Patient Financial Services Supervisor

Signature Performance, Inc.•,

19h

About The Position

The Patient Financial Services Supervisor leads daily revenue cycle operations for assigned hospital billing (HB) and professional billing (PB) functions. The role oversees billing, insurance follow-up, denials and appeals, self-pay, cash posting, payment reconciliation, and final account resolution. The supervisor manages work queues, accounts receivable inventories, aging, unresolved accounts, unapplied cash, credit balances, staffing capacity, workload, volumes, and service levels to maintain operational performance and meet financial and patient-service goals. The position ensures accurate, timely work in accordance with standardized workflows, standard operating procedures, payer requirements, financial policies, and documentation standards. It monitors payer and denial performance, self-pay resolution, cash posting and reconciliation, and team productivity and quality. The supervisor coaches and develops associates, communicates priorities and updates, addresses performance issues, and supports onboarding and training. Using operational data, the supervisor identifies backlogs, risks, recurring issues, and opportunities to improve workflow efficiency and account resolution. The role partners with Patient Access, Coding/CDI, Revenue Integrity, clinical operations, and other stakeholders to address root causes, and communicates material risks and barriers to PFS leadership. It also supports standardization, technology, analytics, automation, AI-enabled capabilities, and continuous improvement across TRC-supported hospitals. Travel of 15–30% is required, and the employee must be available during PST business hours.

Requirements

High school diploma or equivalent.
At least 4 years of progressively responsible hospital Patient Financial Services or revenue cycle experience, including billing, AR, denials, collections, self-pay, cash posting, or related functions.
At least 1–2 years of demonstrated team lead, supervisory, or people leadership experience.
Working knowledge of Hospital Billing (HB) and/or Professional Billing (PB), the patient account lifecycle, and Medicare, Medicaid, commercial payer, and patient responsibility processes.
Demonstrated ability to manage workflow, productivity, quality, service levels, and employee performance.
Strong analytical, problem-solving, communication, and organizational skills, with the ability to operate effectively in a multi-hospital environment.
Availability during PST business hours.
Willingness to travel 15–30%.

Nice To Haves

Associate or bachelor's degree in healthcare administration, business, finance, or a related field.
Experience supporting HB and/or PB within a centralized business office or multi-hospital revenue cycle organization.
Critical Access Hospital and/or rural healthcare experience.
Proficiency with hospital patient accounting and revenue cycle systems; Epic Resolute HB/PB experience is preferred.
Experience with revenue cycle analytics, workflow automation, or workforce optimization tools.
CRCR, CHFP, or another HFMA/revenue cycle certification.

Responsibilities

Lead daily PFS operations for assigned HB and PB functions, including billing, insurance follow-up, denials and appeals, self-pay, cash posting, payment reconciliation, and final account resolution.
Manage work queues, AR inventories and aging, unresolved accounts, unapplied cash, credit balances, and priority backlogs; align assignments with volume, complexity, service levels, and staffing capacity.
Monitor staffing capacity, workload, volumes, and service levels; rebalance resources and priorities to maintain operational performance.
Ensure timely and accurate execution of workflows, SOPs, payer requirements, financial policies, and account documentation standards.
Identify operational barriers and systemic issues affecting reimbursement, cash flow, account resolution, or patient experience, and drive or escalate resolution.
Oversee insurance follow-up across Medicare, Medicaid, commercial, managed care, and other third-party payers for assigned HB and PB populations.
Monitor aging, claim status, denials, underpayments, payment delays, appeals, and filing deadlines; prioritize work based on financial and operational risk.
Identify recurring payer and denial trends and partner with Patient Access, Coding/CDI, Revenue Integrity, clinical operations, and other stakeholders to address root causes.
Support payer escalations by documenting trends, affected accounts, financial impact, and required action.
Oversee patient balance workflows, including statements, payment arrangements, financial assistance, charity care, bad debt, and collection agency placement in accordance with policy.
Monitor self-pay inventory, aging, collections, and account disposition; ensure patient inquiries and financial concerns are handled accurately and professionally.
Promote timely account resolution and a consistent, patient-centered financial experience across HB and PB.
Oversee timely and accurate posting of electronic and manual payments, adjustments, denials, and remittance activity across HB and PB.
Monitor and resolve unapplied or unidentified cash, posting exceptions, payment variances, reconciliation issues, and credit balances.
Ensure ERA/EFT and manual remittance workflows meet accuracy, productivity, control, and service-level expectations.
Lead, coach, and develop PFS associates; set expectations for productivity, quality, attendance, service, and accountability.
Monitor individual and team performance, provide timely feedback and corrective action, and conduct regular huddles to align priorities and communicate updates.
Support onboarding, training, competency development, and adoption of standardized CBO processes and new ways of working.
Monitor performance indicators, including cash, AR days and aging, billing and follow-up timeliness, denial and appeal performance, self-pay collections, cash posting accuracy and timeliness, unapplied cash, productivity, and quality.
Use data to identify gaps and backlogs, establish corrective actions, and improve workflow efficiency and account resolution across HB and PB.
Support standardization, technology, analytics, automation, and AI-enabled capabilities that improve operational performance and reduce manual effort.
Communicate material performance risks, staffing constraints, payer issues, and operational barriers to PFS leadership; support implementation, stabilization, and continuous improvement across TRC-supported hospitals.