The Interim Director, Central Business Office (CBO) is a fixed-term leadership role (18-to-24 months) responsible for providing strategic and operational oversight of key patient accounting functions during a period of organizational transition and major EHR implementation. This position ensures the continued effectiveness of billing, accounts receivable follow-up, denials management, cash posting, customer service, and related revenue cycle operations, while supporting organizational financial performance, regulatory compliance, and service continuity. The role monitors operational performance, addresses barriers to reimbursement and cash flow, and partners with leaders across the organization to sustain stable and effective patient financial services throughout the interim assignment. This position requires deep expertise in hospital revenue cycle operations, strong leadership capability, and the ability to balance immediate operational demands with broader institutional priorities.

Primary Duties and Responsibilities

• Provides interim leadership and operational oversight for Patient Financial Services, ensuring continuity, stability, and performance across core patient accounting functions during a fixed-term transition period.
• Directs and supports functional areas including billing, accounts receivable follow-up, denials management and appeals, cash posting and payment application, customer service, self-pay workflows, bad debt transition points, escalation management, and payer issue resolution.
• Monitors and manages operational performance using key revenue cycle metrics such as clean claim rate, denial trends, accounts receivable days, cash collections, payment posting timeliness, work queue productivity, and patient service levels; identifies performance gaps and implements corrective actions as needed.
• Leads managers and operational teams to promote accountability, quality, consistency, and productivity; provides day-to-day guidance, mentorship, and support to strengthen execution and team effectiveness.
• Partners with Revenue Cycle, Finance, Managed Care, Information Technology, clinical departments, and other stakeholders to resolve operational barriers, address recurring edits and denials, improve reimbursement outcomes, and ensure compliant and timely billing practices.
• Supports issue triage, workflow decisions, and operational readiness related to EHR implementation impacts on patient accounting; assesses processes and recommends improvements that reduce rework, improve staff and patient experience, and strengthen departmental controls.
• Prepares and presents operational updates, risks, trends, and recommendations to executive and departmental leadership; ensures departmental procedures, controls, and practices align with organizational expectations, payer requirements, and regulatory standards.
• Supervises staff. Hires, develops, and manages staff to achieve organizational goals. Sets clear expectations, delivers feedback, and monitors performance for quality, efficiency, and compliance with policies and procedures. Mentors staff, fosters career growth, and cultivates a positive and productive work environment.

Knowledge, Skills and Abilities

• Comprehensive knowledge of hospital revenue cycle operations, patient accounting workflows, payer requirements, and reimbursement processes.
• Strong understanding of billing, collections, denial management, appeals, cash posting, customer service, self-pay operations, and related revenue cycle controls.
• Demonstrated ability to lead through organizational change while maintaining operational stability, team accountability, and service continuity.
• Strong financial and operational acumen, including the ability to interpret performance trends, prioritize issues, and drive measurable improvement.
• Experience establishing, monitoring, and acting on operational metrics, productivity standards, and service level expectations.
• Ability to identify workflow breakdowns, conduct root cause analysis, and implement practical, sustainable solutions in a fast-paced environment.
• Strong leadership skills, including coaching, team development, performance management, employee engagement, and support of subordinate managers.
• Strong communication and relationship-building skills, with the ability to collaborate effectively across all levels of the organization and with internal and external stakeholders.
• Ability to present operational issues, risks, and recommendations clearly to senior leadership and cross-functional partners.
• Familiarity with EHR systems, patient accounting technologies, reporting tools, and revenue cycle work queues.
• Strong project management, organizational, and prioritization skills, with the ability to balance daily operations and strategic priorities.
• Sound judgment, professionalism, and the ability to make informed decisions involving sensitive operational, financial, and personnel matters.

Minimum Job Qualifications

Bachelor's degree in Accounting, Finance, Health Policy, Data Analytics, Business Administration or Healthcare Management required. 10 years of progressively responsible experience in revenue cycle, patient accounting, or related healthcare financial operations required. 5 years of leadership experience overseeing managers, supervisors, and/or large operational teams required. Prior experience in an interim leadership role, turnaround environment, or during an EHR implementation is highly desirable. Demonstrated experience across multiple patient accounting functions, including billing, accounts receivable follow-up, denials management, cash posting, customer service, and self-pay operations strongly preferred.

License/Certification/Registration Required:

• None

Supervisory Responsibilities:

• Supervisor team 6-10 direct reports, approximately 75 indirect reports within billing, accounts receivable follow-up, denials management, cash posting, customer service and related revenue cycle operation departments.

Patient Contact:

• Occasional patient contact via phone and/or email.

The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications.

For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA).

$146,000.00 - $168,600.00