Director, Patient Accounting

Director, Patient Accounting - Business Office Services Location: Knoxville, TN (Onsite, Monday to Friday) Schedule: Full-time About the Role The Director of Patient Accounting leads the daily operations of Business Office Services in Knoxville, overseeing billing, collections, cashiering, and customer service functions. This role drives strategic initiatives to optimize accounts receivable performance and maximize reimbursement from third-party payers. The Director collaborates with hospital departments and medical staff, ensures compliance with regulatory standards, and manages a team of 4 direct reports and 118 indirect reports. This position reports directly to the Chief Financial Officer (CFO). Responsibilities Operational Leadership Direct daily operations across billing, credit, collections, cashiering, and customer service Develop and implement strategies to manage patient accounts receivable and improve cash collections Coordinate with hospital units and medical staff to ensure seamless operations Hire, onboard, and assign staff to appropriate work areas Provide leadership and oversight to 4 direct reports and 118 indirect reports Compliance & Integrity Maintain internal controls for adjustments, refunds, and cash postings Ensure compliance with Medicare, Medicaid, TennCare, and managed care regulations Monitor payer performance and maintain system master file integrity Recommend policy updates to the VP of Patient Account Services Performance & Quality Establish and track measurable goals using Balanced Scorecard (BSC) methodology Analyze cash collections and A/R trends to identify process improvements Resolve complex issues including payer delays, patient complaints, and regulatory challenges Promote a culture of continuous improvement and accountability Customer Experience Implement staffing and procedural changes based on payer requirements and customer feedback Serve as a liaison with patients, physicians, and executive leadership Model service excellence and responsiveness in all interactions Team Development Assess training and development needs for managers and staff Facilitate monthly team meetings and succession planning Foster a collaborative, respectful, and growth-oriented work environment Resource Stewardship Prepare and manage annual operating and capital budgets Evaluate and implement technologies to enhance A/R operations Promote cost-effective practices and cross-functional collaboration Qualifications- Education Bachelor's degree required or equivalent experience Experience Minimum 5 years in hospital business office or equivalent Strong knowledge of Medicare, Medicaid, and third-party payer regulations Experience in registration, insurance verification, precertification, and financial counseling Proven leadership in managing patient accounting operations

Created: 2026-03-04