Memorial Health Ohio
Director|Patient Financial Services and Professional Billing, Full Time
Memorial Health Ohio, Marysville, Ohio, us, 43041
Director | Patient Financial Services and Professional Billing – Full Time
Memorial Health Ohio
Seniority level: Director
Employment type: Full‑time
Job function: Finance and Sales
Industry: Hospitals and Health Care
We are looking for a Director, Patient Financial Services & Professional Billing to join our collaborative team at Memorial Health.
What You'll Do
Responsible for overseeing initiatives to improve net revenues, reduce patient accounts receivables, and improve compliance in support of organizational goals.
Ensures billing practices are consistent with internal policies and external requirements of payors.
Identifies and analyzes billing trends and makes appropriate recommendations to leadership.
Maintains current working knowledge of federal and state regulations regarding the revenue cycle.
Assists with projects related to revenue opportunities, manages all aspects of patient billing, appeals, denials management, payor variances, cash posting, bank reconciliation, statement processing, cashier and patient financial counseling.
Provides status of organization’s billing/claims collection performance to Senior Director.
Informs Senior Director of any significant upstream issues that inhibit patient billing and reimbursement; monitors progress to resolution.
Strategic Direction and Leadership
Monitors team performance to ensure timeliness, accuracy, and compliance standards are being achieved.
Facilitates timely and complete resolution of all customer questions and concerns.
Motivates employees to accomplish department goals in support of the Hospital’s strategic plan.
Monitors staffing productivity measures and ensures employee accountability.
Provides mentoring, training and development for management team and staff.
Monitors expenses to ensure within approved budget.
Participates in staffing interviews, employee selection, performance evaluations, and disciplinary actions.
Ensures adequate controls are in place for all reporting departments, e.g., develop and maintain policies, procedures, and guidelines.
Chair of Revenue Cycle Denials Committee and member of the Revenue Cycle Executive Committee.
Payer Relations and Contract Administration
Provides subject matter expertise to ensure data validity and accuracy in payer reimbursement models.
Monitors reimbursement variances by payer, service line, and provider; performs root‑cause analysis to recommend corrective actions.
Develops and fosters strong payer relationships.
Maintains a comprehensive knowledge and understanding of all Hospital and Memorial Medical Group payer contracts, terms and reimbursement.
Maintains a comprehensive knowledge of medical policy as it applies to each payer.
Collaborates with payers to resolve claim issues (authorization denials, claim rejections, claim denials, etc.) in a timely manner.
Maintains knowledge of contract provisions in other third‑party managed care contracts.
Analysis and Reporting
Compiles and analyzes key performance indicators (KPIs) across hospital and professional billing departments to identify operational improvement opportunities and reports to Senior Director.
Compiles and prepares data, reports and analyses for various Hospital departments and directors.
Oversees and assists with data collection for Hospital Care Assurance Program (HCAP), Hospital Charity Care (CC), Medicare and Medicaid Cost Reports, Bad Debt report and annual payer Credit Balance Reviews.
Analyzes reports and outcomes as they pertain to revenue cycle management, including monitoring of accounts receivable, claim denials and appeals, late charges, key performance indicators; reports to Senior Director as appropriate.
Develops, maintains, and presents routine and ad‑hoc revenue cycle performance reports, including AR trends, billing lag, denial patterns, cash collections, charge capture accuracy, and payer performance to facilitate decision‑making processes.
Provides scheduled standard reports to client leadership.
Creates dashboards and visualizations that translate complex billing and reimbursement data into actionable insights.
Prepares monthly Memorial Medical Group (MMG) financial dashboard.
Prepares monthly cash projection reporting.
Uses predictive analytics to identify trends such as high‑risk claims, likely denials or underpayments, and drives proactive resolution strategies.
Translates analytical findings into operational plans, driving measurable improvements in billing efficiency, clean claim rate, denial reduction, and overall revenue integrity.
Business Systems Oversight
Ensures systems dictionary files, data elements, interface and mappings are maintained.
