Revenue Cycle Managed Services - Patient Financial Services Manager

Job Overview 

Impact Advisors is seeking a dynamic and motivated Patient Financials Services (PFS) Manager who will serve as a senior revenue cycle leader responsible for overseeing all revenue cycle  operations for a major client engagement. This role requires strong operational expertise, a data‑driven mindset, and the ability to scale and develop high‑performing teams across both U.S.‑based and nearshore locations. 

The PFS Manager serves as the primary onsite liaison for client leadership, ensuring exceptional partnership, consistent KPI delivery, and continuous optimization of revenue cycle processes and outcomes. This leader will directly oversee all  functions—including cash performance, collections workflows, billing, denial resolution, and process improvement—and will manage a large organizational structure consisting of the representatives, supervisors, and team leads. This position reports to the VP of Central Operations.  

This position 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, AR Team Leads, U.S. based Representatives, Nearshore Teams 

• Drive individual and team performance against goals (e.g., DSO, denial rates, cash flow). 

• Ensure supervisors are consistently providing coaching, clear expectations, and accountability to staff. 

• Conduct skip‑level reviews, supervisor meetings, and performance evaluations with a focus on leadership development and operational excellence. 

• Collaborate with workforce planning to ensure proper staffing, training, and competency development across both geographies. 

Client Relationship  

• Serve as the primary onsite leader for the client, building trusted relationships with executive, operational, and departmental stakeholders. 

• Lead regular onsite reviews, including performance updates, issue escalation management, workflow assessments, and collaborative planning sessions. 

• Represent operations in client steering committees, service reviews, and strategic improvement discussions. 

Operations Oversight 

• Own daily, weekly, and monthly cash goals, ensuring consistent achievement across all payers and account types. 

• Build, monitor, and drive performance to established operational KPIs such as: cash collections, billing, resolution accuracy, denial overturn rates, A/R aging buckets, and productivity and quality metrics.  

• Drive the endtoend process, including followup, underpayment resolution, denial management, appeals, and variance analysis. 

• Monitor AR aging and drive strategies to reduce Days in AR (DAR), improve liquidation rates, and increase resolution quality. 

• Implement actionable, data‑driven workflows to optimize productivity and financial performance. 

Reporting & Analytics 

• Create dashboards and reporting packages for internal leadership and client executives. 

• Use metrics to assess risks, identify trends, and proactively intervene to maintain strong performance. 

• Identify patterns in denials or payer behavior; recommend edits or rules to drive system improvements. 

Process Optimization & Workflow Automation 

• Partner with IT/ERP teams to optimize Epic (or other RCM systems), introducing automation and front-end edits. 

• Lead process improvement initiatives to streamline AR workflows, reduce leakage, and enhance recovery rates. 

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. 

• Lead improvement projects tied to backlog reduction, incorrect resolution mitigation, and enhanced denial prevention. 

Quality & Audit 

• Develop and maintain quality assurance and audit frameworks. 

• Support internal and external audits, regulatory inquiries, and compliance activities. 

Qualifications 

Required  

• 8–10+ years in healthcare revenue cycle operations, with progressive AR responsibilities. 

• At least 3 years in a supervisory or managerial capacity managing revenue cycle teams in a hospital or provider-based environment  

• Strong knowledge of payer rules, denial workflows, best practices, and healthcare billing regulations. 

• Demonstrated success improving KPIs, cash outcomes, and operational performance. 

• Excellent verbal and written communication and relationship‑building skills, especially in client‑facing environments. 

• Strong proficiency in Epic RCM modules, insurance claim adjudication, and AR follow-up processes. 

• Advanced ability in Excel or reporting  

Preferred  

• Skilled at trend identification, root cause analysis, and recommendation of corrective actions. 

• Proven ability to manage large, diverse teams across multiple geographies (including nearshore or offshore). 

• Prior consulting or client‑embedded leadership experience. 

• Experience scaling teams during rapid growth or transformation periods. 

Travel Requirements 

• Ability to work onsite with the client in California two weeks per month.