PFS Lead: Claims & Revenue Optimization

Mercy-Health-System-Corporation; Janesville (WI); On-site; USD 51,000 - 77,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life & Disability Insurance

FSA/HSA Options

Paid time off

Parental and caregiver leave

Job summary

Mercyhealth is seeking a seasoned leader to oversee the Patient Financial Services team, driving staffing, performance, compliance, and workflow optimization for efficient revenue cycle operations.

The role collaborates across departments to improve claims processing, reimbursement outcomes, and staff development while ensuring adherence to policies and regulatory requirements. This is a full-time, day-shift position with business hours.

Qualifications

• Strong leadership, management, judgment, and presentation skills.
• Proven ability to work effectively in a team environment.
• Strong typing/data entry experience.
• Strong organizational skills and attention to detail, accuracy and follow-through.
• Knowledge of medical terminology preferred.

Responsibilities

• Lead the daily operations of the Patient Financial Services team, overseeing staffing, performance, compliance, and workflow optimization.
• Partner across departments to improve claims processing and reimbursement outcomes.
• Perform audits to review partner performance and ensure policies are followed.
• Develop and implement policies and procedures within the Revenue Cycle area.
• Coordinate with Managed Care Contracting and review government billing regulations to advise leadership.

Skills

Leadership

Management

Judgment

Presentation skills

Teamwork

Typing

Data entry

Organizational skills

Attention to detail

Medical terminology

Education

High school diploma or equivalent

Associate degree in a business or healthcare field preferred

Tools

Epic Resolute

Billing certifications

Job description

Mercyhealth is seeking a seasoned leader to oversee the Patient Financial Services team, driving staffing, performance, compliance, and workflow optimization for efficient revenue cycle operations.

The role collaborates across departments to improve claims processing, reimbursement outcomes, and staff development while ensuring adherence to policies and regulatory requirements. This is a full-time, day-shift position with business hours.