Executive Director, Patient Financial Services

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The Executive Director of the Patient Financial Services provides strategic leadership and operational oversight for all self-pay revenue cycle functions, including professional fee and hospital self-pay collections. This role is responsible for optimizing collections performance, minimizing bad debt, and ensuring compliant, patient-centered financial practices across the organization. Directs the development and execution of strategies related to self-pay accounts receivable, including early-out collections, bad debt recovery, and vendor management. They oversee financial assistance programs, ensuring regulatory compliance while promoting patient access and satisfaction. Additionally, the role manages processes related to bankruptcy and estate accounts, ensuring appropriate handling, recovery, and legal compliance. This leader is accountable for financial counseling operations, ensuring patients receive clear guidance on financial obligations, payment options, and assistance programs. They collaborate cross-functionally with revenue cycle, compliance, legal, and clinical leadership to improve workflows, enhance patient experience, and drive financial performance.

Key responsibilities include monitoring KPIs, implementing process improvements, managing internal teams and external partners, ensuring adherence to federal and state regulations, and developing long-term strategies to improve self-pay collections and reduce uncompensated care.

The Executive Director of the Patient Financial Services:

• Provides strategic leadership and operational oversight for all self-pay revenue cycle functions, including professional fee and hospital self-pay collections and is responsible for optimizing collections performance, minimizing bad debt, and ensuring compliant, patient-centered financial practices across the organization whilst directing the development and execution of strategies related to self-pay accounts receivable, including early-out collections, bad debt recovery, and vendor management.

• Oversee financial assistance programs, ensuring regulatory compliance while promoting patient access and satisfaction and manages processes related to bankruptcy and estate accounts, ensuring appropriate handling, recovery, and legal compliance.

• Accountable for financial counseling operations, ensuring patients receive clear guidance on financial obligations, payment options, and assistance programs.

• Collaborates cross-functionally with revenue cycle, compliance, legal, and clinical leadership to improve workflows, enhance patient experience, and drive financial performance including monitoring KPIs, implementing process improvements, managing internal teams and external partners, ensuring adherence to federal and state regulations, and developing long-term strategies to improve self-pay collections and reduce uncompensated care.

The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing the highest quality of care in the treatment and prevention of human illness. JHHS is an academically based health system consisting of: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital, The Johns Hopkins All Children's Health System, Johns Hopkins Community Physicians, The Johns Hopkins Medical Services Corporation and Johns Hopkins Medical Management Corporation.

QUALIFICATIONS:

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  Bachelor's degree in healthcare administration, finance, business administration, or a related field (required) and

  
  
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  Master's degree in healthcare administration, finance, business administration, or a related field (preferred)

  
  
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  10+ years of experience in revenue cycle management (required), including 5+ years of management experience with significant business impact (required)

  
  
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  Depending on individual position assignment, additional certifications may be required

  
  
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  Navigate rapidly changing situations - from evolving patient needs to technological advancements - by remaining flexible, continuously learning, embracing new challenges, and quickly recovering from setbacks.

  
  
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  Excellent written and verbal communication skills with an emphasis on confidentiality, tact, and diplomacy.

  
  
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  Applies advanced technical knowledge to solve complex matters within a network function or across multiple business units.

  
  
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  Makes decisions and recommendations on issues affecting a department or functional area.

  
  
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  Strong attention to detail and self-directed approach to consistently ensure data integrity and accuracy.

  
  
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  Upholds ethical principles by maintaining confidentiality, ensuring informed consent, and making decisions that prioritize the well-being of both patients and staff.

  
  
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  Authority to direct and support employees' daily work activities; has direct responsibility for hiring, termination, corrective action, and performance reviews.

  
  
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  Works seamlessly within diverse teams, bringing together professionals from various disciplines to provide patient-centered care and achieve collective goals.

  
  
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  Identifies control objectives for the designated function and implements cost-effective controls designed to meet those objectives.

  
  
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  Makes independent decisions related to products, services, implementing new programs, and supporting technical/operational processes of a network or business unit.

  
  
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  Addresses problems that are highly varied, complex, and often non-recurring, requiring higher-management input and often determining new processes or procedures.

  
  
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  Applies advanced understanding of discipline/specialization, prior supervisory experience, and advanced interpersonal and communication skills in back-end revenue cycle management.

  
  
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  Develops and is accountable for the budget of a work department, office, or unit.

  
  
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  Leads business process improvement for the designated area.

  
  
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  Performs cost-benefit analyses for the designated area.

  
  
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  Advanced proficiency and experience using Microsoft Office (Excel, PowerPoint, Word, Outlook).

  
  

Salary Range: Minimum 214,102.00/annually - Maximum 261,178.00/annually. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.