personal and professional goals. We are committed to creating an environment where team members feel valued, supported, and empowered to grow. If you are seeking a rewarding career with an organization that is committed to excellence, innovation, and service, we invite you to explore opportunities with Decatur County Memorial Hospital and become part of a team that is making a meaningful impact in our community. POSITION SUMMARY Reports To Executive Director, Revenue Cycle Amount of Travel Required Work is performed primarily in a hospital and healthcare business environment and may require travel between hospital departments, physician practices, and affiliated facilities, as well as attendance at meetings, training programs, and organizational events. Positions Supervised Provides oversight and direction for all personnel within the assigned areas of responsibility, including but not limited to, insurance billers and payment representatives. Work Schedule Work schedule may vary based on organizational and operational needs and may require work beyond the standard workweek, including evenings, weekends, participation in hospital-sponsored community events, volunteer activities representing the organization, and hours in excess of 40 per week, as necessary to fulfill job responsibilities. FLSA Status Exempt (Salaried) Position Summary The Director of Patient Financial Services provides strategic and operational leadership for all patient financial services and revenue cycle functions across Decatur County Memorial Hospital, including hospital, professional, Rural Health Clinic, and Ambulance Services billing operations. The Director is responsible for the oversight and optimization of billing, accounts receivable, claims management, reimbursement, revenue integrity, collections, and patient financial assistance programs. This position serves as the organizations subject matter expert on healthcare billing, reimbursement methodologies, revenue cycle regulations, and payer requirements. The Director is accountable for maximizing reimbursement, maintaining compliant billing and collection practices, safeguarding the organizations accounts receivable assets, and promoting an exceptional patient financial experience through the effective use of contemporary revenue cycle processes, technology, and performance management strategies. POSITION QUALIFICATIONS Education Bachelors degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field preferred. Candidates with significant progressively responsible experience in patient financial services, revenue cycle management, healthcare billing, collections, or healthcare finance may be considered in lieu of a degree. Experience A minimum of five (5) years of related experience, including at least three (3) years in a management or leadership role, is required. Computer Skills Proficient in Microsoft Office, email, and other standard computer applications, with the ability to learn and effectively use software systems required for assigned responsibilities. Meditech 6.X or Meditech Expanse experience highly preferred. Certificates License Professional certifications such as HFMA (CRCR, CHFP) or AAHAM (CRCE, CPAM) are preferred. Other Requirements Ability to lead, coach, and develop staff while promoting accountability, collaboration, and high performance. Ability to communicate effectively with employees, providers, patients, leadership, and external stakeholders through verbal and written communication. Ability to evaluate information, solve problems, make sound decisions, and drive operational effectiveness. Commitment to serving internal and external customers with professionalism and responsiveness. Demonstrate ethical conduct, confidentiality, professionalism, and responsibility for actions and outcomes. Ability to build and maintain effective working relationships across departments and organizational levels. Ability to ensure accuracy, compliance, and follow-through in work activities. Ability to manage competing priorities and respond effectively to changing organizational needs. Comprehensive knowledge of Medicare, Medicaid, and commercial payer regulations, reimbursement methodologies, billing and collection practices, denial management, and accounts receivable processes. Essential Functions Strong understanding of HIPAA privacy and security requirements and their impact on patient financial services and revenue cycle operations. Directs and oversees all hospital, professional, Rural Health Clinic, and Ambulance Services billing operations, ensuring accurate claim submission, timely reimbursement, regulatory compliance, and adherence to government and commercial payer requirements. Provides strategic and operational leadership for all revenue cycle and patient financial services functions, including billing, accounts receivable management, denial prevention and resolution, cash posting, collections, reimbursement optimization, and patient account maintenance. Oversees all accounts receivable activities, ensuring timely claim follow-up, resolution of billing and payment issues, reduction of aged receivables, and achievement of organizational collection goals and industry benchmarks. Serves as the organizations subject matter expert on healthcare billing, reimbursement methodologies, revenue cycle regulations, and payer requirements, including Medicare, Medicaid, managed care, and commercial insurance programs. Develops and implements revenue cycle strategies, operational goals, and performance metrics to improve financial outcomes, increase efficiency, enhance regulatory compliance, and support organizational objectives. Maintains oversight of revenue integrity programs, ensuring accurate charging practices, appropriate reimbursement, compliance with applicable regulations, and optimization of revenue capture. Monitors reimbursement trends, payer policies, billing guidelines, contractual requirements, and regulatory changes, recommending and implementing process improvements to maximize reimbursement and minimize denials. Oversees claims management processes, including identification of insurance coverage, claim submission, payment variance review, denial resolution, adjustments, and account reconciliation activities. Works collaboratively with insurance carriers, governmental payers, third-party administrators, and patients to resolve complex reimbursement, coverage, and payment issues. Directs financial assistance, self-pay, collection, and bad debt programs, ensuring compliance with organizational policies and applicable federal and state regulations. Develops, implements, monitors, and revises departmental policies, procedures, internal controls, and workflows to promote operational consistency, efficiency, compliance, and effective revenue cycle management. Develops, manages, and monitors departmental operating and capital budgets, ensuring effective utilization of financial, technological, and personnel resources. Directs and supervises departmental personnel, including recruitment, onboarding, scheduling, performance evaluations, competency validation, professional development, coaching, corrective action, and succession planning. Coordinates the collection, analysis, and reporting of revenue cycle, reimbursement, and financial data, including information required for Medicare and Medicaid cost reports, audits, regulatory reporting, and organizational performance monitoring. Collaborates with executive leadership, finance, compliance, information technology, and operational departments to improve revenue cycle performance, ensure compliant recordkeeping practices, strengthen financial outcomes, and promote an exceptional patient financial experience. Other duties as assigned.