Director of Patient Financial Services Jobs
Director of Patient Financial Services jobs are open across health systems, hospital networks, physician groups, and revenue cycle management firms, from manager-level to VP, with specializations in billing operations, insurance denials management, and patient access. See the openings below and apply to the ones that match your experience.
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Salary: $150,000 – $185,000 annually | Full-Time | Exempt
An exciting opportunity to join a large, growing 400-bed acute care teaching hospital with exceptional executive leadership, a collaborative culture, and tremendous opportunities for professional growth.
This comprehensive, multi-specialty hospital has earned an “A” Hospital Safety Grade from The Leapfrog Group and offers a broad range of clinical services, including active surgical programs, Maternal Child Health, and a Level III NICU.
What truly sets this organization apart is its powerhouse executive leadership team. The CEO, CNO, and CFO are highly collaborative, approachable leaders who share a clear vision for the hospital's future. The CFO is particularly well-regarded for his supportive leadership style and genuine approach to working with his team.
We've successfully placed seven professionals with this organization, giving us firsthand insight into its leadership, culture, and growth opportunities.
This is a fantastic opportunity for an experienced Patient Financial Services leader who enjoys improving processes, developing teams, and making a meaningful operational impact.
The Opportunity
The Director of Patient Financial Services will provide strategic and operational leadership over patient accounting, accounts receivable, billing, collections, denials management, charge capture, and admitting functions.
The hospital is focused on breaking down silos, standardizing processes, strengthening collaboration, and creating a culture of continuous improvement. Leaders are encouraged to challenge existing practices, bring solutions to the table, and participate in meaningful decision-making.
Key Responsibilities
- Lead daily Patient Financial Services operations, including billing, collections, accounts receivable, and denial management.
- Oversee charge master activities, charge capture, regulatory updates, and admitting operations.
- Improve revenue cycle performance through effective collections strategies, denial prevention, and timely account resolution.
- Monitor financial performance, productivity, accounts receivable, and departmental KPIs.
- Partner with the CFO, finance leadership, clinical departments, and physician stakeholders to improve workflows and financial outcomes.
- Recruit, mentor, and develop a high-performing team while promoting accountability and collaboration.
- Identify opportunities to standardize processes, improve efficiencies, and strengthen financial performance.
- Lead effectively within a unionized hospital environment.
Qualifications
- Bachelor's Degree or equivalent hospital experience required.
- Master's Degree preferred.
- Minimum 8 years of experience in accounting, medical records, coding, billing, and/or collections within a hospital or healthcare environment.
- Strong understanding of hospital revenue cycle operations, accounts receivable, reimbursement, and financial performance.
- Demonstrated leadership ability with experience coaching teams, improving performance, and implementing operational changes.
- Ability to work effectively in a union environment.
- Strong analytical, communication, and relationship-building skills.
- Los Angeles County Fire & Safety Card and Assault Response Competency (ARC) required within 30 days of hire.
Why This Opportunity Stands Out
- Exceptional Executive Leadership: Work alongside an outstanding CFO, powerhouse CNO, and CEO who are genuinely committed to the hospital's success.
- Large, Growing Hospital: Join a 434-bed teaching hospital offering comprehensive services and a diverse clinical environment.
- Collaborative Culture: Leadership values transparency, accountability, physician partnerships, and giving department leaders a voice.
- Meaningful Impact: Play an important role in strengthening financial operations and improving processes across the organization.
- Growth Opportunities: A growing organization offering opportunities for leadership development and career advancement.
- Recognized Quality: An “A” Hospital Safety Grade from The Leapfrog Group.
- A Hospital We Know: We've placed seven professionals here and have developed strong relationships with the organization's leadership team.
Interested?
If you're an experienced hospital Patient Financial Services leader who enjoys building strong teams, improving operations, and working with exceptional executive leadership, this is an opportunity worth exploring.
Apply today or message us directly for a confidential conversation. We'd love to share more about the leadership team, hospital culture, and what makes this opportunity special.
Pay: $150,000.00 - $185,000.00 per year
Work Location: In person
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Find JobsDirector of Patient Financial Services Job Market
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Non-Profit & Social Services
- Consulting & Professional Services
What Employers Look For
The qualifications that appear most often in director of patient financial services jobs.
