Revenue Cycle Managed Services - Patient Financial Services Manager

Impact Advisors

1d•Remote

About The Position

Impact Advisors is seeking a dynamic and motivated Patient Financial Services (PFS) Manager who will serve as a senior revenue cycle leader responsible for overseeing back-end revenue cycle operations across a single or multiple client engagements. This role requires a strong operational mindset and the ability to lead high-performing teams across U.S.-based and nearshore environments, while also actively engaging in the day-to-day work. The ideal candidate is a hands-on, “player-coach” leader who is comfortable stepping in to work billing edits, AR accounts, and denials while simultaneously driving team performance and client outcomes. The PFS Manager serves as the operational lead for client delivery, ensuring strong partnerships, improved revenue performance, consistent KPI achievement, and continuous optimization of both billing and accounts receivable workflows. This leader oversees all back-office functions—including billing, cash posting alignment, follow-up, denial management, and AR resolution—and manages supervisors, representatives, and third-party teams. This position reports to the VP of Central Operations and offers a unique opportunity to contribute to client success while making a meaningful impact on the healthcare industry.

Requirements

8–10+ years of experience in healthcare revenue cycle operations across both billing and AR functions
Demonstrated ability to independently perform billing, AR follow-up, and denial resolution across multiple payer types
Proven experience operating as a hands-on leader working directly in accounts while managing teams
At least 3 years in a supervisory or managerial role within a hospital or provider-based setting
Strong knowledge of payer requirements, claim adjudication, billing workflows, and denial management
Demonstrated success improving cash performance, billing accuracy, and AR outcomes
Strong Epic RCM experience (billing and AR modules)
Advanced Excel/reporting capabilities

Nice To Haves

Experience managing teams across onshore and nearshore/offshore environments
Strong root cause analysis and process improvement capabilities across billing and AR workflows
Prior consulting or multi-client environment experience
Experience scaling operations and stabilizing performance in complex environments

Responsibilities

Lead and oversee a multi-layered PFS team including Supervisors, U.S.-based Representatives, Nearshore Teams, and third-party partners
Act as a hands-on leader, stepping in to work complex billing issues, AR accounts, denial scenarios, and escalations as needed
Provide side-by-side coaching and live account reviews to reinforce best practices in billing, follow-up, and denial resolution
Lead live and structured training sessions on billing workflows, payer requirements, and AR follow-up strategies
Partner with Training and QA teams to identify skill gaps and directly intervene with targeted, hands-on coaching
Ensure frontline staff consistently demonstrate correct workflows across both billing and AR, not just meet productivity expectations
Collaborate with workforce planning to ensure proper staffing, onboarding, and ongoing competency development
Maintain close visibility into daily billing and AR work queues, intervening directly to resolve issues and ensure timely throughput
Ensure leadership decisions are grounded in firsthand knowledge of account-level challenges and system workflows
Own performance across end-to-end back-office functions, including: Charge review and claim submission, Billing edits and rework, AR follow-up and collections, Denial management and appeals, Underpayment resolution and variance analysis
Build and drive performance against KPIs including cash collections, billing accuracy and timeliness, first-pass resolution rates, denial rates and overturn rates, and AR aging and productivity metrics.
Monitor AR aging and billing backlog trends; implement targeted strategies to reduce Days in AR (DAR) and improve clean claim rates
Drive end-to-end process accountability, ensuring seamless flow from billing through final resolution
Use data and reporting to assess risks, identify performance gaps, and take immediate corrective action
Analyze billing defects, denial trends, and payer behavior to drive upstream and downstream improvements
Partner with teams to implement system edits, workqueue logic, and automation opportunities
Develop or support SOPs, process maps, and standardized workflows to ensure consistency across both US and Nearshore operations
Partner with internal and client teams to streamline processes, remove bottlenecks, and enhance efficiency through automation and system optimization.
Support integration of new service lines, expansion planning, and scalability initiatives.