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PIH Health · 1 day ago

System Sr. Director, Revenue Cycle Business Services- 100% onsite

Whittier, CA

Full-time

Onsite

Director/Executive

$63/hr - $111/hr

7+ years exp

PIH Health is a nonprofit, regional healthcare network serving approximately 3 million residents in the Los Angeles County region. The role oversees billing operations to maximize revenue and minimize receivables, driving performance improvement and system integration while ensuring compliance and efficiency in the revenue cycle.

Health Care

Responsibilities

Oversees billing operations through final account resolution to maximize revenue and minimize receivables

Directs billing, data control, customer service, collections, and follow-up activities to ensure compliance, accuracy, and efficiency

Partners closely with Patient Registration to support timely, billable data and applies Lean Methodology to optimize the end-to-end revenue cycle

Drives performance improvement, system integration, and cross-department collaboration to enhance cash flow and maintain financial integrity

Qualification

Hospital reimbursement methodologiesPeople managementAnalyticalFinancial acumenRevenue cycle KPIsLeadershipHospital EHRs proficiencyPayer requirements knowledgeProcess improvement initiativesStrategic problem-solvingCustomer service orientationTeaching abilityVerbalCompliance principles commitmentEPIC experienceAccess experience10 key adding machineCommunication skillsWritten communication

Required

Deep understanding of hospital reimbursement methodologies, including Medicare and Medi-Cal cost-based reimbursement, DRG/APC payment structures, and managed care contract terms

Proven leadership and people management skills, with experience supervising multi-level teams, fostering staff development, and driving accountability and engagement

Strong analytical and financial acumen, with the ability to interpret complex revenue data, identify trends, and develop actionable performance improvement strategies

Proficiency in revenue cycle KPIs and benchmarking, including AR days, denial rates, collection rates, and cash performance metrics

Hands-on experience with hospital EHRs (electronic health records). (Epic, MEDITECH, Cerner, or similar) with strong proficiency in Excel and other tools utilized for data analysis and financial reporting

Comprehensive knowledge of payer requirements and regulatory guidelines, including CMS, HIPAA, EMTALA, and state-specific billing regulations

Demonstrated success leading process improvement initiatives, leveraging technology and collaboration to streamline workflows and improve accuracy, compliance, and efficiency

Excellent communication and interpersonal skills, with the ability to collaborate across departments (HIM, Case Management, Finance, IT, and Clinical teams) and influence at all organizational levels

Strategic problem-solving skills with the ability to anticipate challenges, evaluate options, and implement sustainable solutions that support organizational goals

Strong customer service orientation, ensuring patient and provider concerns are addressed promptly and professionally

Must be able to teach

Strong verbal and written communication skills, required

Bachelor's degree required; Master's degree preferred (Business, Healthcare Administration, Finance, or related field)

Minimum of 7–10 years of progressive experience in hospital revenue cycle management, with at least 3 years in a leadership role overseeing billing and collections

Requires extensive knowledge of Medicare, Medi-Cal, third party billing, workers' compensation, effective follow-up procedures, Fair Debt Collection Act, capitation, and PPO contracts

Demonstrates a strong commitment to compliance principles

EPIC experience required