Director, PFS Home Care & Audit

Banner Health • Phoenix, AZ

7d • Remote

About The Position

Banner Health is a leading nonprofit health system seeking a Director of Patient Financial Services (PFS), Home Care & Audit. This role provides strategic leadership for revenue cycle operations in home health settings, focusing on accurate reimbursement through auditing and compliance. The position involves leading internal and external audits, creating and implementing Standard Operating Procedures (SOPs), and providing operational oversight for revenue cycle management in home health services. Banner Home Health is a four-star agency known for quality and excellence, supporting therapy teams with a robust clinical support structure. The Director will manage patient financial services and accounts receivable for Home Care, home medical equipment, home infusion therapy, pharmacy, and related services. This includes ensuring effective patient financial counseling, timely and accurate billing, collections, and payment posting/reconciliation. The role manages significant payment posting and reconciliation of receivables and an expense budget, requiring extensive knowledge of Medicare, Medicaid, and various payer contracts. The position also collaborates with hospital facilities on charging processes and compliance.

Requirements

• Bachelor's degree in healthcare administration, Business or Finance.
• 5-8 years experience in healthcare Revenue Cycle management, with an emphasis in home health regulations.
• Proficiency in HCHB (Homecare Homebase), TIMs, CPR Plus and Brightree.
• Strong system optimization and leadership experience.
• Bachelor’s Degree with an emphasis in Finance or Accounting or equivalent experience.
• A minimum of five years of healthcare financial management experience with at least two years in a hospital setting, along with experience in a broad range of billing and patient account audit practices.
• Strong negotiating, analytical and organizational skills.
• Ability to be flexible with changing needs and deadlines.
• Ability to interact and communicate both verbally and in writing with all levels of company personnel and outside professionals.
• Solid understanding of the healthcare revenue cycle, payer contracts and applicable rules and regulations affecting reimbursement for healthcare services.
• Extensive knowledge of Medicare, Medicaid in several States, and contractual arrangements with multiple payers.

Nice To Haves

• Additional related education and/or experience preferred.

Responsibilities

• Leads, develops and maintains a competent and engaged staff through effective hiring, training, coaching, and empowerment.
• Directs and oversees personnel actions including recruiting, new hire actions, interviewing and selection of new staff, staff reviews, and salary determinations for the patient financial services and management and staff in the Home Care and Pharmacy PFS.
• Establishes and oversees the development and implementation of processes and procedures to assure that billing and collections work meets the most current requirements of Medicare, all insurance company payers and each state’s Medicaid plan.
• Establishes short and long-range goals, strategies and objectives for the work units.
• Develops and implement programs to increase efficiency and effectiveness of the Pharmacy PFS functions and the Home Care Central Back Office.
• Maximizes cash flow through effective management of billing and collections work, developing effective relations with third party payers, preparing and executing strategic and financial plans, and ensuring that all goals are met.
• Negotiates settlements of disputed accounts and reimbursement denials.
• Maintains a cost-efficient operation.
• Plans and prepares an appropriate budget for assigned cost centers.
• Provides expense control and effective management in the allocation of resources.
• Collects and analyses data and performance statistics for assigned business units.
• Communicates business results, needs and recommendations to operating groups and to management.
• Works with operating managers and service providers to maximize results of patient accounting work.
• Maintains a low level of patient complaints and high level of patient satisfaction through effective customer service and business strategies.
• Develops a well-trained staff that maintains a high level of quality, good business practices, and effective problem resolution.
• Manages the payment posting and reconciliation of receivables of greater than $150M annually and manages an expense budget of $1.7M.
• Responsible for leading assigned operational planning, consistent with company priorities, to identify and reach short and long term goals.
• Works with all Hospital facilities related to the charging process and needs to have a strong knowledge basis of charging procedures and Compliance requirements.

Benefits

• Option to participate in a variety of health, financial, and security benefits.
• May be eligible for our Management Incentive Program as part of your Total Rewards package.

What This Job Offers

• Job Type: Full-time
• Career Level: Director