Director|Patient Financial Services and Professional Billing

Director|Patient Financial Services and Professional Billing, Full Time

Job Category
:
Management/Professional

Requisition Number
: DIREC
004875

• Posted :
  December 2, 2025
• Full-Time

Showing 1 location

Memorial Hospital
Marysville, OH 43040, USA

We are looking for a Director, Patient Financial Services & Professional Billing to join our collaborative team at Memorial Health!

What You'll Do:

Management of Patient Financial Services and Professional Billing Departments

• Responsible for overseeing initiatives to improve net revenues, reduce patient accounts receivables and improve compliance in support of organizational goals.
• Ensures billing practices are consistent with internal policies and external requirements of payors.
• Identifies and analyzes billing trends and make appropriate recommendations to leadership.
• Maintains current working knowledge of federal and state regulations regarding the revenue cycle.
• Assist with projects related to revenue opportunities, manage all aspects of patient billing, appeals, denials management, payor variances, cash posting, bank reconciliation, statement processing, cashier and patient financial counseling.
• Provides status of organization’s billing/claims collection performance to Senior Director.
• Informs Senior Director of any significant upstream issues that inhibit patient billing and reimbursement. Monitor progress to resolution.

Strategic Direction and Leadership for the Following Departments/Functions:
Patient Financial Services, Professional Billing and Hospital Contract Modeling, and all related systems.

• Monitors team performance to ensure timeliness, accuracy, and compliance standards are being achieved.
• Facilitates timely and complete resolution of all customer questions and concerns.
• Motivate employees to accomplish department goals in support of the Hospital’s strategic plan.
• Monitors staffing productivity measures and ensure employee accountability.
• Provides mentoring, training and development for management team and staff.
• Monitors expenses to ensure within approved budget.
• Participates in staffing interviews, employee selection, performance evaluations, and disciplinary actions.
• Ensures adequate controls are in place for all reporting departments, e.g. develop and maintain policies, procedures, and guidelines.
• Chair of Revenue Cycle Denials Committee and member of the Revenue Cycle Executive Committee.

Payer Relations and Contract Administration

• Provides subject matter expertise to ensure data validity and accuracy in payer reimbursement models.
• Monitor reimbursement variances by payer, service line, and provider; perform root-cause analysis to recommend corrective actions.
• Develops and fosters strong payer relationships.
• Maintains a comprehensive knowledge and understanding of all Hospital and Memorial Medical Group payer contracts, terms and reimbursement.
• Maintains a comprehensive knowledge of medical policy as applies to each payer.
• Collaborates with payers to resolve claim issues (authorization denials, claim rejections, claim denials, etc.) in a timely manner.
• Maintains knowledge of contract provisions in other third party managed care contracts.

Analysis and Reporting

• Compiles and analyzes key performance indicators (KPIs) across hospital and professional billing departments to identify operational improvement opportunities and provides to Senior Director.
• Compiles and prepares data, reports and analyses for various Hospital departments and directors.
• Oversight and assist with data collection for Hospital Care Assurance Program (HCAP), Hospital Charity Care (CC), Medicare and Medicaid Cost Reports, Bad Debt report and annual payer Credit Balance Reviews.
• Analyze reports and outcomes as they pertain to revenue cycle management; to include but not limited to monitoring of accounts receivable (A/R), claim denials and appeals, late charges, key performance indicators. Report to Senior Director as appropriate.
• Develop, maintain, and present routine and ad-hoc revenue cycle performance reports, including AR trends, billing lag, denial patterns, cash collections, charge capture accuracy, and payer performance. to facilitate decision making processes.
• Provides scheduled standard reports to client leadership.
• Create dashboards and visualizations that translate complex billing and reimbursement data into actionable insights.
• Prepare monthly memorial medical group (MMG) financial dashboard.
• Prepare monthly cash projection reporting.
• Use predictive analytics to identify trends such as high-risk claims, likely denials, or underpayments, and drive proactive resolution strategies.
• Translate analytical findings into operational plans, driving measurable improvements in billing efficiency, clean claim rate, denial reduction, and overall revenue integrity.

Business Systems Oversight

• Ensures systems dictionary files, data elements, interface and mappings are maintained.
• Facilitates successful system implementations, conversions, and upgrades for revenue cycle applications.
• Assesses new technology,…