Revenue Cycle Managed Services - Patient Financial Services Manager

Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations. Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades. To learn more about us, visit www.impact-advisors.com Job Overview   Impact Advisors is   seeking   a dynamic and motivated Patient Financial Services (PFS) Manager who will serve as a senior revenue cycle leader responsible for overseeing back-end revenue cycle operations across   a single   or   multiple client   engagements .   This role requires a strong operational mindset and the ability to lead high-performing teams across U.S.-based and nearshore environments, while also actively engaging in the day-to-day work. The ideal candidate is a hands-on, “player-coach” leader who is comfortable stepping in to work billing edits, AR accounts, and denials while simultaneously driving team performance and client outcomes.   The PFS Manager serves as the operational lead for client delivery, ensuring strong partnerships, improved revenue performance, consistent KPI achievement, and continuous optimization of both billing and   accounts   receivable workflows. This leader oversees all back-office functions—including billing, cash posting alignment, follow-up, denial management, and AR resolution—and manages supervisors, representatives, and third-party teams.   This position reports to the VP of Central Operations and 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, U.S.-based Representatives, Nearshore Teams, and third-party partners   Act as a hands-on leader, stepping in to work complex billing issues, AR accounts, denial scenarios, and escalations as needed   Provide side-by-side coaching and live account reviews to reinforce best practices in billing, follow-up, and denial resolution   Lead live and structured training sessions on billing workflows, payer requirements, and AR follow-up strategies   Partner with Training and QA teams to   identify   skill gaps and directly intervene with targeted, hands-on coaching   Ensure frontline staff consistently   demonstrate   correct workflows across both billing and AR, not just   meet   productivity expectations   Collaborate with workforce planning to ensure proper staffing, onboarding, and ongoing competency development   Operations Oversight   Maintain close visibility into   daily billing and AR work queues , intervening directly to resolve issues and ensure   timely   throughput    Ensure leadership decisions are grounded in   firsthand knowledge of account-level challenges and system workflows     Own performance across end-to-end back-office functions, including:   Charge review and claim submission   Billing edits and rework   AR follow-up and collections   Denial management and appeals   Underpayment resolution and variance analysis   Build and drive performance against KPIs including cash collections, billing accuracy and timeliness, first-pass resolution rates, denial rates and overturn rates, and AR aging and productivity metrics. Monitor AR aging and billing backlog trends; implement targeted strategies to reduce Days in AR (DAR) and improve clean claim rates    Drive end-to-end process accountability, ensuring seamless flow from billing through final resolution   Reporting & Analytics   Use data and reporting to assess risks,   identify   performance gaps, and take immediate corrective action   Analyze billing defects, denial trends, and payer behavior to drive upstream and downstream improvements   Partner with teams to implement system edits,   workqueue   logic, and automation opportunities   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.   Qualifications   Required    8–10+ years of experience in healthcare revenue cycle operations across both billing and AR functions   Demonstrated ability to independently perform billing, AR follow-up, and denial resolution across multiple payer types   Proven experience   operating   as a hands-on leader working directly in accounts while managing teams   At least 3 years in a supervisory or managerial role within a hospital or provider-based setting   Strong knowledge of payer requirements, claim adjudication, billing workflows, and denial management   Demonstrated success improving cash performance, billing accuracy, and AR outcomes   Strong Epic RCM experience (billing and AR modules)   Advanced Excel/reporting capabilities   Preferred    Experience managing teams across onshore and nearshore/offshore environments   Strong root cause analysis and process improvement capabilities across billing and AR workflows   Prior consulting or multi-client environment experience   Experience scaling operations and stabilizing performance in complex environments   Travel Requirements   Ability to   travel at least monthly to both US and Nearshore locations    For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This range reflects consideration of several facto