Director Patient Financial Services - Home Care & Retail/Specialty Pharmacy
About The Position
The Director, Patient Financial Services (PFS) – Home Care & Retail/Specialty Pharmacy provides strategic and operational leadership for revenue cycle functions supporting Home Care (Home Health, Home Infusion, DME), Retail Pharmacy, and Specialty Pharmacy service lines. The role is accountable for optimizing financial performance, ensuring operational excellence, improving patient and payer experience, and driving continuous process improvement across multiple reimbursement models and service lines. The Director partners with Finance, Clinical Operations, Pharmacy Leadership, Revenue Integrity, Digital & Technology Services (DTS), and external vendors to develop and implement strategies that improve cash collections, reduce accounts receivable, strengthen compliance, and enhance operational efficiency. The role leads transformational initiatives, including automation, workflow redesign, reporting optimization, vendor management, and performance improvement efforts. Responsibilities align with PFS initiatives focused on Home Care and Retail/Specialty Pharmacy optimization, Retail Pharmacy stabilization, operational standardization, automation, and revenue cycle excellence.
Requirements
- Bachelor's degree required.
- At least five years of management experience leading Physician Billing Office performance required.
- Excellent leadership, analytical, financial, interpersonal, and executive relations skills required.
- Ability to develop effective working relationships with professionals at various levels.
- Excellent written and verbal skills; fluency in Microsoft Office, personal computers, corporate billing systems, and their applications in a medical setting.
- Proven ability to operate large-scale billing operations at best-practice levels and create analytics demonstrating empirical excellence in patient financial services.
- Clear understanding of multiple independent physician reimbursement models and changing models such as bundles, value-based care, shared savings, and provider risk models.
- Ability to create and sustain teamwork dynamics and strong team atmospheres.
- Ability to maintain world-class customer service with patients and families, internal peers, and internal customers throughout the CHOP Care Network.
- Ability to manage multiple projects simultaneously and work effectively and efficiently with strict deadlines.
- Ability to manage and motivate employees at all levels to attract, retain, and develop the workforce and minimize undesirable turnover.
- Familiarity with and commitment to quality and process improvement concepts and techniques.
- Certified Revenue Cycle Representative (CRCR) from the Healthcare Financial Management Association (HFMA), required within six months.
Nice To Haves
- Master's degree in Healthcare Administration, Finance, Accounting, or another relevant major.
- Previous experience in an EPIC PB academic medical center environment.
- At least five years of progressive leadership experience in healthcare operations, revenue cycle, financial operations, process improvement, consulting, home care operations, pharmacy operations, or related healthcare business functions.
- Demonstrated experience leading cross-functional teams, operational transformation efforts, and large-scale process improvement initiatives.
- Strong analytical, financial, project management, and change management skills.
- Experience using data and performance metrics to drive operational and financial results.
- Knowledge of home care and pharmacy healthcare reimbursement, revenue cycle processes, pharmacy operations, or healthcare reimbursement and business operations.
Responsibilities
- Provide strategic leadership for Home Care, Retail Pharmacy, and Specialty Pharmacy revenue cycle operations.
- Drive achievement of cash, accounts receivable, denial, productivity, and quality performance goals.
- Lead process improvement, operational redesign, and automation initiatives to enhance efficiency and scalability.
- Develop and monitor operational metrics, dashboards, and performance improvement plans.
- Partner with clinical, financial, operational, and technical stakeholders and leaders to optimize end-to-end revenue cycle processes.
- Oversee vendor relationships, service level agreements, and outsourced operational functions.
- Ensure compliance with local, state, and federal regulatory requirements, payer policies, accreditation requirements, and organizational standards.
- Lead and develop managers, supervisors, analysts, and operational teams through coaching, accountability, and succession planning.
- Manage complex payer escalations and support strategic initiatives that improve reimbursement and financial outcomes.
- Foster a culture of collaboration, continuous improvement, accountability, and service excellence.
Benefits
- Eligible for an incentive program.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Director
