Director Of Patient Financial Services

The Director of Patient Financial Services provides operational leadership for key revenue cycle functions, including billing, claims processing, payer follow-up, accounts receivable (AR), payment posting, self-pay management, and collections strategy, as well as patient financial services.This role ensures that services are converted into accurate, timely reimbursement while maintaining compliance with payer and regulatory requirements and delivering a clear, compassionate financial experience for patients.Key ResponsibilitiesProvide leadership and oversight for billing, claims follow-up, AR management, payment posting, patient accounts, and financial counseling teamsMonitor and improve key performance indicators, including AR days, denial rates, clean claim rates, cash collections, and self-pay collection performanceEnsure timely, accurate claim submission and efficient resolution of edits, rejections, and denialsOversee payer follow-up activities and escalate systemic reimbursement issuesPartner with Revenue Integrity to reduce denials and improve first-pass yieldEnsure accurate payment posting, contractual adjustments, and reconciliation processesCollaborate with Finance and Accounting on cash reconciliation, month-end close, and audit readinessOversee patient balances, including statements, payment plans, financial assistance, refunds, and in-house early-out and bad debt collection processesLead and optimize self-pay AR and collections performance, including patient responsibility workflows, payment strategies, and staff performanceEstablish and monitor performance metrics related to self-pay collections, aging, and recovery rates, identifying opportunities for improvementEnsure a balanced approach to collections that supports both financial stewardship and a positive patient financial experienceDevelop and optimize strategies for self-pay AR, patient responsibility, and collection agency/vendor performanceEnsure compliance with regulatory requirements, including financial assistance policies and the No Surprises ActSupport a patient-centered financial experience through clear communication and compassionate servicePartner with Patient Access and Revenue Integrity to reduce front-end and mid-cycle errors impacting reimbursementUtilize data and reporting to identify trends, improve workflows, and drive operational performanceQualificationsBachelor’s degree in Healthcare Administration, Business, Finance, or related field required; relevant experience may be considered in lieu of formal educationDemonstrated leadership experience, with the ability to manage teams, oversee complex workflows, and drive measurable performance improvementExperience in healthcare revenue cycle operations (billing, claims management, accounts receivable, or related functions) preferred; candidates with strong leadership and operational experience in other industries will also be consideredExperience in a Critical Access Hospital (CAH) and/or Rural Health Clinic (RHC) setting preferred, including familiarity with applicable reimbursement methodologies and regulatory requirementsCertified Revenue Cycle Representative (CRCR) required within one year of employmentUnderstanding of revenue cycle concepts, financial operations, or reimbursement processes.Working knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding systems preferredStrong analytical, communication, and problem-solving skillsHigh level of professionalism, integrity, and attention to detail