Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field (Master's degree preferred)
7+ years of healthcare revenue cycle management experience
5+ years of leadership experience in billing, collections, or accounts receivable functions
3+ years of direct people management experience
Certified Revenue Cycle Executive (CRCE), Certified Revenue Cycle Professional (CRCP), or Certified Healthcare Billing and Management Executive (CHBME) preferred
Experience with hospital or facility-based physician billing models preferred
Responsibilities
Develop and implement comprehensive accounts receivable strategy for the Patient Responsibility Center
Establish standardized performance metrics and governance frameworks for billing and collections
Oversee patient account lifecycle management, including billing strategy and payment plans
Build and mentor a high-performing team of accounts receivable specialists
Monitor accounts receivable metrics to identify process improvement opportunities
Manage integration of billing systems and payment processing solutions
Partner with various teams on process improvements and policy updates
Ensure compliance with HIPAA, state regulations, and consumer protection requirements
Develop patient communication strategies to enhance understanding of billing options
Analyze financial data to support budget management and revenue optimization
Benefits
Opportunity to lead the Patient Responsibility Center of Excellence
Collaborative work environment with cross-functional teams
Focus on continuous quality improvement and operational efficiency improvements
Engagement in strategic decision-making affecting revenue optimization
Chance to mentor and develop a team of professionals in the field
Full Job Description
Job Summary
The Director, Patient Responsibility Accounts Receivable is responsible for providing strategic leadership, oversight, and continuous quality improvement for Ventra Health's Patient Responsibility Center of Excellence. This position directs and governs the entire patient billing and collection process, including patient account management, billing operations, payment collections, patient communications, and revenue optimization. The Director ensures end-to-end workflow excellence, operational efficiency, regulatory compliance, and measurable improvements in cash flow, aging analysis, and patient satisfaction across all self-pay functions.
Essential Functions and Tasks
Develop and implement comprehensive accounts receivable strategy for the Patient Responsibility Center of Excellence, ensuring alignment with organizational financial and operational objectives.
Establish and maintain standardized performance metrics, Key Performance Indicators (KPIs), and governance frameworks for patient billing, collections, and accounts receivable management.
Oversee and optimize patient account lifecycle management, including patient billing strategy, payment plans, accounts receivable aging, and bad debt.
Build, mentor, and develop a high-performing team of accounts receivable specialists and analysts.
Monitor aging analysis reports, trends, net collection rates, and other accounts receivable metrics to identify process improvement opportunities and revenue leakage.
Manage integration and optimization of billing and collection systems, including EHR platforms, Ventra systems, and payment processing solutions.
Partner with Client Success, Finance, Compliance, Technology, and Operations teams on process improvements, system implementations, and policy updates.
Ensure regulatory compliance with HIPAA, state billing regulations, payer guidelines, and consumer protection requirements in all billing and collection activities.
Develop and implement patient communication strategies to improve patient understanding of billing, payment options, and financial responsibility.
Analyze financial data, forecasting, and trending to support budget management and revenue optimization initiatives.
Education and Experience Requirements
Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field (Master's degree preferred).
Minimum 7+ years of healthcare revenue cycle management experience.
Minimum 5+ years of progressive leadership experience managing billing, collections, or accounts receivable functions in healthcare settings.
Minimum 3+ years of direct people management and team leadership experience.
Certified Revenue Cycle Executive (CRCE), Certified Revenue Cycle Professional (CRCP), or Certified Healthcare Billing and Management Executive (CHBME) preferred.
Experience with hospital or facility-based physician billing models preferred.
Knowledge, Skills, and Abilities
Advanced knowledge of end-to-end revenue cycle operations, particularly self-pay workflows.
Expertise in patient accounts receivable management, aging analysis, and cash flow optimization.
Strong understanding of billing regulations, state billing laws, and consumer protection regulations (FDCPA, TCPA).
Strong financial acumen and ability to analyze complex financial data, aging reports, and performance metrics.
Advanced proficiency with data analysis and business intelligence tools (Excel, Power BI, Tableau, or similar).
Experience with healthcare billing systems, EHR platforms, patient responsibility platforms, and collection management systems (Epic, Cerner, Athena, or similar).
Understanding of healthcare compliance requirements (HIPAA, state billing regulations, payer guidelines).
Exceptional leadership, communication, and interpersonal skills with ability to motivate and develop teams.
Ability to manage multiple priorities and stakeholder groups simultaneously.
Strong problem-solving skills and ability to drive continuous improvement initiatives and operational efficiency.
Strategic thinking with ability to balance short-term operational needs with long-term revenue optimization goals.
Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
Ability to read, understand, and apply state/federal laws, regulations, and policies.
Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
Ability to remain flexible and work within a collaborative and fast-paced environment.
Strong oral, written, and interpersonal communication skills.
Strong time management and organizational skills.
Understand and comply with company policies and procedures.
Compensation
Base Compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons.
This position is also eligible for a discretionary incentive bonus in accordance with company policies.
