Patient Financial Services Manager

Patient Financial Services Manager (Hybrid)

Department: Finance

Reports to: Executive Director of Revenue Management

Status: Full-Time, Exempt,

Location- Hybrid- standard business hours with availability for scheduled team

About the Role

The Patient Financial Services Manager oversees all aspects of patient financial collections and the billing-to-collections cycle. This role is responsible for managing patient deductibles, co-insurance, and balances, while ensuring timely and compliant collection practices. The ideal candidate will have strong knowledge of insurance processes, including reading and interpreting Explanation of Benefits (EOBs), payer guidelines (commercial, Tricare, and others), and when accounts should or should not be escalated to collections. In addition, this individual will be a leader in staff training, mentoring, and fostering a culture of accountability and compliance.

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Key Responsibilities

• Oversee daily operations of patient financial collections and billing cycle.

• Manage collection of patient deductibles, co-insurance, and outstanding balances.

• Determine when accounts should be worked internally versus escalated to collections agencies.

• Review and interpret insurance EOBs across all payer types, including commercial and Tricare.

• Train staff in “Insurance 101,” including how to read EOBs, address challenging patient questions, and manage payer-related claim issues.

• Collaborate with revenue cycle, compliance, and clinical teams to resolve billing concerns.

• Maintain accurate documentation and ensure compliance with organizational and regulatory standards.

• Monitor collection performance and implement strategies to meet or exceed financial targets.

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Collaboration & Communication

• Partner with clinical and administrative teams to ensure seamless patient billing experiences.

• Communicate effectively with patients to resolve financial concerns with empathy and professionalism.

• Serve as the primary liaison between payers, patients, and third-party collection agencies.

• Facilitate ongoing staff training and support team members in handling complex claims.

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Required Qualifications

• 3 years of experience in medical billing cycle management with strong, proven collections experience.

• High school Diploma or GED

• Strong understanding of insurance processes, EOBs, and payer policies (commercial, Tricare, BCBS Paid to subscriber).

• Proven ability to manage staff and provide effective training.

• Knowledge of billing cycles, collections procedures, and compliance regulations.

• Excellent communication and problem-solving skills.

• Proficiency with billing systems, EHRs, and office software.

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Preferred Qualifications

• Experience working in a multi-payer healthcare environment.

• Previous experience with compliance audits and payer contract management.

• Proven experience in managing and building new teams in a healthcare or revenue cycle environment.

• Demonstrated ability to mentor, coach, and train staff, especially in insurance processes, EOB interpretation, and patient financial collections.

• Strong leadership skills with the ability to foster collaboration and accountability in a growing team.

• Experience working in a startup or rapidly changing environment, with flexibility to adapt processes and priorities as the facility expands.

• Exceptional interpersonal skills with the ability to handle challenging and sensitive financial conversations with patients and payers professionally and effectively.

• Strategic mindset with the ability to balance collections performance, compliance, and patient satisfaction.

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Finance, Cross-Training & Support

• Provide financial oversight of patient collections and cash flow.

• Support cross-training initiatives within the office to ensure team efficiency.

• Assist leadership in developing financial strategies to improve revenue cycle outcomes.

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Compliance & Information Security

• Ensure all billing and collection activities comply with HIPAA, state, and federal guidelines.

• Maintain strict confidentiality of patient financial and health information.

• Adhere to organizational policies on data security and access.

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Core Competencies

• Leadership & Team Development

• Financial Acumen & Revenue Cycle Expertise

• Insurance Knowledge & Claims Management

• Compliance & Confidentiality

• Communication & Patient Relations

• Problem-Solving & Decision-Making

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Performance Metrics

• Collection rate on patient balances.

• Days in Accounts Receivable (AR).

• Accuracy of claim processing and EOB interpretation.

• Staff competency and training effectiveness.

• Patient satisfaction with billing experience.

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Work Conditions & Physical Requirements

• Standard office environment with extended periods of computer use.

• Ability to sit for prolonged periods.

• Occasional lifting of office files and supplies (up to 20 lbs).

• Interaction with patients, staff, and external vendors.

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Pre-Employment & Ongoing Requirements

• Background check and employment eligibility verification.

• Training in compliance, privacy, and security standards. (initial and annual)

• Annual performance evaluations are tied to metrics and competencies.

• Adherence to all organization policies, including records retention and breach reporting.

Benefits

• Competitive salary (Starts at $60,000/year)

• Medical, dental, and vision insurance

• Paid time off and holidays

• Retirement plan with employer match

• CEU reimbursement and professional development opportunities

• Supportive work environment focused on employee well-being

If you are serious about this opportunity, please submit your application and complete the below survey afterwards. The survey takes <10 minutes and is best taken on a personal computer. Those who complete the survey will be given priority.

Survey: https://go.cultureindex.com/p/IrYDTjAbeMs

We are an equal opportunity employer and comply with the Americans with Disabilities Act (ADA). We are committed to providing reasonable accommodations to qualified applicants and employees with disabilities, unless doing so would cause an undue hardship. This job description outlines the essential functions of the position; individuals must be able to perform these functions, with or without reasonable accommodation, to be considered for this role.

EOE/M/F/V/D