System Sr. Director, Revenue Cycle Business Services

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

Required Skills

• Deep understanding of hospital reimbursement methodologies, including Medicare and Medi-Cal cost-based reimbursement, DRG/APC payment structures, and managed care contract terms.
• Proven leadership and people management skills, with experience supervising multi-level teams, fostering staff development, and driving accountability and engagement.
• Strong analytical and financial acumen, with the ability to interpret complex revenue data, identify trends, and develop actionable performance improvement strategies.
• Proficiency in revenue cycle KPIs and benchmarking, including AR days, denial rates, collection rates, and cash performance metrics.
• Hands-on experience with hospital EHRs (electronic health records).(Epic, MEDITECH, , Cerner, or similar) with strong proficiency in Excel and other tools utilized for data analysis and financial reporting
• Comprehensive knowledge of payer requirements and regulatory guidelines, including CMS, HIPAA, EMTALA, and state-specific billing regulations.
• Demonstrated success leading process improvement initiatives, leveraging technology and collaboration to streamline workflows and improve accuracy, compliance, and efficiency.
• Excellent communication and interpersonal skills, with the ability to collaborate across departments (HIM, Case Management, Finance, IT, and Clinical teams) and influence at all organizational levels.
• Strategic problem-solving skills with the ability to anticipate challenges, evaluate options, and implement sustainable solutions that support organizational goals.
• Strong customer service orientation, ensuring patient and provider concerns are addressed promptly and professionally.
• Must be able to teach

Required Experience

Required:

• Strong verbal and written communication skills, required.
• Bachelor’s degree required; Master’s degree preferred (Business, Healthcare Administration, Finance, or related field).
• Minimum of 7–10 years of progressive experience in hospital revenue cycle management, with at least 3 years in a leadership role overseeingbilling and collections.
• Requires extensive knowledge of Medicare, Medi-Cal, third party billing, workers’ compensation, effective follow-up procedures, Fair Debt Collection Act, capitation, and PPO contracts.
• Demonstrates a strong commitment to compliance principles.
• EPIC experience required.

Preferred:

• Access experience Preferred.
• Must be able to use a 10 key adding machine