Director Patient Financial Services - Full-time with Benefits

The Director of Hospital Patient Financial Services is responsible for leading hospital patient financial services and core revenue cycle operations to support accurate billing, timely reimbursement, strong cash performance, regulatory compliance, and a positive patient financial experience. This role provides strategic and operational leadership for billing, claims management, denial prevention and resolution, accounts receivable performance, financial assistance oversight, vendor coordination, reporting, and process improvement. The director partners closely with finance, patient access, health information management, clinical departments, information technology, and other operational leaders to strengthen revenue integrity, improve workflows, reduce revenue leakage, and optimize overall financial outcomes.

• Hospital billing and claims operations
• Accounts receivable, follow-up, and collections performance
• Denial management and payer issue resolution
• Patient account integrity and financial assistance processes
• Financial reporting, compliance, and revenue cycle optimization

This position establishes performance expectations, standardizes policies and procedures, monitors key revenue cycle indicators, and drives corrective action to improve reimbursement, reduce avoidable denials, accelerate cash, and support service excellence.

Supports and incorporates the Frederick Health mission, vision, core values, and customer service philosophy into daily performance and leadership practices, and complies with all Frederick Health policies, regulatory requirements, the Compliance Program, and the Standards of Behavior.

Essential Functions:

• Provides strategic and operational leadership for hospital patient financial services, including billing, claims submission, payment posting, accounts receivable follow-up, collections, denial management, financial assistance, and related reimbursement functions.
• Develops, implements, and maintains standardized policies, procedures, controls, and workflows that support accurate billing, compliant practices, timely follow-up, and effective resolution of patient account issues.
• Monitors and analyzes key performance indicators such as gross and net accounts receivable days, denial rates, cash collections, bad debt, payment posting timeliness, aging trends, and financial assistance outcomes, and implements action plans to improve results.
• Leads denial prevention and denial recovery efforts by identifying root causes, partnering across departments, educating stakeholders, and driving process changes that improve clean claim performance and reimbursement accuracy.
• Serves as a subject matter expert on payer requirements, hospital billing regulations, government reimbursement programs, and related compliance standards to ensure revenue cycle operations remain current, compliant, and effective.
• Partners with finance, clinical, patient access, health information management, case management, information technology, and ancillary departments to improve charge capture, documentation support, account accuracy, and end-to-end revenue cycle performance.
• Oversees vendor relationships, including performance management, service expectations, issue escalation, contract-related coordination, and accountability for agreed-upon operational and financial outcomes.
• Evaluates workflows and system functionality to improve efficiency, automate appropriate processes, reduce manual rework, and support accurate, timely billing and follow-up activities.
• Supports reimbursement optimization initiatives, including contract management tools, charge description master collaboration, payer variance review, and other strategies that strengthen cash flow and revenue integrity.
• Develops and presents operational, financial, and executive reporting that highlights trends, risks, opportunities, and progress against revenue cycle goals.
• Collaborates with finance leadership to validate monthly results, reconcile key revenue cycle activity, and support accurate financial reporting and forecasting.
• Establishes department goals, productivity expectations, and performance standards, and maintains dashboards and other management tools to monitor results and support accountability.
• Prepares, manages, and monitors departmental operating budgets and resource plans in alignment with organizational expectations and financial objectives.
• Works with information technology and operational stakeholders to implement and optimize revenue cycle system functionality, troubleshoot issues, and improve data integrity and reporting capabilities.
• Directs leaders and staff within the department, including selection, coaching, performance management, succession planning, and professional development to build a high-perfo