Description

Cass Health is seeking an experienced and collaborative leader to serve as our Director of Patient Financial Services. This is an opportunity to join an award-winning revenue cycle team and lead key back-end revenue cycle operations within one of Iowa's highest-performing Critical Access Hospitals.

The Director of Patient Financial Services provides leadership for billing, accounts receivable, payer follow-up, payment posting, self-pay operations, and patient financial services. This role is responsible for ensuring accurate and timely reimbursement, optimizing financial performance, and supporting an exceptional patient financial experience.

Working closely with Revenue Integrity, Patient Access, Finance, and executive leadership, the Director will drive performance improvement initiatives, leverage data to identify opportunities, and foster a culture of accountability, service excellence, and continuous improvement.

Key Responsibilities
Revenue Cycle Leadership

• Lead billing, claims management, accounts receivable, payment posting, payer follow-up, and patient financial services operations.
• Ensure timely and accurate claim submission, denial resolution, and reimbursement optimization.
• Monitor and improve key performance indicators including net days in AR, denial rates, clean claim rates, cash collections, and self-pay performance.
• Identify trends and implement operational improvements that enhance revenue cycle effectiveness and financial outcomes.
• Partner with Revenue Integrity and Patient Access leaders to reduce preventable denials and improve first-pass yield.

Financial Performance & Operations

• Oversee payer follow-up processes and resolution of reimbursement issues.
• Ensure accurate payment posting, contractual adjustments, reconciliation activities, and audit readiness.
• Collaborate with Finance and Accounting on cash reconciliation and month-end processes.
• Utilize reporting and analytics to drive informed decision-making and operational improvements.

Patient Financial Services & Self-Pay Operations

• Lead patient balance management, including statements, payment plans, financial assistance, refunds, and collection activities.
• Develop and optimize strategies for self-pay AR, patient responsibility, and collection performance.
• Monitor collection metrics, aging trends, recovery rates, and vendor performance.
• Promote a patient-centered financial experience through clear communication, transparency, and compassionate service.
• Ensure compliance with financial assistance policies, the No Surprises Act, and other applicable regulatory requirements.

Team Leadership

• Develop, coach, and support a high-performing team focused on accountability, service, and continuous improvement.
• Foster collaboration across revenue cycle departments and organizational stakeholders.
• Build a culture that balances strong financial stewardship with exceptional patient service.

Why Cass Health?
This position offers a rare opportunity to lead within a mature, highly supported revenue cycle structure.

Unlike many rural healthcare organizations, Cass Health maintains dedicated leadership across front-end, mid-cycle, and back-end revenue cycle functions. The Director of Patient Financial Services partners directly with leaders in Patient Access and Revenue Integrity while being supported by dedicated Revenue Cycle Systems and Operations Analysts who provide robust system optimization support.

Revenue cycle performance is a strategic priority at Cass Health, with active engagement from executive leadership and strong organizational alignment around operational excellence.

About Cass Health
Cass Health is a nationally recognized rural health system serving southwest Iowa. We care for approximately 40,000 unique patients annually through our Critical Access Hospital, four Rural Health Clinics, and a broad range of specialty services.

• Approximately $145 million in annual gross revenue
• Over 35,000 patients served annually
• Nearly 500 employees and more than 80 providers
• More than 150,000 outpatient encounters annually
• National Rural Health Association Top 20 Critical Access Hospital since 2021
• National Rural Health Association Top 100 Critical Access Hospital since 2017
• HFMA MAP Award for High Performance in Revenue Cycle recipient

At Cass Health, you'll join an organization with a strong foundation, engaged leadership, and a commitment to continuous improvement. This is an opportunity to make a meaningful impact, lead a talented team, and help shape the future of revenue cycle performance in rural healthcare.

Requirements

Required

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field; equivalent leadership experience may be considered.
• Demonstrated leadership experience with responsibility for operational performance, team development, and process improvement.
• Strong analytical, communication, and problem-solving skills.
• Ability to effectively manage multiple priorities in a complex healthcare environment.
• CRCR certification within one year of employment.

Preferred

• Experience in healthcare revenue cycle operations, including billing, claims management, accounts receivable, payer follow-up, or patient financial services.
• Experience in a Critical Access Hospital (CAH), Rural Health Clinic (RHC), or rural healthcare environment.
• Knowledge of reimbursement methodologies, revenue cycle best practices, and healthcare regulatory requirements.
• Working knowledge of CPT, HCPCS, ICD-10, and medical terminology.