Valleywise Health is seeking an experienced and strategic
Director of Patient Financial Services (PFS) to provide operational leadership for all patient financial services functions across our integrated healthcare system. Reporting directly to the
Vice President of Revenue Cycle, this leader will be responsible for driving financial performance, optimizing revenue cycle operations, enhancing the patient financial experience, and ensuring regulatory compliance across multiple care settings.
This high-impact leadership role oversees the full continuum of Patient Financial Services, including
Pre-Billing, Billing, Collections, Denials Management, Cash Management, and Bad Debt operations. The Director will lead billing and collections activities across the organization, including
Family Health Centers, Comprehensive Health Center, Valleywise Health Medical Center, Desert Vista Behavioral Health Center, and the Behavioral Health Annex.
The ideal candidate brings deep expertise in healthcare revenue cycle operations, strong people leadership skills, and experience managing both hospital and professional billing environments. Experience supporting
Behavioral Health and/or Federally Qualified Health Centers (FQHCs) is strongly preferred.
Annual Salary Range: $133,057.60 - $198,348.80QualificationsEducation:
- Requires a Bachelor's degree in Business Administration, Finance or related field; or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.
- A Master's degree in Finance, Business, or Health Administration is preferred.
Experience:
- Must have minimum of seven (7) years of progressively responsible healthcare patient financial services related experience that demonstrates a high level of understanding of the required knowledge, skills and abilities.
- Experience must include demonstrated leadership ability, preferably working as a Director Patient Financial Services or related management position in a multi-facility organization and/or highly automated environment.
Certification/Licensure:
- Epic certification and HFMA certification is preferred.
Knowledge, Skills & Abilities:
- Must have demonstrated knowledge of the Federal and State Fair Debt Collection Regulations and all aspect of the Collection Department, including Medicare, AHCCCS, Commercial, Managed Care, Work Comp and Self Pay guidelines and billing.
- Requires understanding of cash application and reconciliation principles, including impact to financial reporting.
- Requires understanding of credit, refunds, bad debt, charity care qualification, self-pay processing, and general customer service principles to ensure a positive patient experience.
- Requires knowledge of accounting principles that directly impact the accounts receivable, including debit and credit transactions; charge transfers; contractual allowances and adjustments; financial class changes and revenue reclassification; and reserve methodology and mechanics.
- Requires knowledge of hospital operations and patient flow so as to be able to identify and analyze potential sources of error or patient dissatisfaction.
- Requires knowledge of healthcare accounts receivable management concepts, including in-depth knowledge of the state reimbursement and regulatory environment so as to ensure compliance with State regulations regarding patient and insurance billing issues.
- Requires up-to-date knowledge and understanding of federal compliance and OIG initiatives that impact the healthcare industry.
- Requires understanding of current and future trends/practice in area of responsibility.
- Requires knowledge of information systems and software used in area of responsibility, and of equipment used in performing assigned duties. Knowledge of Epic, MedAssets products and electronic billing is desirable.
- Knowledge of both hospital and professional billing is required.
- Must be a successful leader of people, have strong leadership skills and the ability to motivate a team.
- Must be able to decide how to allocate people, time and other resources to create, execute, and accomplish an operating or project plan on time and within budget.
- Must have solid analytical and problem-solving skills along with the ability to utilize the appropriate management techniques to plan, organize, control and coordinate activities.
- Must be able to manage priorities in a dynamic environment and adapt to change quickly and positively.
- Must demonstrate ability to be self-directed, as well as demonstrate excellent organizational, analytical and interpersonal skills.
- Must be able to work as a team member with peers, other managers, staff and senior leadership.
- Must possess good customer service and communications skills, the ability to work with professionals and maintain confidentiality standards.
- Must be able to communicate with individuals with a diverse population and in a group setting.
- Must be approachable, people oriented and a good listener.
- Must be able to develop and provide direction in the implementation of short and long-term departmental goals, and provide administrative direction to personnel in the resolution of problems or difficult tasks.
- Requires the ability to read, write and speak effectively in English.
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