Patient Financial Services Supervisor

You are a person who loves leading high-performing teams, improving processes, and achieving meaningful results. We need someone who is proactive, accountable, and able to drive team performance in a fast-paced revenue cycle environment. In the role of Patient Financial Services Supervisor, you will be responsible for leading daily revenue cycle operations, developing and mentoring team members, monitoring performance metrics, and driving improvements in cash collections, accounts receivable, quality, and productivity.

• Tell us about your experience with Patient Financial Services Supervision.
• Are you a team player and a self-motivator?
• What is your experience with conducting business in a way that is credit to a company?
• We are counting on you to manage multiple projects using your problem-solving skills.
• We are looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.

Operational Leadership 

• Lead daily PFS operations for assigned HB and PB functions, including billing, insurance follow-up, denials and appeals, self-pay, cash posting, payment reconciliation, and final account resolution. 
• Manage work queues, AR inventories, aging, unresolved accounts, unapplied cash, credit balances, and other priority backlogs; align work assignments to volume, complexity, service levels, and staffing capacity. 
• Monitor staffing capacity, workload, volumes, and service levels; rebalance resources and priorities to maintain operational performance. 
• Ensure timely, accurate execution of standardized workflows, SOPs, payer requirements, financial policies, and account documentation standards. 
• Identify operational barriers and systemic issues affecting reimbursement, cash flow, account resolution, or patient experience and drive or escalate resolution. 

AR, Denials & Payer Performance 

• Oversee insurance follow-up across Medicare, Medicaid, commercial, managed care, and other third-party payers for assigned HB and PB populations. 
• Monitor aging, claim status, denials, underpayments, payment delays, appeals, and timely filing/appeals deadlines; prioritize activity based on financial and operational risk. 
• Identify recurring payer and denial trends and partner with Patient Access, Coding/CDI, Revenue Integrity, clinical operations, and other stakeholders to address root causes. 
• Support payer escalations with clear documentation of trends, affected accounts, financial impact, and required action. 

Self-Pay & Patient Financial Resolution 

• Oversee patient balance workflows, including statements, payment arrangements, financial assistance, charity care, bad debt, and collection agency placement in accordance with policy. 
• Monitor self-pay inventory, aging, collections, and account disposition while ensuring patient inquiries and financial concerns are handled accurately and professionally. 
• Promote timely account resolution and a consistent, patient-centered financial experience across HB and PB. 

Cash Posting & Reconciliation 

• Oversee timely and accurate posting of electronic and manual payments, adjustments, denials, and remittance activity across HB and PB. 
• Monitor and resolve unapplied or unidentified cash, posting exceptions, payment variances, reconciliation issues, and credit balances. 
• Ensure ERA/EFT and manual remittance workflows meet established accuracy, productivity, control, and service-level expectations. 

People & Performance Leadership 

• Lead, coach, and develop PFS associates; set clear expectations for productivity, quality, attendance, service, and accountability. 
• Monitor individual and team performance, provide timely feedback and corrective action, and conduct regular huddles to align priorities and communicate performance, payer, and process updates. 
• Support onboarding, training, competency development, and adoption of standardized CBO processes and new ways of working. 

Performance Improvement & CBO Partnership 

• Monitor key indicators including cash, AR days and aging, billing and follow-up timeliness, denial and appeal performance, self-pay collections, cash posting accuracy and timeliness, unapplied cash, productivity, and quality. 
• Use data to identify gaps and backlogs, establish corrective actions, and improve workflow efficiency and account resolution across HB and PB. 
• Support standardization, technology, analytics, automation, and AI-enabled capabilities that improve operational performance and reduce manual effort. 
• Communicate material performance risks, staffing constraints, payer issues, and operational barriers to PFS leadership and support implementation, stabilization, and continuous improvement across TRC-supported hospitals. 
   

Travel Required: 15-30% 

Time Zone: Must be available during PST business hours. 

• High school diploma or equivalent. 
• 4+ years of progressively responsible hospital Patient Financial Services or revenue cycle experience, including billing, AR, denials, collections, self-pay, cash posting, or related functions. 
• 1--2+ years of demonstrated team lead, supervisory, or people leadership experience. 
• Working knowledge of Hospital Billing (HB) and/or Professional Billing (PB), the patient account lifecycle, and Medicare, Medicaid, commercial payer, and patient responsibility processes. 
• Demonstrated ability to manage workflow, productivity, quality, service levels, and employee performance. 
• Strong analytical, problem-solving, communication, and organizational skills with the ability to operate effectively in a multi-hospital environment. 

• Associate or bachelor's degree in healthcare administration, business, finance, or related field. 
• Experience supporting both HB and/or PB within a centralized business office or multi-hospital revenue cycle organization. 
• Critical Access Hospital and/or rural healthcare experience. 
• Proficiency with hospital patient accounting and revenue cycle systems; Epic Resolute HB/PB experience preferred. Experience with revenue cycle analytics, workflow automation, or workforce optimization tools. 
• CRCR, CHFP, or other HFMA/revenue cycle certification. 
   

You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.