Beth Israel Lahey Health→
VP Patient Financial Services at Beth Israel… · Boston
Skills
Job Description
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Responsible for strategic leadership and operational oversight of Patient Financial Services (PFS) across hospital and physician billing. Identifies and articulates strategic direction; collaborates with peer leadership and the SVP of Revenue Cycle to define the plan and KPIs; tracks performance, market trends, and regulatory changes. Oversees claim submission, A/R follow‑up, cash and adjustment posting, denial management, and patient collections to optimize A/R days, collection rates, and denial rates. Partners with clinical and executive leaders, leverages analytics to drive process improvement, and implements initiatives to maximize net revenue.
Job Description:
Essential Duties & Responsibilities:
- Identify and communicate strategic direction for PFS; align teams across Hospital and Physician Billing.
- Collaborate with Revenue Cycle leadership to design strategic plans and KPIs for the organization.
- Monitor performance, market trends, delivery systems, and legislative initiatives impacting goals.
- Maximize talent and foster a culture aligned with the BILH mission through leadership and development.
- Provide financial planning, monitoring, and execution to support a cost‑effective PFS organization.
- Oversee clean claim rate performance to reduce unbilled A/R days.
- Ensure effective claim follow‑up to support timely, complete expected payment from payers and patients.
- Approve and oversee insurance cash and adjustment posting for timely, accurate payment posting.
- Analyze qualitative and quantitative metrics to drive continuous improvement initiatives.
- Oversee throughput and performance of onshore/offshore vendor resources; collaborate on SLAs and invoicing.
- Manage overall A/R trends by facility, payer, and other dimensions; coordinate with Managed Care for resolution.
- Collaborate with stakeholders to improve people, process, and technology across billing operations.
Minimum Qualifications:
Education:
- Bachelor’s degree required; Master’s degree preferred.
Licensure, Certification & Registration:
- Relevant Revenue Cycle or HFMA certifications preferred
Experience:
- 8+ years’ demonstrated senior leadership in a large, complex multi‑site health system Revenue Cycle or PFS function.
Skills, Knowledge & Abilities:
- Data‑driven decision‑making; ability to conduct cost/benefit analyses and drive consensus among stakeholders.
- Excellent communication, relationship management, customer service, organizational, and change leadership skills.
- Knowledge of provider operations and patient flow to diagnose revenue cycle cause‑and‑effect issues; understanding of A/R management and accounting principles.
- In‑depth knowledge of payer payment methodologies, contracts, regulations (Medicare/Medicaid), coding (ICD, HCPCS/CPT), and physician billing.
- Demonstrated experience leading large-scale operational transformation initiatives that improve efficiency, quality, and financial outcomes.
- Proven ability to design and execute strategies that drive measurable improvements in patient financial services performance.
- High-level problem-solving skills, including the ability to diagnose complex operational issues and implement sustainable solutions.
- Ability to innovate within legacy operational environments, introducing new models, technologies, and workflows that modernize PFS operations.
- Strong strategic thinking capabilities with the ability to translate enterprise priorities into actionable plans for PFS functions.
Preferred Qualifications & Skills:
- Experience overseeing third‑party vendors (onshore/offshore) and managing SLAs.
Dept/Unit Specific Skills:
- Proficiency with enterprise revenue cycle systems, dashboards, KPI management, and denial analytics.
Pay Range: $302,300.00 USD - $340,000.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time*.* In addition to base compensation, this position may be eligible for additional compensation, which may include performance-based incentive bonuses.