Director, Patient Responsibility, AR

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Medsuite Inc

WebsiteLinkedInAll Job Openings

1 - 10 employees

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare Insurance • SaaS • HealthTech

Medsuite Inc. is a digital platform designed to streamline healthcare management and improve patient care. It provides tools for healthcare providers to manage patient records, appointments, and communications efficiently, all while prioritizing user-friendly access for patients and providers alike.

📋 Description

• Provide strategic leadership, oversight, and continuous quality improvement for Ventra Health's Patient Responsibility Center of Excellence • Direct and govern the entire patient billing and collection process, including patient account management, billing operations, payment collections, patient communications, and revenue optimization • Ensure end-to-end workflow excellence, operational efficiency, regulatory compliance, and measurable improvements in cash flow, aging analysis, and patient satisfaction across all self-pay functions • Develop and implement comprehensive accounts receivable strategy for the Patient Responsibility Center of Excellence, ensuring alignment with organizational financial and operational objectives • Establish and maintain standardized performance metrics, Key Performance Indicators (KPIs), and governance frameworks for patient billing, collections, and accounts receivable management • Oversee and optimize patient account lifecycle management, including patient billing strategy, payment plans, accounts receivable aging, and bad debt • Build, mentor, and develop a high-performing team of accounts receivable specialists and analysts • Monitor aging analysis reports, trends, net collection rates, and other accounts receivable metrics to identify process improvement opportunities and revenue leakage • Manage integration and optimization of billing and collection systems, including EHR platforms, Ventra systems, and payment processing solutions • Partner with Client Success, Finance, Compliance, Technology, and Operations teams on process improvements, system implementations, and policy updates • Ensure regulatory compliance with HIPAA, state billing regulations, payer guidelines, and consumer protection requirements in all billing and collection activities • Develop and implement patient communication strategies to improve patient understanding of billing, payment options, and financial responsibility • Analyze financial data, forecasting, and trending to support budget management and revenue optimization initiatives

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Finance, Business Administration, or related field (Master's degree preferred) • Minimum 7+ years of healthcare revenue cycle management experience • Minimum 5+ years of progressive leadership experience managing billing, collections, or accounts receivable functions in healthcare settings • Minimum 3+ years of direct people management and team leadership experience • Certified Revenue Cycle Executive (CRCE), Certified Revenue Cycle Professional (CRCP), or Certified Healthcare Billing and Management Executive (CHBME) preferred • Experience with hospital or facility-based physician billing models preferred • Advanced knowledge of end-to-end revenue cycle operations, particularly self-pay workflows • Expertise in patient accounts receivable management, aging analysis, and cash flow optimization • Strong understanding of billing regulations, state billing laws, and consumer protection regulations (FDCPA, TCPA) • Strong financial acumen and ability to analyze complex financial data, aging reports, and performance metrics • Advanced proficiency with data analysis and business intelligence tools (Excel, Power BI, Tableau, or similar) • Experience with healthcare billing systems, EHR platforms, patient responsibility platforms, and collection management systems (Epic, Cerner, Athena, or similar) • Understanding of healthcare compliance requirements (HIPAA, state billing regulations, payer guidelines) • Exceptional leadership, communication, and interpersonal skills

🏖️ Benefits

• Performance-based incentive plan • Referral bonus program