Director of Patient Accounts | The Confidential Search Company

06 Jan 2020 11:25 AM | Anonymous

Position Description: We have been engaged to conduct an executive search for a Director of Patient Accounts for our client, a 250+ bed full service acute care hospital with 100 MDs that generate $475m in net revenue, that enjoys a national reputation, located in beautiful southern New Hampshire. Their offices are located in Manchester, NH. 

The Director of Patient Accounts will be responsible for managing all aspects of the Hospital Patient Accounts, Patient Financial Services and Physician Specialty and Primary Care Practices. They will lead and provide operational directives for all business office activities related to claims management, cash collection and overall financial cash flow.

Our client is converting to Oracle Finance and Allscripts. They are currently using SMS (hospital) and GE Centricity 4. 

Starting salary range is $110k to $130k, depending on background and experience. 

Relocation assistance will be considered as appropriate.


  • Oversee the functions of billing and collection of patient accounts, compliance and third party regulations, cash posting, employee productivity and ongoing improvement to key revenue cycle indicators.
  • Work with all parties to ensure successful systems conversions and implementation of new systems while maintaining performance of the AR
  • Help revamp revenue cycle processes, protocols and documentation
  • Lead and provide operational directives for PFS activities related to claim management and collections and ensure timely, efficient cash collections to support the overall financial goals of the facility.
  • Review statistical reports to monitor trends and determine operational deficiencies and implement corrective action plans as necessary.
  • Monthly produce Age Trial Balances to monitor reimbursement patterns and investigate any cash flow issues for needed corrective actions to assure timely collection of accounts and achievement of established key performance indicators (KPI).
  • Fosters working relationship with Hospital payer contacts.
  • Monitor unbilled accounts reports (DNFB) to determine necessary actions required to minimize the number of dollar value of accounts being held for bill production. Develop, with other department heads, corrective actions necessary to clear accounts held for bill transmission.
  • Monitor outside collection vendors engaged in the collection of Hospital receivables to include Bad Debt accounts and early release o f Self Pay accounts.
  • Prepare departmental annual budgets.
  • Ensure that orientation and continued education and training are provided to the entire PFS team.
  • Maintain knowledge of current regulations and policies of the Federal, State and private payers.
  • Monitor trends for patient accounts within the dual systems of SMS and GE Centricity and with Oracle Finance and Allscripts software systems following the conversions.
  • Actively participating member of the NH state programs – New Hampshire Health Access, New Hampshire Hospital Association.
  • Work with the Hospital Charge Description Master (CDM) Analyst as needed. Understands CPT4 coding, and will work to ensure proper codes are assigned to CDM’s to maximize reimbursement for the Hospital.
  • Maintain confidentiality of all financial information, Patient Health Information and Employee Data. 


  • Seeking an experienced, hands-on Patient Accounting Director/Manager who will dig into the details and improve processes and outcomes
  • Bachelor’s degree
  • 5 to 8 years of business office management and credit and collections experience in an acute care hospital required
  • Experience in managing AR in a physician organization is preferred
  • Experience successfully managing in a changing environment
  • Experience with Oracle Finance and Allscripts preferred
  • Experience with SMS and GE Centricity 4 applications is a plus
  • Certified Manager in Patient Accounts (CMPA) of the HFMA preferred
  • Excellent communications skills – both written and verbal
  • Strong analytical skills
  • Problem solving skills
  • Ability to train, supervise, and coordinate numerous subordinates to ensure the most proficient cycling of admitting, billing and subsequent payment of patient accounts
  • Ability to provide extensive Patient Financial Service experience and judgment to plan and accomplish departmental and hospital goals.

The Confidential Search Company is an executive recruitment firm with over twenty-five years of experience placing healthcare financial and administrative executives, director, managers and specialists. 

All inquiries will be treated confidentially. 

Interested candidates should send their resume and salary history to:

Matthew O’Brien
The Confidential Search Company