VP, Patient Financial Services

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.

Duties and Responsibilities

Identify and communicate strategic direction for PFS; align teams across Hospital and Physician Billing.

Collaborate with Revenue Cycle leadership to design strategic plans and KPIs for the organization.

Monitor performance, market trends, delivery systems, and legislative initiatives impacting goals.

Maximize talent and foster a culture aligned to the BILH mission through leadership and development.

Provide financial planning, monitoring, and execution to support a cost-effective PFS organization.

Oversee clean claim rate performance to reduce unbilled A/R days.

Ensure effective claim follow-up to support timely, complete expected payment from payers and patients.

Approve and oversee insurance cash and adjustment posting for timely, accurate payment posting.

Analyze qualitative and quantitative metrics to drive continuous improvement initiatives.

Oversee throughput and performance of onshore/offshore vendor resources; collaborate on SLAs and invoicing.

Manage overall A/R trends by facility, payer, and other dimensions; coordinate with Managed Care for resolution.

Collaborate with stakeholders to improve people, process, and technology across billing operations.

Qualifications

Education / Training

Bachelor's degree required; Master's degree preferred.

Experience

15+ years' demonstrated senior leadership in a large, complex multi-site health system Revenue Cycle or PFS function.

Skills, Knowledge & Abilities

Data-driven decision-making; ability to conduct cost/benefit analyses and drive consensus among stakeholders.

Excellent communication, relationship management, customer service, organizational and change leadership skills.

Knowledge of provider operations and patient flow to diagnose revenue cycle cause-and-effect issues; understanding of A/R management and accounting principles.

In-depth knowledge of payer payment methodologies, contracts, regulations (Medicare/Medicaid), coding (ICD, HCPCS/CPT), and physician billing.

Demonstrated experience leading large-scale operational transformation initiatives that improve efficiency, quality, and financial outcomes.

Proven ability to design and execute strategies that drive measurable improvements in patient financial services performance.

High-level problem-solving skills, including ability to diagnose complex operational issues and implement sustainable solutions.

Ability to innovate within legacy operational environments, introducing new models, technologies, and workflows that modernize PFS operations.

Strong strategic thinking capabilities with ability to translate enterprise priorities into actionable plans for PFS functions.

Preferred Qualifications

Experience overseeing third-party vendors (onshore/offshore) and managing SLAs.

Proficiency with enterprise revenue cycle systems, dashboards, KPI management, and denial analytics.