Facilitates successful system implementations, conversions, and upgrades for revenue cycle applications.
Assess new technology, performs vendor assessments, and creates ROI analyses and recommendations for leadership.
Maintains access to and oversees administration of all payer websites.
Management of Extended Business Office (EBO) and Collection Agency Processes
Ensures adherence to regulatory and compliance requirements.
Oversight of file transfers, ensures transfers are set‑up and secure in accordance with Health Insurance Portability and Accountability Act (HIPAA) requirements.
Other Responsibilities
Responds to emergencies outside normal work hours.
Exhibits behaviors reflective of Memorial’s core values: Compassion, Accountability, Respect, Excellence, and Service.
Demonstrates regular and predictable attendance.
Attends all mandatory education and in‑services (team training, safety, infection control, etc.) and completes mandatory health requirements.
Performs other duties as required or assigned.
Requirements
Bachelor’s Degree with an emphasis on finance, accounting or healthcare administration.
Four (4) years of core Revenue Cycle experience; skill in directing work and activities of staff with the ability to effectively delegate.
Skill in providing leadership and mentoring staff.
Knowledge of healthcare trends and CMS regulations.
Proficiency in core PC‑based Microsoft Excel, Word, PowerPoint and Access functions.
Broad understanding of healthcare operations and key cost and revenue drivers.
Knowledge of all aspects of the revenue cycle to include patient access and data input; billing patients and third‑party payers; follow‑up collections; denial avoidance and management; cash posting and reconciliation; contract management; revenue integrity; and vendor management.
Shift 1st
Hours 80 per pay (Every two weeks)
Benefits
Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Flexible Spending Account
Retirement
Ohio Public Employee Retirement System
Deferred Compensation
Additional Benefits
Tuition Reimbursement
Kidzlink Daycare Center
Employee Recognition
Free Parking
Wellness Center
Competitive Salaries
Community/Family Atmosphere
Location
Approx. 25 minutes away from Dublin, OH
Approx. 30 minutes away from Hillard, OH
Approx. 30 minutes away from Delaware, OH
Approx. 30 minutes away for Powell, OH
We look forward to seeing your application!
It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.
#J-18808-Ljbffr
Seniority level: Director
Employment type: Full‑time
Job function: Finance and Sales
Industry: Hospitals and Health Care
We are looking for a Director, Patient Financial Services & Professional Billing to join our collaborative team at Memorial Health.
What You'll Do
Responsible for overseeing initiatives to improve net revenues, reduce patient accounts receivables, and improve compliance in support of organizational goals.
Ensures billing practices are consistent with internal policies and external requirements of payors.
Identifies and analyzes billing trends and makes appropriate recommendations to leadership.
Maintains current working knowledge of federal and state regulations regarding the revenue cycle.
Assists with projects related to revenue opportunities, manages all aspects of patient billing, appeals, denials management, payor variances, cash posting, bank reconciliation, statement processing, cashier and patient financial counseling.
Provides status of organization’s billing/claims collection performance to Senior Director.
Informs Senior Director of any significant upstream issues that inhibit patient billing and reimbursement; monitors progress to resolution.
Strategic Direction and Leadership
Monitors team performance to ensure timeliness, accuracy, and compliance standards are being achieved.
Facilitates timely and complete resolution of all customer questions and concerns.
Motivates employees to accomplish department goals in support of the Hospital’s strategic plan.
Monitors staffing productivity measures and ensures employee accountability.
Provides mentoring, training and development for management team and staff.
Monitors expenses to ensure within approved budget.
Participates in staffing interviews, employee selection, performance evaluations, and disciplinary actions.
Ensures adequate controls are in place for all reporting departments, e.g., develop and maintain policies, procedures, and guidelines.
Chair of Revenue Cycle Denials Committee and member of the Revenue Cycle Executive Committee.
Payer Relations and Contract Administration
Provides subject matter expertise to ensure data validity and accuracy in payer reimbursement models.
Monitors reimbursement variances by payer, service line, and provider; performs root‑cause analysis to recommend corrective actions.
