Director of Patient Financial Services
Cass Health is seeking a Director of Patient Financial Services (PFS) to lead back-end revenue cycle operations within a highly structured, team-based revenue cycle model. This role reports directly to the CFO and is responsible for driving performance across billing, accounts receivable, payment posting, and patient financial services while supporting a strong, patient-centered financial experience.
The Director of Patient Financial Services provides operational leadership for key revenue cycle functions, including billing, claims processing, payer follow-up, accounts receivable (AR), payment posting, self-pay management, and collections strategy, as well as patient financial services.
This role ensures that services are converted into accurate, timely reimbursement while maintaining compliance with payer and regulatory requirements and delivering a clear, compassionate financial experience for patients.
Key Responsibilities
- Provide leadership and oversight for billing, claims follow-up, AR management, payment posting, patient accounts, and financial counseling teams
- Monitor and improve key performance indicators, including AR days, denial rates, clean claim rates, cash collections, and self-pay collection performance
- Ensure timely, accurate claim submission and efficient resolution of edits, rejections, and denials
- Oversee payer follow-up activities and escalate systemic reimbursement issues
- Partner with Revenue Integrity to reduce denials and improve first-pass yield
- Ensure accurate payment posting, contractual adjustments, and reconciliation processes
- Collaborate with Finance and Accounting on cash reconciliation, month-end close, and audit readiness
- Oversee patient balances, including statements, payment plans, financial assistance, refunds, and early-out and bad debt collection processes
- Develop and optimize strategies for self-pay AR, patient responsibility, and collection agency/vendor performance
- Ensure compliance with regulatory requirements, including financial assistance policies and the No Surprises Act
- Support a patient-centered financial experience through clear communication and compassionate service
- Partner with Patient Access and Revenue Integrity to reduce front-end and mid-cycle errors impacting reimbursement
- Utilize data and reporting to identify trends, improve workflows, and drive operational performance
Qualifications
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Job experience may be considered in lieu of formal education.
- Minimum of 5 years of experience in healthcare revenue cycle operations, including billing, claims management, accounts receivable, or related functions
- Experience in a Critical Access Hospital (CAH) and/or Rural Health Clinic (RHC) setting highly preferred, including familiarity with applicable reimbursement methodologies and regulatory requirements
- Certified Revenue Cycle Representative (CRCR) required within one year of employment
- Strong understanding of the full healthcare revenue cycle, including payer rules, claims processing, and denial management
- Working knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding systems
- Demonstrated ability to lead teams, manage complex workflows, and drive measurable performance improvement
- Strong analytical, communication, and problem-solving skills
- High level of professionalism, integrity, and attention to detail
Why Join Cass Health
Cass Health offers a unique opportunity to lead within a well-structured, highly supported revenue cycle environment—something not commonly found in organizations of our size.
Our revenue cycle is intentionally designed with dedicated leadership across front-end, mid-cycle, and back-end functions, allowing this role to focus on what matters most: driving performance, strengthening processes, and leading a high-performing team. You will partner closely with experienced leaders in Patient Access and Revenue Integrity, supported by dedicated Revenue Cycle Systems and Operations Analysts who provide data, system optimization, and hands-on operational support.
This role also benefits from strong executive engagement and support. The CFO is actively involved in revenue cycle strategy, performance improvement, and payer dynamics, providing clear direction, removing barriers, and ensuring the resources needed to succeed. Revenue cycle is a visible and prioritized function at Cass Health, with alignment across leadership and the organization.
Cass Health is a thriving rural health system in southwest Iowa, proudly serving approximately 40,000 unique patients each year. With annual gross revenue of approximately $145 million, nearly 500 team members, and more than 80 providers, we are the largest employer in Cass County and one of the largest Critical Access Hospitals in Iowa.
We support more than 150,000 outpatient encounters annually across our hospital and four rural health clinics, along with a robust inpatient program. Our services span primary care and a wide range of specialties, including surgery, OB/GYN, orthopedics, cardiology, oncology, and more, supported by strong diagnostic and rehabilitation services.
Cass Health has been recognized as a Top 20 Critical Access Hospital by the National Rural Health Association since 2021 and has ranked among the Top 100 Critical Access Hospitals every year since 2017. We were also honored with the HFMA MAP Award for High Performance in Revenue Cycle, reflecting our commitment to strong financial operations.
Beyond operations, we are deeply committed to innovation and workforce development, including launching Iowa’s first registered nursing apprenticeship program to build a sustainable pipeline of healthcare professionals.
This is an opportunity to step into a role where the foundation is strong, leadership is engaged, and there is real opportunity to refine, optimize, and elevate performance across the revenue cycle.