- Five or more years of progressive revenue cycle or patient financial services leadership experience
- Demonstrated expertise in accounts receivable management, denial management, and collections processes
- Proficiency with healthcare billing systems and electronic health record platforms such as Epic or Cerner
- Knowledge of Medicare, Medicaid, and commercial payer billing regulations and compliance requirements
- Bachelor's degree in healthcare administration, business, finance, or a related field
- Certification such as CHFP, CHAM, or CRCE preferred by most health system employers
Tips for Your Director of Patient Financial Services Job Search
Quantify revenue cycle impact on your resume
Hiring committees for this role want to see outcomes, not duties. Lead with metrics like days in accounts receivable reduced, net collection rate improved, or denial rate decreased. Generic descriptions of overseeing billing staff won't move you past the first screen.
Align certifications to the posting's payer mix
If a job listing emphasizes Medicare and Medicaid compliance, your CHFP or CHAM certification should appear near the top of your resume. Lead with the credential that matches the organization's dominant payer environment rather than listing certifications in the order you earned them.
Apply early to roles that fit
Migrate Mate lists director of patient financial services openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Target postings by bed count or system size
A director role at a 50-bed critical access hospital looks very different from one at a 600-bed academic medical center. Read postings for signals like annual net revenue managed or team size supervised to find the environments where your experience will be most competitive.
Prepare for a case-based technical interview
Many final-round interviews for this role include a scenario where you're asked to diagnose a revenue cycle problem from sample data. Practice walking through denial trend analysis, clean claim rate issues, or payer contract disputes so you can explain your reasoning clearly under pressure.
Negotiate scope alongside compensation
When an offer arrives, clarify what budget authority, FTE count, and cross-departmental reporting lines the role carries. Directors hired into under-resourced teams often find their performance metrics are impossible to hit, so scope matters as much as pay when evaluating the opportunity.
Director of Patient Financial Services Jobs: Frequently Asked Questions
Which companies are hiring the most director of patient financial servicess?
The most active employers for director of patient financial servicess right now are UMC Health System, CoxHealth, and Guidehouse, and the most openings are in Texas, California, and Virginia, based on current listings on Migrate Mate as of November 2026. Health systems and large revenue cycle management companies tend to post the highest volume of these roles.
How many director of patient financial services jobs are remote?
About 50% of director of patient financial services openings are fully remote or hybrid as of November 2026, reflecting ongoing flexibility in revenue cycle leadership. Functions focused on billing operations, payer contract oversight, and denial management analytics are the most likely to be performed remotely, while roles requiring regular rounding with clinical or access teams tend to be on-site.
How do you become a director of patient financial services?
Most directors of patient financial services start in front-end or back-end revenue cycle roles such as billing specialist, coding analyst, or patient access supervisor, then move into management. Building fluency in accounts receivable metrics, payer contract terms, and compliance requirements is essential. A bachelor's degree in a business or healthcare field, combined with a professional certification like CHFP or CHAM, strengthens your candidacy for director-level postings.
Can you get hired as a director of patient financial services without direct director experience?
Yes, candidates who have managed a large billing or revenue cycle team as a manager or senior manager can be competitive for director roles, particularly at smaller hospitals or single-specialty groups. The strongest cases pair deep functional knowledge of denial management or accounts receivable with documented results, such as measurable reductions in days outstanding or improvements in net collection rates, that demonstrate director-level impact.
What does the director of patient financial services interview process look like?
The process typically starts with a phone screen from HR, followed by a panel interview with the CFO, VP of revenue cycle, or department peers. Finalists are often asked to review a revenue cycle performance report or walk through how they would address a specific operational problem. References from prior healthcare finance supervisors and, in some cases, a formal presentation to leadership are common at the final stage.
Where can I find and apply to director of patient financial services jobs?
You can find and apply to director of patient financial services jobs on Migrate Mate, which lists current openings from across the United States. Search for roles that fit your background in terms of organization size, payer mix, and scope, then apply directly to each listing that matches your experience.
See All 23 Director of Patient Financial Services Jobs
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