Revenue Cycle Managed Services - Patient Financial Services Manager

Key Responsibilities

• Lead and oversee a multi-layered PFS team including Supervisors, U.S.-based Representatives, Nearshore Teams, and third-party partners
• Act as a hands-on leader, stepping in to work complex billing issues, AR accounts, denial scenarios, and escalations as needed
• Provide side-by-side coaching and live account reviews to reinforce best practices in billing, follow-up, and denial resolution
• Partner with Training and QA teams to identify skill gaps and directly intervene with targeted, hands-on coaching
• Ensure frontline staff consistently demonstrate correct workflows across both billing and AR, not just meet productivity expectations
• Collaborate with workforce planning to ensure proper staffing, onboarding, and ongoing competency development
• Own performance across end-to-end back-office functions, including: Charge review and claim submission, Billing edits and rework, AR follow-up and collections, Denial management and appeals, Underpayment resolution and variance analysis
• Build and drive performance against KPIs including cash collections, billing accuracy and timeliness, first-pass resolution rates, denial rates and overturn rates, and AR aging and productivity metrics
• Maintain close visibility into daily billing and AR work queues, intervening directly to resolve issues and ensure timely throughput
• Monitor AR aging and billing backlog trends; implement targeted strategies to reduce Days in AR (DAR) and improve clean claim rates
• Drive end-to-end process accountability, ensuring seamless flow from billing through final resolution

Qualifications

• 8–10+ years of experience in healthcare revenue cycle operations across both billing and AR functions
• Demonstrated ability to independently perform billing, AR follow-up, and denial resolution across multiple payer types
• Pristine experience operating as a hands-on leader working directly in accounts while managing teams
• At least 3 years in a supervisory or managerial role within a hospital or provider-based setting
• Strong knowledge of payer requirements, claim adjudication, billing workflows, and denial management
• Demonstrated success improving cash performance, billing accuracy, and AR outcomes
• Advanced Epic RCM experience (billing and AR modules)
• Advanced Excel/reporting capabilities