
Senior Director, Self Pay Operations
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in United States.
• Provide strategic direction, operational leadership, and overall performance management for Ventra Health's Self Pay Center of Excellence.
• Direct and oversee the patient billing and collection process, which includes patient account management, billing operations, payment collections, patient communications, Contact Center operations, and revenue optimization.
• Develop and execute a comprehensive accounts receivable strategy that aligns with the organization's financial and operational objectives.
• Establish and maintain performance metrics, KPIs, and governance frameworks related to patient billing, collections, and accounts receivable management.
• Oversee and enhance patient account lifecycle management, including billing strategy, payment plans, accounts receivable aging, and bad debt handling.
• Build, mentor, and cultivate a high-performing team of accounts receivable specialists and analysts.
• Monitor aging reports, trends, net collection rates, and various accounts receivable metrics to identify opportunities for process improvements and revenue recovery.
• Manage the integration and optimization of billing and collection systems, including EHR platforms, Ventra systems, and payment processing solutions.
• Collaborate with Client Success, Finance, Compliance, Technology, and Operations teams on process enhancements, system implementations, and policy revisions.
• Ensure adherence to HIPAA, state billing regulations, payer guidelines, and consumer protection requirements.
• Develop and implement patient communication strategies regarding billing, payment options, and financial responsibilities.
• Analyze financial data, forecasting, and trends to support budget management and revenue optimization initiatives.
• Bachelor's degree in Healthcare Administration, Finance, Business Administration, or a related field.
• A minimum of 7+ years of experience in healthcare revenue cycle management.
• At least 5+ years of progressive leadership experience managing billing, collections, or accounts receivable functions in healthcare environments.
• Minimum of 3+ years of direct people management and team leadership experience.
• Certifications such as Certified Revenue Cycle Executive (CRCE), Certified Revenue Cycle Professional (CRCP), or Certified Healthcare Billing and Management Executive (CHBME) are preferred.
• Experience with hospital or facility-based physician billing models is preferred.
• In-depth knowledge of end-to-end revenue cycle operations, especially self-pay workflows.
• Expertise in managing patient accounts receivable, aging analysis, and cash flow optimization.
• Strong understanding of billing regulations, state billing laws, and consumer protection regulations (FDCPA, TCPA).
• Excellent financial acumen with the ability to analyze complex financial data, aging reports, and performance metrics.
• Advanced proficiency in data analysis and business intelligence tools (Excel, Power BI, Tableau, or similar).
• Experience with healthcare billing systems, EHR platforms, patient responsibility platforms, and collection management systems (Epic, Cerner, Athena, or similar).
• Knowledge of healthcare compliance requirements (HIPAA, state billing regulations, payer guidelines).
• Exceptional leadership, communication, and interpersonal skills with a proven ability to motivate and develop teams.
• Capability to manage multiple priorities and stakeholder groups simultaneously.
• Strong problem-solving skills and a commitment to driving continuous improvement initiatives and operational efficiency.
• Strategic thinker who can balance immediate operational demands with long-term revenue optimization goals.
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
• Ability to read, comprehend, and apply state and federal laws, regulations, and policies.
• Competence in communicating with a diverse range of personalities in a tactful, mature, and professional manner.
• Flexibility to work within a collaborative and fast-paced environment.
• Strong oral, written, and interpersonal communication skills.
• Excellent time management and organizational skills.
• Understanding and adherence to company policies and procedures.
• Ability to comply with Ventra Health's attendance policy; regular and predictable attendance is a key function of this role.
• Ventra performance-based incentive plan.
• Discretionary incentive bonus in accordance with company policies.
• Referral bonus.
• Reasonable accommodations for qualified individuals with disabilities.
• Growth opportunities to enhance capabilities and knowledge.
• Recognition of colleague contributions.
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