Manager- PFS Hospital Billing

Dayton Children's; Ohio; Hybrid; USD 70,000 - 100,000; Full time

Job summary

Dayton Children's seeks a Patient Financial Services Insurance Billing Manager to oversee billing operations including claims processing, edits, denials, and insurance collections. You will manage staff, monitor KPIs, and ensure compliance with third-party regulations under the Director of Patient Financial Services.

Hybrid schedule with 2-3 days in the office in Ohio, 40 hours/week, and collaboration across interdepartmental teams to optimize revenue cycle management.

Qualifications

• 3+ years of experience in patient financial services or healthcare billing.
• At least one year of leadership or supervisory experience.
• Strong communication and interpersonal skills.
• Ability to work tactfully with patients, staff, and interdepartmental customers.

Responsibilities

• Oversee billing services operations including claims processing, edits, denials and collections.
• Review revenue performance and KPI monitoring to drive improvements.
• Manage staff and productivity standards for day-to-day operations.
• Ensure compliance with third-party regulations and policy adherence.
• Collaborate with interdepartmental teams to optimize revenue cycle management.

Skills

Billing & collections management

Leadership skills

Communication skills

Analytical skills

Time management

Education

High school diploma required

Associate degree preferred

Job description

Facility: Work from Home - Hybrid - Ohio

Department: HIM/ Revenue Integrity

Schedule: Full time, Hours: 40

Job Details: The Patient Financial Services Insurance Billing Manager is responsible for overseeing the operations and functions of the department's billing services, which can include claims processing, claim edits, claim rejections, denials and insurance collections. This role involves review of revenue performance, managing a staff responsible for billing and collections, ensuring compliance with third-party regulations, and improving key revenue-cycle performance indicators. Under the general direction of the Director Patient Financial Services, the manager is responsible for maintaining an efficient operational workflow for day-to-day operations in the areas of insurance accounts receivable management. Management responsibility includes implementing and monitoring productivity standards, work queue volumes, problem resolution, understanding and monitoring KPIs, team action plans and adherence to Dayton Children's policies and procedures. This position will work directly with various interdepartmental teams for collaboration of optimized revenue cycle management.

Department Specific Job Details: Shift Hybrid- varies, 2-3 days in office Monday-Friday 8:00 am - 4:30 pm

Education

• High school diploma required
• Associate degree preferred

Experience

• 3+ years of experience in patient financial services or healthcare billing
• At least one year of leadership or supervisory experience
• Strong communication and interpersonal skills
• Ability to work tactfully with patients, staff, and interdepartmental customers

Skills/Competencies

• Proficient in managing billing and collection processes
• Strong analytical and problem-solving skills
• Ability to lead and motivate a team
• Knowledge of healthcare billing regulations and compliance requirements
• Excellent organizational and time-management skills

At Dayton Children's, we believe that each moment counts with our patients, families, and with each other. We are moving at a fast pace and are looking for the right talent for our team at Dayton Children's. We want people who embody our values and want to become a part of the Dayton Children's difference.

Our values:

• We commit to safety - We ensure every action and decision prioritizes the safety of patients, families, and employees
• We serve with compassion - We bring generosity, empathy, and kindness to all interactions
• We own every moment - We take pride in everything we do
• We're better together - We collaborate, communicate, and support one another to deliver optimal care
• We innovate with purpose - We adapt and change to improve pediatric care, for today and tomorrow
• We value and respect each person - We create an inclusive space where everyone feels welcome and respected

Dayton Children's is proud to be an Equal Opportunity Employer that values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation, or transgender status.