Director, Patient Financial Services – Healthcare CBO

Guidehouse

. Manage overall Hospital Client Patient Financial Services department operations .

Posted 10/27/2026full-timeSan Antonio • Texas • United StatesLead💰 $106,000 - $176,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive knowledge of healthcare revenue cycle management, including billing operations, denials management, and compliance with payer regulations. Proven ability to analyze data for operational improvements and manage patient financial services effectively.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementDenials ManagementPatient AccountingHealthcare Billing SystemsRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Accounts Receivable ManagementBilling OperationsCoding RegulationsElectronic Claims ProcessingFinancial AnalysisPayer ContractsRevenue Cycle IndicatorsThird-Party VerificationData AnalysisHealthcare Finance Principles

Soft Skills

Excellent Verbal CommunicationAnalytical SkillsInterpersonal SkillsAbility to Handle Multiple TasksCollaboration

Industry Keywords

Healthcare ProviderCBORevenue Cycle LeadershipHFMA MAP MetricsBilling and Collection Services

About the role

Key responsibilities & impact

Manage overall Hospital Client Patient Financial Services department operations
Oversee patient accounting, credit and collections, denial management, and related revenue cycle activities
Define and achieve departmental objectives
Manage billing and follow-up of patient accounts
Ensure compliance with third-party payer regulations and Hospital PFS regulations and standards
Improve key revenue cycle indicators, revenue, and cash flows
Review data to identify operational impacts, issues, trends, improvement areas, and opportunities
Research issues to determine whether they are isolated instances or trends and coordinate resolution with Revenue Cycle leadership
Establish collaborative relationships with Revenue Cycle leaders
Work with Managed Care on underpayment analysis
Attend and participate in committees and task forces
Prepare materials for, conduct, and chair project meetings
Participate in developing PFS policies and procedures
Collaborate, mediate, and resolve issues between Finance and Hospital PFS
Understand financial systems and patient accounts and resolve Accounts Receivable problems
Plan, coordinate, implement, and control Hospital Billing and Collection services
Perform staff hiring, reviews, discipline, and employment separation
Monitor and report daily/monthly productivity
Ensure team-member compliance with company policies and procedures
Verify and monitor time-off requests
Fill in for managers as needed
Perform other job functions related to the role

Requirements

What you’ll need

Bachelor's Degree and a minimum 12 years of prior relevant experience, or Associate's Degree and a minimum 14 years of prior relevant experience
Relevant experience may be substituted for formal education or advanced degree
Relevant experience from a healthcare provider, payor, CBO, business office environment, or outsourcing company
Experience in AR follow up, denials management, and driving client engagement
Understanding of healthcare revenue cycle, payer contracts, and regulations affecting reimbursement for healthcare services
Excellent verbal, written, analytical, and interpersonal skills
Ability to handle multiple concurrent activities and change
Extensive experience with healthcare hospital billing systems, electronic claims, and authorizations
Extensive knowledge of front and back end billing operations
Knowledge of billing and coding regulations
Proficiency with registration, eligibility, third-party verification, billing, and collections
Comprehensive knowledge of healthcare, billing, finance, and accounting principles
Detailed knowledge of billing technical elements, including standard forms and data, coordination of benefits, third-party liability, billing, and collection
Comprehensive knowledge of HFMA MAP metrics
Ability to review data and determine operational impacts and needed actions
Ability to prioritize and manage numerous tasks simultaneously
Current knowledge of regulatory standards affecting processes and systems

Benefits

Comp & perks

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Discretionary variable incentive bonus may be available
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account
Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement
Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Flexible benefits package
Flexible work arrangements