Director, Patient Responsibility AR
Job Summary
The Director, Patient Responsibility Accounts Receivable is responsible for providing strategic leadership, oversight, and continuous quality improvement for Ventra Health's Patient Responsibility Center of Excellence. This position directs and governs the entire patient billing and collection process, including patient account management, billing operations, payment collections, patient communications, and revenue optimization.
Essential Functions And Tasks
Develop and implement comprehensive accounts receivable strategy for the Patient Responsibility Center of Excellence, ensuring alignment with organizational financial and operational objectives.
Establish and maintain standardized performance metrics, Key Performance Indicators (KPIs), and governance frameworks for patient billing, collections, and accounts receivable management.
Oversee and optimize patient account lifecycle management, including patient billing strategy, payment plans, accounts receivable aging, and bad debt.
Build, mentor, and develop a high-performing team of accounts receivable specialists and analysts.
Monitor aging analysis reports, trends, net collection rates, and other accounts receivable metrics to identify process improvement opportunities and revenue leakage.
Manage integration and optimization of billing and collection systems, including EHR platforms, Ventra systems, and payment processing solutions.
Partner with Client Success, Finance, Compliance, Technology, and Operations teams on process improvements, system implementations, and policy updates.
Ensure regulatory compliance with HIPAA, state billing regulations, payer guidelines, and consumer protection requirements in all billing and collection activities.
Develop and implement patient communication strategies to improve patient understanding of billing, payment options, and financial responsibility.
Analyze financial data, forecasting, and trending to support budget management and revenue optimization initiatives.
Education And Experience Requirements
Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field (Master's degree preferred).
Minimum 7+ years of healthcare revenue cycle management experience.
Minimum 5+ years of progressive leadership experience managing billing, collections, or accounts receivable functions in healthcare settings.
Minimum 3+ years of direct people management and team leadership experience.
Certified Revenue Cycle Executive (CRCE), Certified Revenue Cycle Professional (CRCP), or Certified Healthcare Billing and Management Executive (CHBME) preferred.
Experience with hospital or facility-based physician billing models preferred.
Knowledge, Skills, And Abilities
Advanced knowledge of end-to-end revenue cycle operations, particularly self-pay workflows.
Expertise in patient accounts receivable management, aging analysis, and cash flow optimization.
Strong understanding of billing regulations, state billing laws, and consumer protection regulations (FDCPA, TCPA).
Strong financial acumen and ability to analyze complex financial data, aging reports, and performance metrics.
Advanced proficiency with data analysis and business intelligence tools (Excel, Power BI, Tableau, or similar).
Experience with healthcare billing systems, EHR platforms, patient responsibility platforms, and collection management systems (Epic, Cerner, Athena, or similar).
Understanding of healthcare compliance requirements (HIPAA, state billing regulations, payer guidelines).
Exceptional leadership, communication, and interpersonal skills with ability to motivate and develop teams.
Ability to manage multiple priorities and stakeholder groups simultaneously.
Strong problem-solving skills and ability to drive continuous improvement initiatives and operational efficiency.
Strategic thinking with ability to balance short-term operational needs with long-term revenue optimization goals.
Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
Ability to read, understand, and apply state/federal laws, regulations, and policies.
Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
Ability to remain flexible and work within a collaborative and fast-paced environment.
Strong oral, written, and interpersonal communication skills.
Strong time management and organizational skills.
Compensation
Base compensation will be based on various factors unique to each candidate including geographic location, skill set, experience, qualifications, and other job-related reasons. This position is also eligible for a discretionary incentive bonus in accordance with company policies.
Equal Employment Opportunity
Ventra Health is an equal opportunity employer committed to fostering a culturally diverse organization. We strive for inclusiveness and a workplace where mutual respect is paramount. We encourage applications from a diverse pool of candidates, and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, religion, sex, age, national origin, disability, sexual orientation, gender identity and expression, or veteran status.
Solicitation of Payment
Ventra Health does not solicit payment from our applicants and candidates for consideration or placement. Attention Candidates Please be aware that there have been reports of individuals falsely claiming to represent Ventra Health or one of our affiliated entities Ventra Health Private Limited and Ventra Health Global Services. These scammers may attempt to conduct fake interviews, solicit personal information, and, in some cases, have sent fraudulent offer letters. To protect yourself, verify any communication you receive by contacting us directly through our official channels. If you have any doubts, please contact us at Careers@VentraHealth.com to confirm the legitimacy of the offer and the person who contacted you.
Accessibility
Ventra Health is committed to making our digital experiences accessible to all users, regardless of ability or assistive technology preferences. We continually work to enhance the user experience through ongoing improvements and adherence to accessibility standards. Please review at https://ventrahealth.com/statement-of-accessibility/.