Develops and fosters strong payer relationships.
Maintains a comprehensive knowledge and understanding of all Hospital and Memorial Medical Group payer contracts, terms and reimbursement.
Maintains a comprehensive knowledge of medical policy as it applies to each payer.
Collaborates with payers to resolve claim issues (authorization denials, claim rejections, claim denials, etc.) in a timely manner.
Maintains knowledge of contract provisions in other third‑party managed care contracts.
Analysis and Reporting
Compiles and analyzes key performance indicators (KPIs) across hospital and professional billing departments to identify operational improvement opportunities and reports to Senior Director.
Compiles and prepares data, reports and analyses for various Hospital departments and directors.
Oversees and assists with data collection for Hospital Care Assurance Program (HCAP), Hospital Charity Care (CC), Medicare and Medicaid Cost Reports, Bad Debt report and annual payer Credit Balance Reviews.
Analyzes reports and outcomes as they pertain to revenue cycle management, including monitoring of accounts receivable, claim denials and appeals, late charges, key performance indicators; reports to Senior Director as appropriate.
Develops, maintains, and presents routine and ad‑hoc revenue cycle performance reports, including AR trends, billing lag, denial patterns, cash collections, charge capture accuracy, and payer performance to facilitate decision‑making processes.
Provides scheduled standard reports to client leadership.
Creates dashboards and visualizations that translate complex billing and reimbursement data into actionable insights.
Prepares monthly Memorial Medical Group (MMG) financial dashboard.
Prepares monthly cash projection reporting.
Uses predictive analytics to identify trends such as high‑risk claims, likely denials or underpayments, and drives proactive resolution strategies.
Translates analytical findings into operational plans, driving measurable improvements in billing efficiency, clean claim rate, denial reduction, and overall revenue integrity.
Business Systems Oversight
Ensures systems dictionary files, data elements, interface and mappings are maintained.
Facilitates successful system implementations, conversions, and upgrades for revenue cycle applications.
Assess new technology, performs vendor assessments, and creates ROI analyses and recommendations for leadership.
Maintains access to and oversees administration of all payer websites.
Management of Extended Business Office (EBO) and Collection Agency Processes
Ensures adherence to regulatory and compliance requirements.
Oversight of file transfers, ensures transfers are set‑up and secure in accordance with Health Insurance Portability and Accountability Act (HIPAA) requirements.
Other Responsibilities
Responds to emergencies outside normal work hours.
Exhibits behaviors reflective of Memorial’s core values: Compassion, Accountability, Respect, Excellence, and Service.
Demonstrates regular and predictable attendance.
Attends all mandatory education and in‑services (team training, safety, infection control, etc.) and completes mandatory health requirements.
Performs other duties as required or assigned.
Requirements
Bachelor’s Degree with an emphasis on finance, accounting or healthcare administration.
Four (4) years of core Revenue Cycle experience; skill in directing work and activities of staff with the ability to effectively delegate.
Skill in providing leadership and mentoring staff.
Knowledge of healthcare trends and CMS regulations.
Proficiency in core PC‑based Microsoft Excel, Word, PowerPoint and Access functions.
Broad understanding of healthcare operations and key cost and revenue drivers.
Knowledge of all aspects of the revenue cycle to include patient access and data input; billing patients and third‑party payers; follow‑up collections; denial avoidance and management; cash posting and reconciliation; contract management; revenue integrity; and vendor management.
Shift 1st
Hours 80 per pay (Every two weeks)
Benefits
Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Flexible Spending Account
Retirement
Ohio Public Employee Retirement System
Deferred Compensation
Additional Benefits
Tuition Reimbursement
Kidzlink Daycare Center
Employee Recognition
Free Parking
Wellness Center
Competitive Salaries
Community/Family Atmosphere
Location
Approx. 25 minutes away from Dublin, OH
Approx. 30 minutes away from Hillard, OH
Approx. 30 minutes away from Delaware, OH
Approx. 30 minutes away for Powell, OH
We look forward to seeing your application!
It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.
#J-18808-Ljbffr