Revenue Cycle Managed Services - Patient Financial Services Manager

Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades. To learn more about us, visit www.impact-advisors.com

Job Overview

Impact Advisors is seeking a dynamic and motivated Patient Financial Services (PFS) Manager who will serve as a senior revenue cycle leader responsible for overseeing back-end revenue cycle operations across a single or multiple client engagements.

This role requires a strong operational mindset and the ability to lead high-performing teams across U.S.-based and nearshore environments, while also actively engaging in the day-to-day work. The ideal candidate is a hands-on, “player-coach” leader who is comfortable stepping in to work billing edits, AR accounts, and denials while simultaneously driving team performance and client outcomes.

The PFS Manager serves as the operational lead for client delivery, ensuring strong partnerships, improved revenue performance, consistent KPI achievement, and continuous optimization of both billing and accounts receivable workflows. This leader oversees all back-office functions—including billing, cash posting alignment, follow-up, denial management, and AR resolution—and manages supervisors, representatives, and third-party teams.

This position reports to the VP of Central Operations and offers a unique opportunity to contribute to client success while making a meaningful impact on the healthcare industry.

Key Responsibilities: 

Team Leadership & Management

Lead and oversee a multi-layered PFS team including Supervisors, U.S.-based Representatives, Nearshore Teams, and third-party partners

Act as a hands-on leader, stepping in to work complex billing issues, AR accounts, denial scenarios, and escalations as needed

Provide side-by-side coaching and live account reviews to reinforce best practices in billing, follow-up, and denial resolution

Lead live and structured training sessions on billing workflows, payer requirements, and AR follow-up strategies

Partner with Training and QA teams to identify skill gaps and directly intervene with targeted, hands-on coaching

Ensure frontline staff consistently demonstrate correct workflows across both billing and AR, not just meet productivity expectations

Collaborate with workforce planning to ensure proper staffing, onboarding, and ongoing competency development

Operations Oversight

Maintain close visibility into daily billing and AR work queues, intervening directly to resolve issues and ensure timely throughput

Ensure leadership decisions are grounded in firsthand knowledge of account-level challenges and system workflows

Own performance across end-to-end back-office functions, including:

Charge review and claim submission

Billing edits and rework

AR follow-up and collections

Denial management and appeals

Underpayment resolution and variance analysis

Build and drive performance against KPIs including cash collections, billing accuracy and timeliness, first-pass resolution rates, denial rates and overturn rates, and AR aging and productivity metrics.

Monitor AR aging and billing backlog trends; implement targeted strategies to reduce Days in AR (DAR) and improve clean claim rates

Drive end-to-end process accountability, ensuring seamless flow from billing through final resolution

Reporting & Analytics

Use data and reporting to assess risks, identify performance gaps, and take immediate corrective action

Analyze billing defects, denial trends, and payer behavior to drive upstream and downstream improvements

Partner with teams to implement system edits, workqueue logic, and automation opportunities

Cross-Functional Collaboration

Develop or support SOPs, process maps, and standardized workflows to ensure consistency across both US and Nearshore operations

Partner with internal and client teams to streamline processes, remove bottlenecks, and enhance efficiency through automation and system optimization.

Support integration of new service lines, expansion planning, and scalability initiatives.

Qualifications

Required

8–10+ years of experience in healthcare revenue cycle operations across both billing and AR functions

Demonstrated ability to independently perform billing, AR follow-up, and denial resolution across multiple payer types

Proven experience operating as a hands-on leader working directly in accounts while managing teams

At least 3 years in a supervisory or managerial role within a hospital or provider-based setting

Strong knowledge of payer requirements, claim adjudication, billing workflows, and denial management

Demonstrated success improving cash performance, billing accuracy, and AR outcomes

Strong Epic RCM experience (billing and AR modules)

Advanced Excel/reporting capabilities

Preferred

Experience managing teams across onshore and nearshore/offshore environments

Strong root cause analysis and process improvement capabilities across billing and AR workflows

Prior consulting or multi-client environment experience

Experience scaling operations and stabilizing performance in complex environments

Travel Requirements

Ability to travel at least monthly to both US and Nearshore locations

For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This range reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs.

Our People and Culture

At Impact Advisors, we cultivate a caring, fun, honest, and autonomous work environment. Our success stems from our associates' dedication and a shared mission to create a “Positive Impact.” We embrace diversity and inclusion, fostering an environment where all employees feel valued and empowered.

Join Impact Advisors and make a real difference in healthcare.