Director - Patient Financial Services

 

Position Title:  Director, Patient Financial Services and Revenue Integrity  Position Code:  Dir-8115

Department:  Patient Financial Services                              Safety Sensitive:        ☒  Yes      ☐  No

Reports to:  Senior Director of Revenue Cycle                    Exempt Status:          ☒  Yes      ☐  No 

                                                                        

Position Purpose:

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

The Director of Patient Financial Services (PFS) and Revenue Integrity (RI) is responsible for strategic and operational leadership of hospital and Physician revenue cycle operations, including billing, claims management, collections, denial manager, charge capture, and compliance. This role ensures accurate, timely, and compliant revenue cycle performance while supporting the organization’s mission, vision, and values. The Director drives continuous improvement, optimizes financial outcomes, enhances patient financial experiences, and fosters collaboration across departments.

 

Key Responsibilities 

Revenue Cycle Oversight:

• Provide leadership for hospital and physician billing, claims processing, payment posting, follow-up, and collections.
• Direct denial management workflows, appeals strategies, and root cause analysis to minimize avoidable write-offs.
• Oversee charge capture processes across all service lines, ensuring accuracy, compliance, and revenue integrity.
• Maintain and audit the charge description master (CDM) to ensure accurate, compliant, and optimized reimbursement.
• Analyze revenue leakage, reimbursement trends, and payer contract compliance, providing recommendations to leadership.

Strategic Planning & Leadership

• Develop and implement strategies to maximize net revenue, reduce denials, and improve cash flow.
• Interpret organizational changes for staff and design management strategies to ensure successful implementation.
• Align departmental goals with the hospital’s mission, vision, and values.
• Prepare and deliver reports to senior leadership on financial and operational performance.
• Lead, mentor, and develop staff across PFS and RI, fostering cross functional collaboration and accountability.
• Delegate responsibilities effectively and ensure timely completion of departmental goals and initiatives.

 

Customer Service & Patient Experience

• Ensure exceptional patient financial services by modeling and enforcing customer service standards.
• Train and coach staff in alignment with hospital mission and behavioral expectations.

 

Quality Improvement

• Lead quality improvement initiatives, special projects, and process optimization efforts for physician practices and hospital operations.
• Maintain departmental records, policies, and documentation in accordance with hospital, regulatory, and accreditation standards.
• Ensure compliance with payer requirements, Medicare/Medicaid regulations, HIPAA, and other applicable laws.

 

Financial Manager 

• Monitor departmental productivity, staffing levels, and workflow to meet operational needs.
• Manage AR performance, including AR days reduction, denial rates, and cash collections.
• Review managed care contracts to advise senior leadership on compliance, reimbursement, and payer performance.
• Utilize tools such as budgets, productivity benchmarks, and financial statements to ensure fiscal accountability.

 

Employee Management and Human Relations

• Recruit, interview, hire, and onboard new staff while maintaining appropriate staffing levels.
• Conduct performance reviews, address employee concerns, and implement corrective action plans when necessary.
• Provide professional growth opportunities through orientation, ongoing training, and third-party education.
• Hold regular staff meetings to communicate goals, provide updates, and encourage engagement.

 

Staff Development

• Provides opportunities for staff training and development through orientation, in-service education, and third-party training.
• Maintains professional qualifications and remains abreast of current developments and trends in patient accounting practices.

Creativity