Director of Patient Accounts

Description

Summary of Position:

The Director of Patient Accounts oversees the full scope of patient billing, collections, and account management for a Federally Qualified Health Center (FQHC). This role is responsible for ensuring timely and accurate billing, efficient collections processes, compliance with federal and state regulations (including HRSA and UDS reporting), and optimizing revenue cycle performance. The director leads a team of billing professionals and collaborates with clinical, front office, and finance teams to ensure a smooth, patient-centered financial experience.           

Essential Duties:

Duties include, but are not limited to:

• Provide leadership and oversight to the patient accounts and billing department.
• Ensure accurate and timely billing of all patient services, including Medicaid, Medicare, commercial insurance, sliding fee scale, and self-pay.
• Monitor A/R aging reports and develop action plans to improve collections and reduce days in A/R.
• Ensure compliance with FQHC billing regulations, including UDS reporting requirements, PPS/Alternative Payment Methodologies, and sliding fee schedule rules.
• Lead monthly reconciliation of patient revenue, coordinating with the finance team to ensure accurate general ledger postings.
• Evaluate and implement billing and revenue cycle systems and technologies that improve performance and efficiency.
• Collaborate with front desk and registration teams to ensure complete and accurate patient insurance and demographic data collection.
• Stay informed on payer changes, coding updates (ICD-10, CPT, HCPCS), and industry best practices.
• Develop, monitor, and report on KPIs (e.g., days in A/R, clean claim rate, denial rate, bad debt).
• Provide training, coaching, and performance evaluations for billing team members.
• Serve as a liaison with payers, auditors, and regulatory bodies as needed.
• Office environment; may require occasional evening or weekend hours during audits or system upgrades. Hybrid or on-site role depending on organizational needs.

Qualifications

Qualifications:

Basic Knowledge and Skills:

• Bachelor’s degree in Business, Healthcare Administration, Accounting, or related field.
• Minimum 5 years of progressive experience in medical billing, with at least 2 years in a leadership role.
• In-depth knowledge of FQHC billing, including Medicaid, Medicare, managed care, and sliding fee scale programs.
• Strong understanding of CPT, ICD-10, and HCPCS coding.
• Experience with EHR/PM systems, particularly Athena.
• Excellent organizational, analytical, and interpersonal skills.
• Demonstrated ability to lead teams and drive performance improvement.
• Experience in an FQHC or community health setting preferred
• Certified Revenue Cycle Professional (CRCP) or similar credential preferred
• Familiarity with UDS reporting and HRSA compliance standards preferred

Physical and Mental Requirements:

• Position requires extended periods of sitting and standing.
• Position requires regular bending and reaching, including transfer of patients.
• Must be able to lift, carry and push 20 pounds on a regular basis.
• Must be able to lift and carry up to 50 pounds on an occasional basis. 
• Able to adapt to rapid, unpredictable workflow.
• Able to focus on work at hand with attention to detail.
• Ability to work with difficult patients and those with mental illness.

We are an equal-opportunity employer. All resumes will be reviewed for education and experience. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other legally protected status.