Director - Patient Financial Services - Lebanon, IN

Department: Revenue Cycle ManagementSchedule: Monday-Friday 9-5Hospital: Witham Health ServicesLocation: 2605 N Lebanon St, Lebanon, IN 46052 (South Pavillion)Job Summary:Directs all Patient Financial Services operations including billing, collections, cash posting, denial management, customer service, and self-pay programs. Owns the department's financial performance metrics and is accountable for meeting established targets for AR days, cash collections, denial write-off rates, and clean claim rates. Manages staff, vendors, and cross-departmental relationships; surfaces issues and solutions proactively to the Executive Director of Revenue Cycle. This is a hands-on leadership role requiring equal comfort with data analysis and people management.Minimum Requirements:Required:Bachelor's degree in Healthcare Administration, Business, Finance, or related fieldWorking knowledge of CPT, ICD-10, HCPCS, revenue codes, APCs, DRGs, and payer reimbursement methodologiesMinimum five (5) years of progressive healthcare revenue cycle experience, including at least three (3) years in a supervisory or management role in a hospital business office settingDirect experience with hospital billing and collections for Medicare, Medicaid, managed care, and commercial payersDemonstrated experience managing accounts receivable performance to specific benchmarksProficiency in Excel and comfort with data analysis toolsPreferred:Experience with Meditech EHR (Expanse preferred) and Waystar or comparable clearinghouse/RCM platformExperience with revenue cycle automation or predictive denial analytics tools Continuing Education:This position requires ongoing continuing education in Medicare, Medicaid, and commercial insurance billing; federal and state revenue cycle compliance (price transparency, No Surprises Act, 501(r)); and revenue cycle leadership and analytics.Required Competencies:This position requires the following skills and abilities:Independently analyzes AR, cash, denial, and write-off data to identify trends, root causes, and opportunities; translates findings into actionable recommendations with dollar impact and defined next stepsProduces monthly financial and operational reports for executive leadershipManages staff performance through quality audits, timely evaluations, and structured coaching; addresses performance and conduct issues promptly and directlyWorks independently to maintain the department's operational rhythm; communicates status, risks, and progress proactivelyDeep understanding of the full revenue cycle from patient access through final resolutionWorking knowledge of federal and state billing regulations: Medicare/Medicaid compliance, HIPAA, No Surprises Act, and 501(r)Maintains confidentiality of all patient and financial informationMaintains composure under pressure; represents the department professionally to physicians, executives, board members, and patientsExemplifies excellent guest relations with patients, staff, physicians, and the publicEssential Functions:A.Financial Performance and Data AnalysisMaintains hospital and professional AR days at or below benchmark targets; monitors daily and acts when trends move in the wrong directionProduces monthly performance reports covering AR days and aging, cash collections vs. budget, denial rates and write-off categories, clean claim rate, and unbilled AR; delivers to the Executive Director on an established scheduleConducts root cause analysis on any metric that misses target: dollar impact, affected population, contributing factors, and corrective action plan with timelineMonitors daily cash posting and investigates variances; tracks credit balances and ensures refunds are processed within regulatory timelinesB.Denial ManagementOwns denial management end to end: tracks and trends denials by payer, reason code, and dollar amount; oversees appeals and outcomes; reports results monthly; and drives cross-departmental root cause resolution with Patient Access, Coding, and clinical departmentsReduces preventable denials through process improvement and staff education; routes clinical denials (medical necessity, level of care) to staff with appropriate clinical/appeal expertiseC.Billing Operations, Vendor Management, and ComplianceEnsures timely and accurate claim submission for all payer types; monitors clean claim rate and addresses root causes of claim rejectionsManages all PFS vendor relationships: AR follow-up vendors, collection agencies, clearinghouse/RCM platform, and patient statement and payment portal vendors; reviews invoices and manages contracts through renewal/termination cyclesMaintains compliance with all federal, state, and payer-specific billing regulations; develops, maintains, and enforces department policies and proceduresOwns price transparency compliance (machine-readable file and shoppable services tool), No Surprises Act compliance (Good Faith Estimates, dispute resolution readiness), and 501(r) compliance for the billing and collections sideManages the patient billing and statement process, including customer service for billing inquiries and payment plan administrationD.Staff Management and Quality OversightDirectly supervises PFS managers, supervisors, and/or team leads; indirectly oversees all PFS staffConducts monthly quality audits: reviews a defined sample of accounts per collector to assess note quality, follow-up appropriateness, and protocol adherence; documents results and provides feedbackManages the worklist system: ensures accounts are distributed equitably, queues are current, and no account goes unworked past established thresholdsCompletes performance evaluations on time with specific, measurable feedback; creates and follows through on performance improvement plans when warrantedDevelops staff through ongoing training, cross-training, and professional development planning; identifies succession risksE.Patient Financial Experience and TechnologyOwns the patient financial experience: pre-service cost estimates, clear statements, and responsive billing customer service; ensures financial counseling and charity screening are offered consistently before accounts move to collectionsIdentifies and sponsors automation and technology opportunities across PFS; governs revenue cycle tools for accuracy, compliance, and measurable returnF.Communication, Collaboration and AdministrationCommunicates proactively with the Executive Director on department status, risks, wins, and needs; represents PFS in cross-departmental meetingsResolves patient, physician, and interdepartmental complaints professionally and promptlyParticipates in budget development; manages department expenses within approved budgetSupports hospital mission, values, and strategic plan; maintains 24-hour accountability for department operationsEnsures a safe, respectful, and professional work environment in compliance with infection control, hazardous materials, disaster/fire safety, and general safety policiesAdditional duties as assignedAccountability for Performance Metrics:This role is accountable for maintaining revenue cycle performance metrics at or above established targets.Job SummaryRequisition Number: DIREC001860Job Category: FinanceSchedule: Full-Time