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Director Patient Accounting Jobs (NOW HIRING)

Covenant Health

DIR PATIENT ACCOUNTING

Knoxville, TN · On-site

Overview Director of Patient Accounting, Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with ...

Aspen Dental

Director, Revenue Accounting

NY · On-site

The Director of Revenue Accounting will serve as a leader and strategic partner within the ... Lead and approve revenue and patient accounting mapping strategy between practice management ...

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How much do director patient accounting jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for director patient accounting in the United States is $48.42, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $69.71 per hour, depending on experience, location, and employer.

What does a Director of Patient Accounting do?

A Director of Patient Accounting oversees the billing and collections processes for healthcare facilities, ensuring that patient accounts are managed accurately and efficiently. They are responsible for developing policies and procedures related to billing, supervising staff, and ensuring compliance with healthcare regulations and payer requirements. This role also involves analyzing financial data, resolving complex billing issues, and working closely with other departments to optimize revenue cycle performance.

What is the difference between Director Patient Accounting vs Patient Accounts Manager?

AspectDirector Patient AccountingPatient Accounts Manager
CredentialsBachelor's degree, healthcare finance certificationsBachelor's degree, healthcare or finance experience
Work EnvironmentLeadership role overseeing departmentsSupervisory role managing patient accounts staff
Employer & IndustryHospitals, healthcare systemsHospitals, clinics, healthcare providers
Primary FocusStrategic oversight of patient accounting operationsDay-to-day management of patient billing and collections

The main difference is that the Director Patient Accounting holds a strategic leadership role overseeing the entire patient accounting department, while the Patient Accounts Manager focuses on managing daily operations and staff. Both roles require healthcare finance knowledge, but the director position involves higher-level planning and decision-making.

What are the key skills and qualifications needed to thrive as a Director of Patient Accounting, and why are they important?

To thrive as a Director of Patient Accounting, you need expertise in healthcare revenue cycle management, financial analysis, and a bachelor's degree in finance, accounting, or a related field, with many employers preferring a master's degree or CPA certification. Familiarity with hospital information systems, billing software (such as Epic or Cerner), and compliance regulations like HIPAA is crucial. Strong leadership, problem-solving, and communication skills set top performers apart, as they must manage teams and resolve complex billing issues. These skills ensure accurate financial operations, regulatory compliance, and the financial health of healthcare organizations.

How does a Director of Patient Accounting typically collaborate with clinical and administrative teams to improve revenue cycle performance?

A Director of Patient Accounting plays a crucial role in bridging the gap between clinical staff, billing teams, and administration to optimize the revenue cycle. They frequently work with clinical departments to ensure accurate charge capture and with IT or registration teams to resolve discrepancies in patient data. Regular meetings with both financial and operational leaders help identify process improvements, streamline workflows, and address any issues that may impact timely and accurate billing. This collaborative approach not only improves financial outcomes but also enhances patient satisfaction by reducing billing errors and delays.
More about Director Patient Accounting jobs
What cities are hiring for Director Patient Accounting jobs? Cities with the most Director Patient Accounting job openings:
What are the most commonly searched types of Patient Accounting jobs? The most popular types of Patient Accounting jobs are:
What states have the most Director Patient Accounting jobs? States with the most job openings for Director Patient Accounting jobs include:
What job categories do people searching Director Patient Accounting jobs look for? The top searched job categories for Director Patient Accounting jobs are:
Director Patient Accounting jobs near you
Infographic showing various Director Patient Accounting job openings in the United States as of July 2026, with employment types broken down into 86% Full Time, 8% Part Time, 1% Temporary, and 5% Contract. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $100,707 per year, or $48.4 per hour.

DIR PATIENT ACCOUNTING

Covenant Health

Knoxville, TN • On-site

Full-time

Posted 5 days ago

Job description

Overview
Director of Patient Accounting, Business Office
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Health Overview:
Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times.
Position Summary:
The Director of Patient Accounting is responsible for providing strategic leadership and operational oversight for all patient accounting functions across the health system. This role ensures the effective management of accounts receivable, billing, collections, posting, cashiering, and customer service operations. The Director will lead initiatives to optimize reimbursement, improve cash collections, and ensure compliance with federal, state, and payer regulations. This position collaborates closely with hospital units, medical staff, and revenue cycle leadership to drive performance, innovation, and service excellence.
Responsibilities
Strategic Leadership & Alignment
  • Provides strategic direction for patient accounting operations aligned with organizational revenue cycle goals.
  • Develops and implements system-wide initiatives to improve financial performance and operational efficiency.
  • Collaborates with revenue cycle and financial leadership to ensure cohesive and integrated operations.
  • Monitors industry trends, regulatory changes, and payer requirements to proactively adjust strategies.
  • Prepares and monitors annual operating and capital budgets; ensures resource utilization aligns with financial targets.

Revenue Cycle Operations Management
  • Oversees billing, collections, cashiering, and customer service functions across the enterprise.
  • Ensures timely and accurate management of accounts receivable and maximizes reimbursement from third-party payers.
  • Maintains accountability for system master file integrity, payer monitoring, and customer relations.
  • Leads the development and implementation of policies, procedures, and internal controls to ensure compliance and operational excellence.
  • Analyzes cash collections and A/R performance to identify trends and opportunities for improvement.

Compliance & Regulatory Oversight
  • Ensures compliance with Medicare, Medicaid, TennCare, managed care, and other regulatory requirements.
  • Communicates regulatory updates to staff and stakeholders; ensures timely implementation of changes.
  • Maintains internal controls for adjustments, refunds, and cash handling processes.

Technology & Workflow Optimization
  • Evaluates and implements technology solutions to enhance efficiency and accuracy in patient accounting processes.
  • Ensures staff are trained on systems and that automation tools are fully utilized.
  • Participates in IT steering committees and leads system-related projects as assigned.

Performance Improvement & Data-Driven Decision Making
  • Establishes measurable goals and KPIs aligned with Balanced Scorecard (BSC) metrics.
  • Uses data analytics to drive process improvements and enhance financial outcomes.
  • Shares performance results with staff and leadership; develops action plans for underperforming areas

Leadership & Workforce Development
  • Provides leadership and mentorship to managers and staff within the patient accounting division.
  • Conducts regular performance reviews and staff development planning.
  • Identifies training and cross-training needs to support succession planning and professional growth.
  • Fosters a culture of accountability, innovation, and continuous improvement.

Stakeholder Collaboration
  • Serves as a liaison between patient accounting and hospital departments, medical staff, and executive leadership.
  • Handles complex issues such as payer disputes, patient complaints, legal matters, and system challenges.
  • Promotes positive relationships with internal and external stakeholders to support organizational goals.

Enterprise-Wide Initiatives & Innovation
  • Leads or supports enterprise-wide initiatives related to revenue cycle transformation.
  • Identifies and implements innovative solutions to improve cash collections and workflow.
  • Coordinates with leadership to align departmental initiatives with broader organizational strategies.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.

Qualifications
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a Bachelor's degree. Preference may be given to individuals possessing a Bachelor's degree in a directly-related field from an accredited college or university.
Minimum Experience:
Minimum of five (5) years of experience in a hospital business office or equivalent, with knowledge of Medicare, Medicaid, and third-party payer regulations.
Licensure Requirement:
None

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