Director Ria Financial Services Jobs in Tennessee

The Patient Financial Services Director provides strategic leadership and oversight for all back-end revenue cycleoperations to ensure timely reimbursement, optimal cash performance, and exceptional patient financial service outcomes.This role is responsible for directing teams and operational functions across billing, accounts receivable, denialsmanagement, credit balances, vendor management, customer service, and self-pay collections.

The Director drives organizational performance through the development of revenue cycle strategies, operationalexcellence initiatives, and performance accountability frameworks. Working collaboratively with clinical, operational,finance, and revenue cycle leaders, the Director identifies opportunities to improve reimbursement, reduce revenueleakage, enhance the patient financial experience, and accelerate cash flow. The role ensures compliance with regulatoryrequirements, payer guidelines, and organizational policies while fostering a culture of continuous improvement, employee development, and financial stewardship.

Education:

Bachelor’s degree in healthcare administration, Business, Finance, or related field required.
Candidates with proven successful Director experience in lieu of Bachelor's degree will be considered.

Experience Requirements:

Minimum of 7–10 years of progressive revenue cycle experience, including Patient Financial Services, billing, accounts receivable, denials management, and collections
Minimum of 5 years of leadership experience managing revenue cycle teams and leaders in a hospital, health system, or physician practice environment.
Demonstrated experience leading operational improvement initiatives that resulted in measurable financial and performance outcomes
Experience managing vendor relationships, outsourced services, and performance-based contracts
Experience developing and monitoring revenue cycle metrics, productivity standards, and key performance indicators
Experience collaborating with executive leadership and presenting operational and financial performance results
Comprehensive knowledge of healthcare revenue cycle operations, including billing, follow-up, denials management, credit balances, reimbursement methodologies, and accounts receivable management
Strong understanding of Medicare, Medicaid, commercial Payer regulations, reimbursement requirements, and payer contracting implications
Knowledge of healthcare compliance requirements, including HIPAA, CMS regulations, and industry best practices
Strong analytical and problem-solving skills with the ability to interpret complex financial and operational data and translate findings into actionable strategies
Proven ability to drive cash acceleration, reduce aged accounts receivable, improve denial performance, and enhance reimbursement outcomes
Demonstrated leadership, coaching, and team development skills, including experience building high-performing teams and succession planning
Excellent communication and presentation skills with the ability to effectively engage frontline staff, physicians, directors,and executive leadership
Strong project management and organizational skills with the ability to manage multiple priorities in a fast-pacedenvironment
Proficiency with revenue cycle systems, electronic health records (EHRs), patient accounting systems, and reporting/analytics tools, Epic strongly preferred
Ability to lead organizational change, build stakeholder alignment, and drive accountability across departments
Proven experience managing denial KPIs such as:
o Days in A/R
o A/R > 90 days
o DNFB-PFS
o Cash collections
o Denial rate and denial overturn rate
o Timely filing appeals
o Billing timeliness
o Productivity and quality scores
Strong written communication skills with experience drafting executive summaries and policies as needed
Ability to partner cross-functionally with Patient Access/Financial Clearance, HIM/Coding, Revenue Integrity, Utilization Management, Case Management, Clinical teams, and C-Suite interaction and presentations
Skills & Competencies
Familiarity with hospital and professional billing workflows
Strong knowledge of back-end revenue cycle operations (billing, follow-up, denials, credit balances)
Deep understanding of payer requirements, reimbursement methodologies, and denial drivers
Experience managing A/R performance, aging, and account resolution strategies
Ability to analyze denial trends and identify root causes across workflows
Proven ability to manage day-to-day operations across multiple work queues and teams
Understanding of how operational performance impacts cash, net revenue, and write-offs
Ability to interpret financial and operational metrics to drive decision-making
Experience using dashboards, reports, and KPIs to manage team performance
Ability to translate data into actionable operational improvements
Skilled in facilitating cross-functional conversations around performance gaps
Ability to navigate difficult payer conversations professionally and strategically
Working knowledge of CMS regulations, commercial payer guidelines, and contract language