Patient Financial Services Director

Appalachian Regional Healthcare, Inc.•Lexington, KY

About The Position

Under the general supervision of the Chief Revenue Officer, the Patient Financial Services Director provides strategic leadership and direction for patient financial services across the healthcare system. The role oversees billing, collections, denials, cash posting, accounts receivable management, revenue cycle management, and related processes to optimize revenue capture, comply with regulatory requirements, and support the organization’s financial success. The Director is responsible for meeting performance goals related to cash, accounts receivable days, production by area, and denial reduction, and monitors healthcare industry changes that affect billing and collections.

Requirements

  • Bachelor’s degree in healthcare administration, business administration, or a related field.
  • Several years of progressive leadership experience in revenue cycle management or related healthcare administration roles.
  • Strong understanding of healthcare regulations and compliance requirements.
  • Excellent communication, interpersonal, and leadership skills.
  • Demonstrated ability to drive process improvement and optimize operational efficiency.
  • Demonstrated negotiation skills.
  • Demonstrated verbal and written communication skills.
  • Demonstrated conflict resolution, creative problem-solving, and critical thinking skills.
  • Knowledge of healthcare financing, community and organizational resources, and data analysis.
  • Knowledge of hospital billing, clinic billing, collections, cash posting, and revenue cycle processes.
  • Flexibility and ability to adapt to changing priorities and regulations.
  • Basic computer skills.
  • Understanding of best practices for revenue cycle management, hospital and clinic billing, denials management, and cash collections.

Nice To Haves

  • Master’s degree or equivalent experience.
  • Experience with managed care.
  • HFMA certification.
  • NAHAM certification.

Responsibilities

  • Develop and implement a strategic vision for patient financial services aligned with organizational goals.
  • Collaborate with other leaders to integrate financial services into the overall healthcare financial strategy.
  • Lead and manage managers and staff responsible for billing, collections, revenue cycle management, denials, and cash posting for professional and hospital teams.
  • Develop and implement strategies to optimize the revenue cycle from patient registration through final billing and collection.
  • Monitor revenue cycle management key performance indicators and take corrective action as needed.
  • Stay informed about healthcare regulations and ensure financial services processes comply with federal, state, and local requirements.
  • Develop and implement policies and procedures to maintain compliance.
  • Oversee billing and collection processes to maximize reimbursement and minimize denials.
  • Collaborate with patient access and clinical teams to address patients’ financial concerns.
  • Develop and implement training programs to ensure financial services staff have necessary skills and knowledge.
  • Stay informed about changes in healthcare billing and reimbursement and provide ongoing education to staff.
  • Monitor healthcare industry changes that affect billing and collection efforts.
  • Meet performance goals related to cash, accounts receivable days, production by area, and denial reduction.
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