We are seeking an experienced Patient Financial Services (PFS) Shared Business Office (SBO) Manager to lead hospital revenue cycle operations for a growing healthcare organization. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.

The ideal candidate is a hands-on leader with extensive hospital billing and revenue cycle experience who is passionate about improving financial performance while delivering an exceptional patient financial experience.

What You'll Do

As the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution.

You will partner closely with Finance, Patient Access, Health Information Management (HIM), Coding, Clinical Operations, Compliance, and Executive Leadership to optimize revenue cycle performance and achieve key financial objectives.

Key responsibilities include:

Lead all Patient Financial Services and Shared Business Office operations

Manage billing, collections, insurance follow-up, payment posting, and patient account resolution teams

Monitor and improve revenue cycle KPIs including AR Days, Cash Collections, Denial Rates, Clean Claim Rates, and Bad Debt

Develop and implement strategies to reduce denials and improve reimbursement

Analyze revenue cycle performance and identify opportunities for operational improvements

Ensure compliance with Medicare, Medicaid, Commercial Insurance, HIPAA, and CMS regulations

Manage department budgets, staffing, productivity, and performance metrics

Lead, mentor, and develop high-performing revenue cycle teams

Collaborate with Registration, Coding, HIM, Finance, and Clinical departments to improve financial outcomes

Prepare executive reports, dashboards, and operational analyses

Drive process improvement initiatives focused on automation, efficiency, and patient satisfaction

Manage vendor relationships, outsourced collections, and revenue cycle technology solutions

Qualifications Required

Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field

Minimum 5 years of progressive experience in Hospital Patient Financial Services or Revenue Cycle Management

Minimum 3 years of leadership or management experience

Strong knowledge of hospital billing, insurance claims processing, accounts receivable, collections, denial management, and reimbursement

Experience working with Medicare, Medicaid, Commercial Insurance, and Managed Care payers

Strong analytical, organizational, and leadership skills

Excellent communication and interpersonal skills

Preferred

Master's degree (MBA, MHA, MHSA)

HFMA or CRCR certification

Experience with Epic, Cerner, Meditech, or other hospital information systems

Lean Six Sigma or process improvement experience

Preferred Skills

Hospital Revenue Cycle Management

Patient Financial Services

Shared Business Office Operations

Accounts Receivable Management

Denial Management

Insurance Follow-Up

Revenue Integrity

Cash Collections

Financial Reporting

Performance Analytics

Leadership & Staff Development

Healthcare Compliance

Medicare & Medicaid Billing

Revenue Cycle KPIs

Process Improvement