The Patient Financial Services Director provides strategic leadership and oversight for all back-end revenue cycleoperations to ensure timely reimbursement, optimal cash performance, and exceptional patient financial service outcomes.

This role is responsible for directing teams and operational functions across billing, accounts receivable, denialsmanagement, credit balances, vendor management, customer service, and self-pay collections. The Director drives organizational performance through the development of revenue cycle strategies, operationalexcellence initiatives, and performance accountability frameworks. Working collaboratively with clinical, operational,finance, and revenue cycle leaders, the Director identifies opportunities to improve reimbursement, reduce revenueleakage, enhance the patient financial experience, and accelerate cash flow. The role ensures compliance with regulatoryrequirements, payer guidelines, and organizational policies while fostering a culture of continuous improvement, employee development, and financial stewardship.

Education:

Bachelor's degree in healthcare administration, Business, Finance, or related field required. Candidates with proven successful Director experience in lieu of Bachelor's degree will be considered.

Experience Requirements:

Minimum of 7-10 years of progressive revenue cycle experience, including Patient Financial Services, billing, accounts receivable, denials management, and collections Minimum of 5 years of leadership experience managing revenue cycle teams and leaders in a hospital, health system, or physician practice environment. Demonstrated experience leading operational improvement initiatives that resulted in measurable financial and performance outcomes Experience managing vendor relationships, outsourced services, and performance-based contracts Experience developing and monitoring revenue cycle metrics, productivity standards, and key performance indicators Experience collaborating with executive leadership and presenting operational and financial performance results Comprehensive knowledge of healthcare revenue cycle operations, including billing, follow-up, denials management, credit balances, reimbursement methodologies, and accounts receivable management Strong understanding of Medicare, Medicaid, commercial Payer regulations, reimbursement requirements, and payer contracting implications Knowledge of healthcare compliance requirements, including

HIPAA, CMS

regulations, and industry best practices Strong analytical and problem-solving skills with the ability to interpret complex financial and operational data and translate findings into actionable strategies Proven ability to drive cash acceleration, reduce aged accounts receivable, improve denial performance, and enhance reimbursement outcomes Demonstrated leadership, coaching, and team development skills, including experience building high-performing teams and succession planning Excellent communication and presentation skills with the ability to effectively engage frontline staff, physicians, directors,and executive leadership Strong project management and organizational skills with the ability to manage multiple priorities in a fast-pacedenvironment Proficiency with revenue cycle systems, electronic health records (EHRs), patient accounting systems, and reporting/analytics tools, Epic strongly preferred Ability to lead organizational change, build stakeholder alignment, and drive accountability across departments Proven experience managing denial KPIs such as: o Days in A/R o A/R > 90 days o

DNFB-PFS

o Cash collections o Denial rate and denial overturn rate o Timely filing appeals o Billing timeliness o Productivity and quality scores Strong written communication skills with experience drafting executive summaries and policies as needed Ability to partner cross-functionally with Patient Access/Financial Clearance, HIM/Coding, Revenue Integrity, Utilization Management, Case Management, Clinical teams, and C-Suite interaction and presentations Skills & Competencies Familiarity with hospital and professional billing workflows Strong knowledge of back-end revenue cycle operations (billing, follow-up, denials, credit balances) Deep understanding of payer requirements, reimbursement methodologies, and denial drivers Experience managing A/R performance, aging, and account resolution strategies Ability to analyze denial trends and identify root causes across workflows Proven ability to manage day-to-day operations across multiple work queues and teams Understanding of how operational performance impacts cash, net revenue, and write-offs Ability to interpret financial and operational metrics to drive decision-making Experience using dashboards, reports, and KPIs to manage team performance Ability to translate data into actionable operational improvements Skilled in facilitating cross-functional conversations around performance gaps Ability to navigate difficult payer conversations professionally and strategically Working knowledge of CMS regulations, commercial payer guidelines, and contract language

Location:

Cookeville Regional Medical Center •

Patient Financial Services Schedule:

Full Time, Days