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How much do director patient accounting jobs pay per hour?

As of Aug 22, 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 are the key skills and qualifications needed to thrive as a director of patient accounting?

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.

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.

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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:

Infographic showing various Director Patient Accounting job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 68% Full Time, 19% Part Time, and 9% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $100,707 per year, or $48.4 per hour.

Director, Patient Financial Services

Garnet Health

Middletown, NY • On-site

$108K - $135K/yr

Full-time

Re-posted 15 days ago


Garnet Health rating

7.6

Company rating: 7.6 out of 10

Based on 23 frontline employees who took The Breakroom Quiz


Job description

Overview
At Garnet Health, the Hudson Valley's leading integrated health system, you'll find the perfect balance of a satisfying career and a rewarding lifestyle. Our focus is on patient-centric care with a collective of visionary leaders and dedicated and caring professionals working as a team to deliver the best for the people we serve. If you're interested in a health system that's both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Director, Patient Financial Services on our Revenue Cycle team at/in Garnet Health Medical Center Middletown.
Responsibilities
The Director of Patient Financial Services is responsible for planning, coordinating, directing and monitoring the activities of the Patient Accounting teams, including Inpatient and Outpatient Accounting as well as Professional Billing functions. Implements strategies to secure reimbursement. Collaborates and partners closely with the Hospital Revenue Cycle and Finance senior leadership team to include CDI, HIM, Revenue Strategy, Utilization Management, Case Management, and Registration on all Epic Dashboards to improve processes and work with IT on system optimization. Formulates policy and planning of Patient Accounting Department to ensure maximum utilization of available resources and enhance receipt of working capital (cash) as economically as possible.
Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from Garnet Health System. We invite and encourage each candidate to discuss salary / hourly specifics during the application and hiring process.
Compensation for the role is $108,674- 135,842 USD per year.
Garnet Health System provides a compensation range to comply with the New York State law on Salary Transparency in Job Advertisements. The range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. When determining a team member's compensation and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity)
Qualifications
  • Minimum Education:

Bachelor's Degree in Finance, Business or a closely related field required.
  • Minimum Experience:

Extensive billing and collection experience in hospital or similar institutions, with a minimum of five (5) years in management capacity preferred. Must be computer software and hardware literate.
Five years' experience in similar hospital setting. Experience in managing within a union environment is preferred.
Working knowledge of a hospital EMR, billing systems and related clearinghouse. EPIC experience and related certifications preferred.
Good communication and organizational skills.
Strong managerial competencies in areas of leadership and team development.
  • Required Certification/Registration: N/A
  • Physical Requirements: Travel to multiple facilities is required
  • Working Conditions:
  • Environmental Demands and Exposure to Hazards: Works in a clean, well-lighted, heated or ventilated facility. No routine exposure to hazards.
  • Physical Demands: Demonstrates physical and functional ability to perform full anatomical range of motion to accomplish tasks. Evidence of visual and aural acuity and finger and hand dexterity to operate computer and office equipment. Can withstand long periods of sitting, standing and/or constant walking. Ability to lift 10 lbs.
  • Mental Demands: Ability to foster collaborative relationships, to work well under pressure, to organize and synthesize new information, and prioritize tasks. Possesses critical thinking, analytical skills and flexibility. Ability to multi-task. Required detailed attention to work in an environment where interruptions cannot be controlled. Demonstrates sensitivity to customer needs and expectations. May be subject to irregular hours including evenings or potentially weekends to participate in operational and community events as necessary

Workplace type
On-site

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