Director of Patient Financial Services

The Director of Patient Financial Services (PFS) provides strategic and operational leadership over both Hospital Billing (HB) and Professional Billing (PB) and insurance follow-up functions for a large, integrated healthcare system. This leader owns the entire post-discharge/post-encounter claims lifecycle and ensures a unified, high-performance approach to cash acceleration, denial prevention, and payer escalation.

By bridging facility and physician billing operations, the Director drives enterprise consistency, Epic optimization, and measurable improvements in AR and collections. This is a hands‑on senior leader who partners closely with revenue cycle, clinical, IT, and finance teams to remove barriers to reimbursement and build high‑performing, accountable teams.

• Lead all HB and PB billing, claims submission, and insurance follow‑up operations.
• Drive performance against cash targets, Days in AR, and Aged AR (>90 days) benchmarks.

• Serve as the operational owner for Epic HB/PB workflows.
• Partner with IT to optimize work queues, automation, and “Single Billing Office” (SBO) functionality.

• Build and maintain dashboards for productivity, quality, and payer performance.
• Use data to identify root causes of denials and reimbursement delays.
• Lead denial prevention and clean‑claim initiatives.
• Collaborate with CDI, Coding, Patient Access, and Revenue Integrity teams.

• Act as executive contact for major payers.
• Resolve systemic issues, manage escalations, and negotiate single‑case agreements when needed.

• Ensure adherence to Medicare, Medicaid, and federal/state billing regulations, including the No Surprises Act.
• Standardize policies and workflows across HB and PB.
• Lead and develop a large, multidisciplinary team of managers and specialists.
• Foster accountability, engagement, and continuous improvement.

• Experience: 7–10+ years in revenue cycle leadership within large, complex healthcare organizations
• Epic Expertise: Advanced knowledge of Epic HB and PB is mandatory
• Leadership: Proven success managing large, multi‑layered teams and integrating HB/PB functions
• EMR: Strong Epic operational experience required
• Travel: Willing to travel 25–50% (typically Monday–Thursday)

• Prior interim or consulting leadership experience in revenue cycle environments
• Experience in SBO (Single Billing Office) or highly integrated billing models

• Monday–Friday
• Senior leadership role with flexibility as needed, primarily during standard business hours