Manager- PFS Hospital Billing

Dayton Children's Hospital • Work from Home - Hybrid - Ohio, OH

3d • Hybrid

About The Position

The Patient Financial Services Insurance Billing Manager oversees the department’s billing services, including claims processing, claim edits and rejections, denials, and insurance collections. The role reviews revenue performance, manages staff responsible for billing and collections, ensures compliance with third-party regulations, and works to improve key revenue-cycle performance indicators.

Under the general direction of the Director Patient Financial Services, the manager maintains efficient day-to-day workflows for insurance accounts receivable management. Responsibilities include implementing and monitoring productivity standards and work queue volumes, resolving problems, monitoring key performance indicators, developing team action plans, and ensuring adherence to Dayton Children’s policies and procedures. The manager collaborates with interdepartmental teams to optimize revenue-cycle management.

This is a full-time, 40-hour-per-week hybrid role in Ohio, with the schedule varying between two and three days in the office. The stated hours are Monday through Friday, 8:00 a.m. to 4:30 p.m.

Requirements

• High school diploma required.
• At least 3 years of experience in patient financial services or healthcare billing.
• At least 1 year of leadership or supervisory experience.
• Strong communication and interpersonal skills.
• Ability to work tactfully with patients, staff, and interdepartmental customers.
• Proficiency in managing billing and collection processes.
• Strong analytical and problem-solving skills.
• Ability to lead and motivate a team.
• Knowledge of healthcare billing regulations and compliance requirements.
• Excellent organizational and time-management skills.

Nice To Haves

• Associate degree preferred.

Responsibilities

• Oversee billing services, including claims processing, claim edits and rejections, denials, and insurance collections.
• Review revenue performance and manage staff responsible for billing and collections.
• Ensure compliance with third-party regulations.
• Improve key revenue-cycle performance indicators.
• Maintain efficient day-to-day workflows for insurance accounts receivable management.
• Implement and monitor productivity standards and work queue volumes.
• Resolve operational problems and monitor key performance indicators.
• Develop team action plans and ensure adherence to Dayton Children’s policies and procedures.
• Collaborate with interdepartmental teams to optimize revenue-cycle management.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED