Director of Patient Accounting

The-Children; Pittsburgh (Allegheny County); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Medical Insurance

Dental & Vision Insurance

PTO & Holidays

401(k) Retirement Plan

Job summary

The Children’s Institute of Pittsburgh seeks a Director of Patient Accounting to lead the revenue cycle from insurance verification to claim liquidation, ensuring compliant, efficient processes onsite in Pittsburgh. You will guide a patient-centered team and leverage analytics and AI-enabled tools to optimize performance.

You will collaborate with the CFO, program leadership, and clinical staff to enhance collections, streamline workflows, and maintain strict confidentiality and regulatory

Qualifications

• BA/BS in Business Administration or Finance required.
• Minimum 5 years of management experience in a revenue cycle environment.
• Thorough understanding of the full Revenue Cycle and current industry standards.
• Experience with electronic medical records (EMR) and potential EMR implementation.
• Strong communication and leadership skills.
• Ability to recruit, develop, retain, and engage high-performing teams.
• Clearances: FBI, Criminal Clearance, and Child Abuse Clearance.

Responsibilities

• Lead the revenue cycle from insurance verification through claim liquidation.
• Collaborate with CFO, clinical leadership, and program staff to optimize processes.
• Maintain knowledge of coding, regulations, and payer requirements across payors.
• Provide guidance on coding changes, reimbursement opportunities, and billing guidelines.
• Report and discuss AR status in monthly reviews with leadership.
• Ensure HIPAA compliance and patient confidentiality in all activities.
• Drive cash collections and collaboration with the CFO on contracts and budgeting.

Skills

Revenue cycle leadership

Team leadership

Communication

Healthcare claims processing

Data analytics

Education

BA/BS in Business Administration or Finance

Tools

EMR systems

Billing software

Job description

Position:Director of Patient Accounting

Location: Pittsburgh, PA

Job Id:514

# of Openings:1

Careers at Our Amazing Place.

At The Children’s Institute of Pittsburgh, we’ve built our legacy on being amazing. After more than a century of the highest quality care and service to children and their families, we’re forever proud of our team members who don’t just make a career here – they make a difference.

Job Title: Director of Patient Accounting

Location: 1405 Shady Ave., Pittsburgh, PA 15217

Schedule: Monday - Friday, Full Time, Onsite

The Director of Patient Accounting provides key leadership regarding the revenue cycle through verification of benefits, securing authorization for services provided, clean claim submission and liquidation of accounts receivable. This position is responsible for maintaining a highly functioning internal and external customer-centered focus team that collaborates with clients and staff. This position also supports the responsible evaluation and use of automation, analytics, and AI-enabled tools to improve revenue cycle performance, reduce administrative burden, strengthen compliance, and enhance internal and external customer service.

Responsibilities

• This leader is responsible for the work processes, management, metrics, development, and optimization of the revenue cycle that begins from insurance verification through claim liquidation.
• This leader will be a critical member of the team and will have deep collaborative relationships across departments and programs.
• This leader will have a comprehensive grasp of coding, regulations, and revenue cycle protocols for all payor sources.
• This leader will review and provide feedback to the CFO on payor contracts and ensure compliance with revenue cycle expectations.
• This leader will provide guidance to programmatic leadership on changes in coding, revenue enhancement opportunities, billing guidelines, etc.
• This leader will hold monthly accounts receivable meetings with clinical leadership to provide timely and routine feedback on claim liquidation in a meaningful way to collaboratively enhance collections.
• Maintains current knowledge of and complies with established policies and procedures including patient confidentiality/patient rights, government, insurance, and third-party payer regulations. Maintains current knowledge of all regulations, contracts, etc. applicable to the revenue cycle. Conveys information to other team members as needed regarding any changes.
• Ensures revenue cycle practices comply with HIPAA, patient confidentiality requirements, payer rules, documentation standards, audit readiness expectations, and ethical billing and collection practices.
• Ensure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
• This position will work collaboratively with the CFO. This will include insurance company contract negotiations, input to the budgeting process and financial performance review.

Qualifications

• A BA/BS in Business Administration or Finance is required.
• Minimum of 5 years of related management experience, including a minimum of 5 years in a revenue cycle environment is required.
• Must demonstrate a thorough understanding of the full Revenue Cycle with up-to-date knowledge of the industry.
• Prior experience in working within an electronic medical record and preferred experience in implementing an electronic medical record.
• Demonstrated commitment to maximizing appropriate reimbursement and ensuring timely, accurate collection of revenue.
• Demonstrated ability to communicate effectively and professionally both verbally and in writing.
• Demonstrated ability to recruit, develop, retain, and engage high-performing team
• Clearances Required: Act 73 FBI, Act 34 Criminal Clearance, and Act 33 Child Abuse Clearance

Benefits Summary

We're proud to offer generous benefits to our team members. Regular full-time team members are eligible for the following benefits:

• Medical and Prescription insurance-Choice of two health plans and networks
• Dental and Vision-Free coverage for team members.
• Paid Time Off (PTO) and Holidays
• Medical, Bereavement, Educational, & Personal Leaves
• Parental leave (birth & adoption) paid-6 weeks
• 403b Retirement Plan - pre-tax & Roth options; employer match after 1 year
• Student Loan Refinancing Program
• Public Service Loan Forgiveness Program - CI qualifies as non-profit
• Education Assistance/Tuition Reimbursement
• Professional Development/CEU’s
• Life and Short- & Long-Term Disability insurance
• Credit Union
• Team Member Recognition Events
• Referral bonus
• CPR-employer paid

The Children's Institute of Pittsburgh is an Equal Opportunity Employer. We serve a diverse population of children and families, and we want our workforce to reflect that same diversity. We want all interested individuals to feel welcome in applying for a career at our amazing place - we can't wait to meet you!

The Children's Institute does not exclude, deny benefits to, or otherwise discriminate against any person on the basis of race, color, national origin, religious creed, AIDS or HIV status, disability, ancestry, age, gender, sexual orientation, gender identity or expression, genetic information, marital status, union membership, or veteran/military status in employment.