Responsible for daily oversight, management and direction of transaction and process based revenue cycle functions within Patient Financial Services (PFS).  Directs and oversees the Patient Financial Services department as well as works with other departments in the Revenue Cycle. Major responsibilities include all patient related business activities including patient billing, insurance billing, governmental program billing, commercial/managed care billing, payment application, collections, patient advocacy, and outsourcing relationships. Responsible for identifying and solving PFS-related issues and implementing performance improvement and other operational initiatives as needed. In addition, the Director ensures staff adherence to productivity, quality, and compliance standards.

DUTIES AND RESPONSIBILITIES: 
Establishes adequate processes and controls to ensure gross patient service revenue is billed to third party carriers, government programs, and patients timely and accurately.
Monitors and reports on key operating and financial metrics, including daily and weekly cash collections, A/R days outstanding, unbilled A/R and more. 
Drives process improvement initiatives and reduces unnecessary work. 
Establishes and maintains controls with the assistant of the Fiscal Services department to ensure that cash collected matches total payments posted to Patient Management system. 
Functions as key member of Revenue Cycle leadership to support and execute critical initiatives. 
Serves on various Hospital committees that ensure achievement of Hospital's operating and strategic plans. 
Maintains effective communication with third party insurance carriers to resolve issues that impede cash flow and detract from patient/member satisfaction. 
Maintains authority to direct and support employees daily work activities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews.
Stays abreast of regulatory requirements, especially those related to financial assistance policies and other matters related to billing and collection. 
Assists in planning, monitoring and/or managing budget in functional area of responsible departments.
Works with other departments to ensure billing is completed in a timely manner as well appeals are made on denied claims. 
Acts as a key leader in the installation and ongoing maintenance of the Harvest underpayment review and denials management system. 
Other duties as required by leadership

EDUCATION AND RELATED EXPERIENCE: 
Required: 
Bachelor’s degree, preferably in healthcare or public administration, business management or a related field.  
Five years related work experience and 5 years supervisory/management experience.
Working knowledge in the areas of patient registration/access management, billing, accounts receivable (A/R), cash management, health insurance practices, industry regulatory requirements, business office operations, A/R and financial reporting, basic accounting, and industry standards for healthcare revenue and resolution management practices.
Knowledge of: Common Procedural Terminology (CPT), International Classification of Diseases (ICD-10), and Health Care Procedural Coding System (HCPCS) coding; documentation guidelines for medical services, patient case management, follow up and billing.
Leadership skills to motivate cross-departmental teams’ performance towards excellence, and develop team concepts and consensus-building management styles.
Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint, and/or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases. 

Preferred: 
Master’s degree, preferably in hospital or business administration, accounting, finance or related field.