Manager, Early & Bad Debt Operations

We are seeking an experienced Early Out & Bad Debt Manager to lead and optimize the performance of our early-out and bad debt collections portfolios. This individual will be responsible for developing collection strategies, managing third-party collection agencies, driving vendor accountability, monitoring portfolio performance, and ensuring compliance with all applicable healthcare and debt collection regulations.

The ideal candidate is a data-driven revenue cycle leader with expertise in self-pay collections, agency management, bad debt recoveries, and operational performance improvement. This role will partner closely with Patient Financial Services, Revenue Cycle leadership, Compliance, and external collection vendors to maximize recoveries while delivering a positive patient financial experience.

• Oversee daily operations and performance of assigned early-out and bad debt portfolios.
• Develop and implement strategies to improve collections, reduce aging, and maximize recoveries.
• Monitor key performance indicators (KPIs), including liquidation rates, recovery percentages, inventory aging, and account resolution metrics.
• Analyze portfolio trends and identify opportunities for process improvement and increased collections effectiveness.
• Ensure timely account placement, recall, and inventory management activities.
• Manage relationships with third-party collection agencies and other revenue cycle vendors.
• Conduct regular business reviews with vendors to evaluate performance against contractual expectations and service level agreements (SLAs).
• Establish performance goals, monitor scorecards, and implement corrective action plans when necessary.
• Collaborate with vendors to develop strategies that improve account recoveries while maintaining a patient-centric approach.

• Serve as a subject matter expert for early-out and bad debt collections processes.
• Lead initiatives focused on operational excellence, process standardization, and workflow optimization.
• Collaborate with cross-functional teams to improve patient financial engagement and account resolution outcomes.
• Prepare and present performance reports, trends, and recommendations to senior leadership.

• Bachelor Degree preferred
• 5+ years experience in revenue cycle, patient financial services
• 3+ years of experience managing early-out or bad debt accounts