DescriptionDirector of Patient Financial Services
Location: REMOTE
Entity: Alliance Health System
Reports To: Vice President of Revenue Cycle Management
The Patient Financial Services Director is responsible for the strategic oversight, operational performance, and compliance management of the Patient Financial Services function, including Payment Posting and Patient Accounts Collections. This leader ensures accurate and timely cash application, efficient resolution of patient balances, optimized revenue capture, and a high-quality patient financial experience.
The Director partners across Revenue Cycle, Finance, Compliance, Operations, and IT to strengthen revenue integrity, improve cash flow, reduce aged receivables, and enhance the overall patient financial journey across all service lines.
Essential Responsibilities
Leadership & Operational Oversight
- Lead and manage the Patient Financial Services department, including Payment Posting and Patient Accounts/Collections teams.
- Establish departmental goals, productivity standards, KPIs, and quality expectations aligned with organizational financial objectives.
- Build a high-performance culture focused on accountability, accuracy, service excellence, and continuous improvement.
- Provide coaching, performance management, and workforce development for supervisors and staff.
- Identify workflow gaps, staffing needs, and opportunities for automation or process redesign.
Payment Posting & Cash Application
- Oversee accurate and timely posting of all payments including ERA/EFT, paper checks, lockbox, credit card, and manual remittances.
- Ensure reconciliation between bank deposits, clearinghouses, and practice management systems.
- Monitor and manage unapplied cash, credit balances, posting delays, and reconciliation discrepancies.
- Implement controls to ensure posting accuracy and minimize errors or duplicate adjustments.
- Partner with Finance on month-end close, cash reporting, and audit support.
Patient Financial Services (Collections & AR Management)
- Direct all patient financial services activities including self-pay collections, aging follow-up, payment plans, and bad debt workflows.
- Drive reduction of patient accounts receivable (AR) through effective segmentation, outreach strategies, and workflow optimization.
- Ensure compliance with federal and state collection regulations, payer requirements, and organizational financial policies.
- Oversee patient financial communication strategies to ensure clarity, transparency, and positive patient experience.
- Manage external vendor relationships (early-out, bad debt, and collection agencies) when applicable.
Revenue Cycle Performance & Analytics
- Monitor and analyze key performance indicators to identify trends, risks, and improvement opportunities.
- Develop action plans to improve:
- Cash posting timeliness and accuracy
- Patient collection rates
- AR aging performance
- Credit balance resolution
- Refund turnaround time
- Denial-related patient balances
- Deliver regular reporting and executive-level insights on financial performance and operational health.
Compliance & Quality Assurance
- Ensure adherence to HIPAA, CMS guidelines, payer policies, and all applicable state and federal regulations.
- Maintain audit-ready documentation and oversight of payment posting and patient financial workflows.
- Partner with Compliance and Revenue Integrity teams to address audit findings and implement corrective actions.
- Develop and maintain quality assurance programs for both posting accuracy and patient AR workflows.
Cross-Functional Collaboration
- Collaborate with Billing, Coding, Authorization, Denials, Front-End, and Clinical Operations teams to resolve upstream and downstream revenue cycle issues.
- Partner with IT and system vendors to enhance automation, reporting, and workflow efficiency.
- Support system implementations, acquisitions, and organizational restructuring initiatives.
Skills & Competencies:
- Deep understanding of payment posting, reconciliation, and patient AR management.
- Strong financial acumen with ability to interpret revenue cycle KPIs and trends.
- Proven leadership ability to manage large operational teams.
- Strong communication skills with ability to influence across departments and executive leadership.
- High attention to detail with strong operational and analytical thinking.
- Ability to manage multiple priorities in a high-volume environment.
Requirements:
- 5-8+ years of progressive Revenue Cycle leadership experience required.
- Minimum 3+ years in a director or senior leadership role overseeing patient financial operations, payment posting, or collections.
- Experience in multi-specialty healthcare environments (strongly preferred)
- Strong knowledge of healthcare reimbursement, patient billing, and revenue cycle workflows.
- Multi-site or enterprise healthcare organization experience (preferred).
- Conservative therapy, orthopedic, pain management, imaging, or specialty practice exposure (preferred).
- Experience leading RCM transformation, centralization, or performance improvement initiatives (preferred).
Job Type:
- Full-Time
- Monday-Friday
- Remote
Benefits:
- 401(k) matching
- Medical, Dental & Vision
- Paid Time Off
- Sick Time
- Paid Holidays
