Director, Patient Financial Services (PFS)

Job Description

About the Opportunity

We’ve partnered with a multi-site community health system in Baton Rouge, Louisiana to find their next Director of Patient Financial Services. This is a high-impact revenue cycle leadership role with system-wide scope, an active EPIC implementation underway, and direct visibility to senior leadership.

If you’re an experienced revenue cycle leader — or a strong PFS manager at a large system ready to step into the director seat — this is one of the most substantive PFS opportunities in the region right now.

The Role

As Director of PFS, you’ll direct and manage all aspects of centralized billing, collection, and cash management across the full system — the acute-care hospital, the physician group, the rehab hospital, and the reference lab. You’ll lead a team of 5 direct reports and their teams across both the Hospital CBO and the Clinic CBO.

This is a strategic role with real operational ownership. You’ll set the cash collection strategy, design and monitor A/R management indicators, drive performance improvement, and serve as a key partner to the Director of Revenue Cycle and broader leadership team.

Earnings

$100,000–$155,000 based on experience salary

Duties

• • Strategic planning, direction, and overall accountability for the centralized PFS function across all system entities
• • Department budget development, fiscal management, and operational reporting
• • Internal control systems, policies, and procedures that drive cash collection performance
• • Daily A/R management — monitoring indicators, analyzing trends, and developing monitoring tools
• • Leadership of 5 direct reports across Hospital CBO (government follow-up, commercial/managed care, cash posting, billing) and Clinic CBO
• • Active participation in the EPIC implementation and ongoing system optimization
• • Performance improvement, staff development, and regulatory compliance across all PFS functions

Requirements

• • 5–7 years of progressive healthcare revenue cycle management experience
• • EPIC revenue cycle management experience required, including implementation
• • Proven track record at a hospital or large multi-disciplinary clinic system (consulting-only background is not a fit for this role)
• • Advanced Excel and analytical capability — this is a data-driven role
• • Comfort with modern AI tools (Copilot, ChatGPT, Claude) and a tech-forward mindset
• • Strong communication skills with the ability to work effectively across a range of personalities and leadership styles
• Note: Strong PFS managers at large multi-site health systems are encouraged to apply — enterprise PFS experience is more valuable for this role than director-level experience at a small or rural hospital.

Why This Role Stands Out

• • Active EPIC implementation with hospital go-live planned for May 2027 — you’ll play a central role in shaping how the revenue cycle runs going forward
• • Heavy investment in AI and automation — organization-wide adoption of Copilot, ChatGPT, and Claude, with leadership pushing the team to use modern tools
• • Engaged with Premier on a hospital-wide performance assessment
• • Open-door leadership culture — monthly rounding with staff, twice-yearly Gallup employee engagement surveys (March and August)
• • Quarterly success-share program — employees participate financially when the hospital performs

The Details

• • Scope: Centralized billing, collections, and cash management across the hospital, physician group, rehab hospital, and reference lab
• • Team: 5 direct reports and their teams
• • Priority: High-urgency hire with EPIC go-live and active organizational assessment in motion

License / Certification

• • EPIC PB and HB certifications required
• • Bachelor’s degree required (Master’s preferred)