VP, Patient Financial Services

<p>Responsible for strategic leadership and operational oversight of Patient Financial Services (PFS) across hospital and physician billing. Identifies and articulates strategic direction; collaborates with peer leadership and the SVP of Revenue Cycle to define the plan and KPIs; tracks performance, market trends, and regulatory changes. Oversees claim submission, A/R follow-up, cash and adjustment posting, denial management, and patient collections to optimize A/R days, collection rates, and denial rates. Partners with clinical and executive leaders, leverages analytics to drive process improvement, and implements initiatives to maximize net revenue.</p><p>Duties and Responsibilities</p><p>* Identify and communicate strategic direction for PFS; align teams across Hospital and Physician Billing.</p><p>* Collaborate with Revenue Cycle leadership to design strategic plans and KPIs for the organization.</p><p>* Monitor performance, market trends, delivery systems, and legislative initiatives impacting goals.</p><p>* Maximize talent and foster a culture aligned to the BILH mission through leadership and development.</p><p>* Provide financial planning, monitoring, and execution to support a cost-effective PFS organization.</p><p>* Oversee clean claim rate performance to reduce unbilled A/R days.</p><p>* Ensure effective claim follow-up to support timely, complete expected payment from payers and patients.</p><p>* Approve and oversee insurance cash and adjustment posting for timely, accurate payment posting.</p><p>* Analyze qualitative and quantitative metrics to drive continuous improvement initiatives.</p><p>* Oversee throughput and performance of onshore/offshore vendor resources; collaborate on SLAs and invoicing.</p><p>* Manage overall A/R trends by facility, payer, and other dimensions; coordinate with Managed Care for resolution.</p><p>* Collaborate with stakeholders to improve people, process, and technology across billing operations.</p><p>Qualifications</p><p>Education / Training</p><p>Bachelor's degree required; Master's degree preferred.</p><p>Experience</p><p>15+ years' demonstrated senior leadership in a large, complex multi-site health system Revenue Cycle or PFS function.</p><p>Skills, Knowledge & Abilities</p><p>* Data-driven decision-making; ability to conduct cost/benefit analyses and drive consensus among stakeholders.</p><p>* Excellent communication, relationship management, customer service, organizational and change leadership skills.</p><p>* Knowledge of provider operations and patient flow to diagnose revenue cycle cause-and-effect issues; understanding of A/R management and accounting principles.</p><p>* In-depth knowledge of payer payment methodologies, contracts, regulations (Medicare/Medicaid), coding (ICD, HCPCS/CPT), and physician billing.</p><p>* Demonstrated experience leading large-scale operational transformation initiatives that improve efficiency, quality, and financial outcomes.</p><p>* Proven ability to design and execute strategies that drive measurable improvements in patient financial services performance.</p><p>* High-level problem-solving skills, including ability to diagnose complex operational issues and implement sustainable solutions.</p><p>* Ability to innovate within legacy operational environments, introducing new models, technologies, and workflows that modernize PFS operations.</p><p>* Strong strategic thinking capabilities with ability to translate enterprise priorities into actionable plans for PFS functions.</p><p>Preferred Qualifications</p><p>* Experience overseeing third-party vendors (onshore/offshore) and managing SLAs.</p><p>* Proficiency with enterprise revenue cycle systems, dashboards, KPI management, and denial analytics.</p>