Kingman Regional Medical Center · 2 months ago
Director - Patient Financial Services
3269 Stockton Hill Road, Kingman, AZ, 86409, US
Full-time
Onsite
Director/Executive
7+ years expKingman Regional Medical Center is seeking a Director of Patient Financial Services and Revenue Integrity responsible for strategic and operational leadership of revenue cycle operations. This role ensures accurate, timely, and compliant revenue cycle performance while enhancing patient financial experiences and fostering collaboration across departments.
Health CareHospital
Responsibilities
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
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
Ensure exceptional patient financial services by modeling and enforcing customer service standards
Train and coach staff in alignment with hospital mission and behavioral expectations
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
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
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
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
Able to develop new approaches to policies and procedures and the implementation of new programs and services
Willing to respond to change and the encouragement of information exchange for the purpose of increasing creativity
Effectively delegates duties, responsibilities, and special assignments
Plans to meet the needs of the department’s customers
Coordinates services to meet the needs of customers
Communicates effectively with other hospital departments and services
Participates on committees and attends meetings as requested or needed
Assesses current volumes, and projects/plans for future service needs
Monitors and evaluates performance goal accomplishments and provides ongoing measures and direction
Develops, implements, updates, and maintains policies and procedures for the Patient Financial Services processes
Evaluates performance according to current industry standards and principles in order to maintain and improve the operational performance of reported results
Oversees and supervises the operational functions related to Central Scheduling and Patient Access Departments, supports the insurance contracting process
Establishes, maintains, and reviews quality control issues related to these functions
Manages departmental safety standards
Maintains knowledge of and compliance with regulating and accrediting agency requirements
Assess I.T. hardware and software needs related to process or operational performance improvement
Performs any other duties as assigned related to Patient Financial Services to meet the established goals of the organization
Qualification
Required
Bachelor's degree in Business Administration, Finance or Accounting, or equivalent work experience in management
Minimum 7 years of progressive experience in hospital revenue cycle management, with leadership responsibilities in both PFS and RI
Strong leadership and management skills demonstrating an ability to develop, deploy, and retain a strong revenue cycle team
Strong analytical skills to detect and resolve problems related to systems and processes
Demonstrates knowledge of process improvement techniques, ability to be a self-starter and work independently to move projects to completion
Ability to deliver on key initiatives, development department metrics and achieve associated goals
Strong written and verbal communication skills to effectively manage department and communicate with a broader audience
Preferred
Master's degree in relevant subject matter
Healthcare Financial Management Association (HFMA) certification
Company
Kingman Regional Medical Center
Kingman Regional Medical Center is a non-profit healthcare service provider.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jim Wells
Chief Operating Officer
Brett Mello
Chief Information Officer
Company data provided by crunchbase