Director of Patient Financial Services

## Description Director of Patient Financial Services Location: REMOTE Entity: Alliance Health System Reports To: Vice President of Revenue Cycle Management The Patient Financial Services Director is responsible for the strategic oversight, operational performance, and compliance management of the Patient Financial Services function, including Payment Posting and Patient Accounts Collections. This leader ensures accurate and timely cash application, efficient resolution of patient balances, optimized revenue capture, and a high-quality patient financial experience. The Director partners across Revenue Cycle, Finance, Compliance, Operations, and IT to strengthen revenue integrity, improve cash flow, reduce aged receivables, and enhance the overall patient financial journey across all service lines. Alliance Health Systems Alliance Health System provides the operational foundation that allows healthcare organizations and providers to focus on what matters most: delivering exceptional patient care. Through practice management, administrative support, operational strategy, technology, recruiting, marketing, human resources, and business services, we help healthcare teams operate more efficiently and effectively. At Alliance, we believe every process can be optimized, every challenge presents an opportunity, and every team member plays a role in creating better outcomes for the patients that entrust us with their care. Our culture is built on collaboration, accountability, innovation, and a relentless pursuit of becoming Better Every Day. If you are passionate about solving problems, improving systems, supporting high-performing teams, and making a meaningful impact behind the scenes of healthcare, we want to collaborate with you! Alliance Health System offers an opportunity to grow your career while helping our healthcare organizations change lives for the better. Essential Responsibilities Leadership & Operational Oversight - Lead and manage the Patient Financial Services department, including Payment Posting and Patient Accounts/Collections teams. - Establish departmental goals, productivity standards, KPIs, and quality expectations aligned with organizational financial objectives. - Build a high-performance culture focused on accountability, accuracy, service excellence, and continuous improvement. - Provide coaching, performance management, and workforce development for supervisors and staff. - Identify workflow gaps, staffing needs, and opportunities for automation or process redesign. Payment Posting & Cash Application - Oversee accurate and timely posting of all payments including ERA/EFT, paper checks, lockbox, credit card, and manual remittances. - Ensure reconciliation between bank deposits, clearinghouses, and practice management systems. - Monitor and manage unapplied cash, credit balances, posting delays, and reconciliation discrepancies. - Implement controls to ensure posting accuracy and minimize errors or duplicate adjustments. - Partner with Finance on month-end close, cash reporting, and audit support. Patient Financial Services (Collections & AR Management) - Direct all patient financial services activities including self-pay collections, aging follow-up, payment plans, and bad debt workflows. - Drive reduction of patient accounts receivable (AR) through effective segmentation, outreach strategies, and workflow optimization. - Ensure compliance with federal and state collection regulations, payer requirements, and organizational financial policies. - Oversee patient financial communication strategies to ensure clarity, transparency, and positive patient experience. - Manage external vendor relationships (early-out, bad debt, and collection agencies) when applicable. Revenue Cycle Performance & Analytics - Monitor and analyze key performance indicators to identify trends, risks, and improvement opportunities. - Develop action plans to improve: - Cash posting timeliness and accuracy - Patient collection rates - A…