Director of Patient Financial Services

Position: Director of Patient Financial Services

Job ID: 160031

Location: US-TX-Houston


Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 13,000 dedicated team members, visit for career opportunities. You can also learn more about our amazing culture at


We are searching for a Director of Patient Financial Services -- someone who works well in a fast-paced setting. In this position, you will provide strategic direction and leadership for all third-party collections and underpayment resolution and overall management of the Accounts Receivable for facilities and all affiliates assigned. This role develops and implements policies and procedures that support the organization’s mission, vision, and values while promoting a positive patient financial experience. The Director leads the team to ensure all functions are completed in a timely and compliant manner and monitors departmental performance to make sure productivity and quality standards are consistently being met.


Think you’ve got what it takes?

Responsibilities :

  • Monitor and report on key metrics, including but not limited to cash collections, net A/R days, aging’s, DNFB, initial denial rates, underpayments, clean claims %, administrative write offs, payment-to-charge percentage (PCR), and cost-to-collect
  • Proactively perform root cause analyses and develop action plans when metrics do not meet internal goals or industry best practices
  • Participates in monthly revenue recognition meetings with financial accounting leaders to establish accrual rates and balance sheet reserves
  • Reviews aged and high-balance accounts on a regular basis and provides direction to management and staff on how to resolve difficult accounts
  • Analyzes data and prepares monthly reports on collections performance, payer reimbursement, payment arrangements, cash posting, credit refunds, and more
  • Lead internal subcommittee to vet new enhancement and project requests through the Information Services governance process
  • Monitor the local and national emerging and best practices associated with hospital billing and collections
  • Lead the implementation of best practice strategies to increase cash flow and turnaround time in account resolution
  • Develop and monitor adherence to specific goals, performance standards, and policies & procedures for each area of responsibility
  • Define, implement, and manage clear quality and productivity standards across all areas of responsibility


  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption.n
  • Bachelor’s degree in a business-related field required
  • 7 years healthcare or business office/patient accounts experience required
  • 3 years formal supervisory experience required
  • A master’s degree may substitute for 2 years of experience of healthcare or business office/patient accounts experience

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