System Sr. Director, Revenue Cycle Business Services

Whittier, CA - USA

Monthly Salary: Not Disclosed

Posted on: 13 days ago

Vacancies: 1 Vacancy

Job Summary

*Not working with outside recruitment agencies at this time*

This leadership role reporting to the VP of Revenue Cycle & Managed Care 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. The role drives performance improvement system integration and cross-department collaboration to enhance cash flow and maintain financial integrity.

PIH Health is a nonprofit regional healthcare network that serves approximately 3 million residents in the Los Angeles County Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital PIH Health Good Samaritan Hospital PIH Health Whittier Hospital 37 outpatient medical office buildings a multispecialty medical (physician) group home healthcare services and hospice care as well as heart cancer digestive health orthopedics womens health urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best practices cutting-edge advancements quality of care and healthcare technology. For more information visit follow us on Facebook Twitter or Instagram.

Required Skills

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

Required Experience:

Exec

*Not working with outside recruitment agencies at this time*This leadership role reporting to the VP of Revenue Cycle & Managed Care oversees billing operations through final account resolution to maximize revenue and minimize receivables. Directs billing data control customer service collections an...

*Not working with outside recruitment agencies at this time*

Required Skills

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