Director - Patient Financial Services - Lebanon, IN

Witham Health Services; Lebanon (IN); Hybrid; USD 120,000 - 170,000; Full time

Job summary

Witham Health Services in Lebanon, IN is seeking a Director of Revenue Cycle to lead Patient Financial Services operations, including billing, collections, cash posting, denial management, and customer service. The role owns financial performance metrics and partners with executives to meet AR days and cash targets.

The ideal candidate has a Bachelor's degree in Healthcare Administration or related field, 5+ years in healthcare revenue cycle with leadership experience, and strong Excel/data

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field.
• Working knowledge of CPT, ICD-10, HCPCS, revenue codes, APCs, DRGs, and payer reimbursement methodologies.
• Minimum five (5) years of progressive healthcare revenue cycle experience, including at least three (3) years in a supervisory or management role in a hospital business office setting.
• Direct experience with hospital billing and collections for Medicare, Medicaid, managed care, and commercial payers.
• Proficiency in Excel and comfort with data analysis tools.

Responsibilities

• Maintain hospital AR days at or below targets and produce monthly performance reports.
• Own denial management end-to-end and drive root cause resolution with cross-departmental teams.
• Oversee billing operations, vendor relationships, and compliance with regulations.
• Direct staff performance through audits, evaluations, and coaching.
• Manage patient billing experience and payment plans; ensure timely collections.
• Ensure price transparency, No Surprises Act, and 501(r) compliance in the billing side.
• Communicate department status and risks to executives and cross-department meetings.
• Uphold HIPAA and maintain confidentiality of patient information.

Skills

Data analysis

Staff management

Healthcare finance

Leadership

Education

Bachelor's degree in Healthcare Administration, Business, Finance, or related field

Tools

Meditech EHR

Waystar

Excel

Job description

Job Category: Finance

Requisition Number: DIREC001860

• Posted : August 11, 2026
• Full-Time

Locations

Showing 1 location

Lebanon, IN 46052, USA

Description

• Department: Revenue Cycle Management
• Schedule: Monday-Friday 9-5
• Hospital: Witham Health Services

Job Summary:

Directs all Patient Financial Services operations including billing, collections, cash posting, denial management, customer service, and self-pay programs. Owns the department's financial performance metrics and is accountable for meeting established targets for AR days, cash collections, denial write-off rates, and clean claim rates. Manages staff, vendors, and cross-departmental relationships; surfaces issues and solutions proactively to the Executive Director of Revenue Cycle. This is a hands-on leadership role requiring equal comfort with data analysis and people management.

Required:

Bachelor's degree in Healthcare Administration, Business, Finance, or related field

Working knowledge of CPT, ICD-10, HCPCS, revenue codes, APCs, DRGs, and payer reimbursement methodologies

Minimum five (5) years of progressive healthcare revenue cycle experience, including at least three (3) years in a supervisory or management role in a hospital business office setting

Direct experience with hospital billing and collections for Medicare, Medicaid, managed care, and commercial payers

Demonstrated experience managing accounts receivable performance to specific benchmarks

Proficiency in Excel and comfort with data analysis tools

Preferred:

Experience with Meditech EHR (Expanse preferred) and Waystar or comparable clearinghouse/RCM platform

Experience with revenue cycle automation or predictive denial analytics tools

Continuing Education:

This position requires ongoing continuing education in Medicare, Medicaid, and commercial insurance billing; federal and state revenue cycle compliance (price transparency, No Surprises Act, 501(r)); and revenue cycle leadership and analytics.

This position requires the following skills and abilities:

• Independently analyzes AR, cash, denial, and write-off data to identify trends, root causes, and opportunities; translates findings into actionable recommendations with dollar impact and defined next steps
• Produces monthly financial and operational reports for executive leadership
• Manages staff performance through quality audits, timely evaluations, and structured coaching; addresses performance and conduct issues promptly and directly
• Works independently to maintain the department's operational rhythm; communicates status, risks, and progress proactively
• Deep understanding of the full revenue cycle from patient access through final resolution
• Working knowledge of federal and state billing regulations: Medicare/Medicaid compliance, HIPAA, No Surprises Act, and 501(r)
• Maintains confidentiality of all patient and financial information
• Maintains composure under pressure; represents the department professionally to physicians, executives, board members, and patients
• Exemplifies excellent guest relations with patients, staff, physicians, and the public

Essential Functions:

A.Financial Performance and Data Analysis

Maintains hospital and professional AR days at or below benchmark targets; monitors daily and acts when trends move in the wrong direction

Produces monthly performance reports covering AR days and aging, cash collections vs. budget, denial rates and write-off categories, clean claim rate, and unbilled AR; delivers to the Executive Director on an established schedule

Conducts root cause analysis on any metric that misses target: dollar impact, affected population, contributing factors, and corrective action plan with timeline

Monitors daily cash posting and investigates variances; tracks credit balances and ensures refunds are processed within regulatory timelines

B.Denial Management

• Owns denial management end to end: tracks and trends denials by payer, reason code, and dollar amount; oversees appeals and outcomes; reports results monthly; and drives cross-departmental root cause resolution with Patient Access, Coding, and clinical departments
• Reduces preventable denials through process improvement and staff education; routes clinical denials (medical necessity, level of care) to staff with appropriate clinical/appeal expertise

C.Billing Operations, Vendor Management, and Compliance

• Ensures timely and accurate claim submission for all payer types; monitors clean claim rate and addresses root causes of claim rejections
• Manages all PFS vendor relationships: AR follow-up vendors, collection agencies, clearinghouse/RCM platform, and patient statement and payment portal vendors; reviews invoices and manages contracts through renewal/termination cycles
• Maintains compliance with all federal, state, and payer-specific billing regulations; develops, maintains, and enforces department policies and procedures
• Owns price transparency compliance (machine-readable file and shoppable services tool), No Surprises Act compliance (Good Faith Estimates, dispute resolution readiness), and 501(r) compliance for the billing and collections side
• Manages the patient billing and statement process, including customer service for billing inquiries and payment plan administration

D.Staff Management and Quality Oversight

Directly supervises PFS managers, supervisors, and/or team leads; indirectly oversees all PFS staff

Conducts monthly quality audits: reviews a defined sample of accounts per collector to assess note quality, follow-up appropriateness, and protocol adherence; documents results and provides feedback

Manages the worklist system: ensures accounts are distributed equitably, queues are current, and no account goes unworked past established thresholds

Completes performance evaluations on time with specific, measurable feedback; creates and follows through on performance improvement plans when warranted

Develops staff through ongoing training, cross-training, and professional development planning; identifies succession risks

E.Patient Financial Experience and Technology

• Owns the patient financial experience: pre-service cost estimates, clear statements, and responsive billing customer service; ensures financial counseling and charity screening are offered consistently before accounts move to collections
• Identifies and sponsors automation and technology opportunities across PFS; governs revenue cycle tools for accuracy, compliance, and measurable return

F.Communication, Collaboration and Administration

Communicates proactively with the Executive Director on department status, risks, wins, and needs; represents PFS in cross-departmental meetings

Resolves patient, physician, and interdepartmental complaints professionally and promptly

Participates in budget development; manages department expenses within approved budget

Supports hospital mission, values, and strategic plan; maintains 24-hour accountability for department operations

Ensures a safe, respectful, and professional work environment in compliance with infection control, hazardous materials, disaster/fire safety, and general safety policies

Additional duties as assigned

Accountability for Performance Metrics:

This role is accountable for maintaining revenue cycle performance metrics at or above established targets.

Equal Opportunity Employer
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