Job OverviewImpact Advisors is seeking a dynamic and motivated Patient Financial Services (PFS) Manager who will serve as a senior revenue cycle leader responsible for overseeing back-end revenue cycle operations across a single or multiple client engagements.
This role requires a strong operational mindset and the ability to lead high-performing teams across U.S.-based and nearshore environments, while also actively engaging in the day-to-day work. The ideal candidate is a hands-on, "player-coach" leader who is comfortable stepping in to work billing edits, AR accounts, and denials while simultaneously driving team performance and client outcomes.
The PFS Manager serves as the operational lead for client delivery, ensuring strong partnerships, improved revenue performance, consistent KPI achievement, and continuous optimization of both billing and accounts receivable workflows. This leader oversees all back-office functions-including billing, cash posting alignment, follow-up, denial management, and AR resolution-and manages supervisors, representatives, and third-party teams.
This position reports to the VP of Central Operations and offers a unique opportunity to contribute to client success while making a meaningful impact on the healthcare industry.
Key Responsibilities: Team Leadership & Management - Lead and oversee a multi-layered PFS team including Supervisors, U.S.-based Representatives, Nearshore Teams, and third-party partners
- Act as a hands-on leader, stepping in to work complex billing issues, AR accounts, denial scenarios, and escalations as needed
- Provide side-by-side coaching and live account reviews to reinforce best practices in billing, follow-up, and denial resolution
- Lead live and structured training sessions on billing workflows, payer requirements, and AR follow-up strategies
- Partner with Training and QA teams to identify skill gaps and directly intervene with targeted, hands-on coaching
- Ensure frontline staff consistently demonstrate correct workflows across both billing and AR, not just meet productivity expectations
- Collaborate with workforce planning to ensure proper staffing, onboarding, and ongoing competency development
Operations Oversight - Maintain close visibility into daily billing and AR work queues, intervening directly to resolve issues and ensure timely throughput
- Ensure leadership decisions are grounded in firsthand knowledge of account-level challenges and system workflows
- Own performance across end-to-end back-office functions, including:
- Charge review and claim submission
- AR follow-up and collections
- Denial management and appeals
- Underpayment resolution and variance analysis
- Build and drive performance against KPIs including cash collections, billing accuracy and timeliness, first-pass resolution rates, denial rates and overturn rates, and AR aging and productivity metrics.
- Monitor AR aging and billing backlog trends; implement targeted strategies to reduce Days in AR (DAR) and improve clean claim rates
- Drive end-to-end process accountability, ensuring seamless flow from billing through final resolution
Reporting & Analytics - Use data and reporting to assess risks, identify performance gaps, and take immediate corrective action
- Analyze billing defects, denial trends, and payer behavior to drive upstream and downstream improvements
- Partner with teams to implement system edits, workqueue logic, and automation opportunities
Cross-Functional Collaboration - Develop or support SOPs, process maps, and standardized workflows to ensure consistency across both US and Nearshore operations
- Partner with internal and client teams to streamline processes, remove bottlenecks, and enhance efficiency through automation and system optimization.
- Support integration of new service lines, expansion planning, and scalability initiatives.
Qualifications Required - 8-10+ years of experience in healthcare revenue cycle operations across both billing and AR functions
- Demonstrated ability to independently perform billing, AR follow-up, and denial resolution across multiple payer types
- Proven experience operating as a hands-on leader working directly in accounts while managing teams
- At least 3 years in a supervisory or managerial role within a hospital or provider-based setting
- Strong knowledge of payer requirements, claim adjudication, billing workflows, and denial management
- Demonstrated success improving cash performance, billing accuracy, and AR outcomes
- Strong Epic RCM experience (billing and AR modules)
- Advanced Excel/reporting capabilities
Preferred - Experience managing teams across onshore and nearshore/offshore environments
- Strong root cause analysis and process improvement capabilities across billing and AR workflows
- Prior consulting or multi-client environment experience
- Experience scaling operations and stabilizing performance in complex environments
Travel Requirements - Ability to travel at least monthly to both US and Nearshore locations
For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This range reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs.
