Assistant Director of Patient Business Services
Nahse, Los Angeles, CA, United States
Description
UCLA Health is seeking an Assistant Director of Patient Business Services to oversee hospital billing operations across commercial and government payers, including Medicare follow-up. Reporting to the PBS Director, this role is responsible for ensuring accurate and timely claims submission, regulatory compliance, and optimization of revenue cycle performance across the health system.
This position leads Managers, Supervisors, and billing teams while driving operational improvements that strengthen financial outcomes. The Assistant Director partners with clinical, operational, finance, contracting, IT, and revenue cycle leaders to remove barriers, improve workflows, and ensure high-quality billing performance aligned with organizational goals.
In this role, you will:
Manage end-to-end billing operations for inpatient, outpatient, and emergency services, ensuring accurate and timely submission of claims to Medicare, Medi-Cal, commercial, and managed care payers
Direct daily oversight of Medicare billing workflows, account resolution activities, and payer-specific requirements to maximize clean claim rates and reimbursement
Ensure compliance with CMS, HIPAA, federal and state regulations, coverage determinations, and coding guidelines while maintaining audit readiness and reducing compliance risk
Monitor key performance indicators including days in accounts receivable, discharged not final billed volume, denial trends, clean claim rates, and claim resolution times to drive measurable improvements
Implement workflow optimization initiatives, automation strategies, and technology enhancements that improve operational efficiency and financial performance
Recruit, develop, and mentor supervisors and staff while fostering accountability, performance management, and succession planning
Partner cross-functionally with clinical departments, IT, Finance, Managed Care, and Revenue Cycle leadership to address operational barriers and standardize processes
Coordinate with external vendors, consultants, and payer representatives to resolve billing issues and support system-wide revenue cycle initiatives
Salary Range: $116,300 - $264,600 annually
Qualifications Required
A bachelor’s degree in business, healthcare administration, or a related field or equivalent combination of education and experience
A minimum of ten years of progressive experience in hospital billing operations
A minimum of five years in a senior leadership role overseeing hospital billing and Medicare collections
Expert knowledge of Medicare regulations, CMS billing guidelines, and claim submission requirements
Strong proficiency with Epic EHR billing systems and related modules
In-depth knowledge of CPT, HCPCS, ICD-10 coding, and National Correct Coding Initiative edits
Experience with delegated payment models and alternative reimbursement methodologies
Proficiency using claims clearinghouse platforms, payer portals, and billing system interfaces
Advanced analytical skills to interpret performance data and implement workflow improvements
Proven ability to lead operational change, automation initiatives, and performance improvement efforts across revenue cycle teams
Preferred
A master’s degree in health administration, public health, business, or related discipline
Professional certification with AAHAM, HFMA, or ACHE
Lean Six Sigma or Project Management Professional certification
AAPC certification such as Certified Professional Coder, Certified Professional Biller, or Revenue Cycle Management Specialist
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This position leads Managers, Supervisors, and billing teams while driving operational improvements that strengthen financial outcomes. The Assistant Director partners with clinical, operational, finance, contracting, IT, and revenue cycle leaders to remove barriers, improve workflows, and ensure high-quality billing performance aligned with organizational goals.
In this role, you will:
Manage end-to-end billing operations for inpatient, outpatient, and emergency services, ensuring accurate and timely submission of claims to Medicare, Medi-Cal, commercial, and managed care payers
Direct daily oversight of Medicare billing workflows, account resolution activities, and payer-specific requirements to maximize clean claim rates and reimbursement
Ensure compliance with CMS, HIPAA, federal and state regulations, coverage determinations, and coding guidelines while maintaining audit readiness and reducing compliance risk
Monitor key performance indicators including days in accounts receivable, discharged not final billed volume, denial trends, clean claim rates, and claim resolution times to drive measurable improvements
Implement workflow optimization initiatives, automation strategies, and technology enhancements that improve operational efficiency and financial performance
Recruit, develop, and mentor supervisors and staff while fostering accountability, performance management, and succession planning
Partner cross-functionally with clinical departments, IT, Finance, Managed Care, and Revenue Cycle leadership to address operational barriers and standardize processes
Coordinate with external vendors, consultants, and payer representatives to resolve billing issues and support system-wide revenue cycle initiatives
Salary Range: $116,300 - $264,600 annually
Qualifications Required
A bachelor’s degree in business, healthcare administration, or a related field or equivalent combination of education and experience
A minimum of ten years of progressive experience in hospital billing operations
A minimum of five years in a senior leadership role overseeing hospital billing and Medicare collections
Expert knowledge of Medicare regulations, CMS billing guidelines, and claim submission requirements
Strong proficiency with Epic EHR billing systems and related modules
In-depth knowledge of CPT, HCPCS, ICD-10 coding, and National Correct Coding Initiative edits
Experience with delegated payment models and alternative reimbursement methodologies
Proficiency using claims clearinghouse platforms, payer portals, and billing system interfaces
Advanced analytical skills to interpret performance data and implement workflow improvements
Proven ability to lead operational change, automation initiatives, and performance improvement efforts across revenue cycle teams
Preferred
A master’s degree in health administration, public health, business, or related discipline
Professional certification with AAHAM, HFMA, or ACHE
Lean Six Sigma or Project Management Professional certification
AAPC certification such as Certified Professional Coder, Certified Professional Biller, or Revenue Cycle Management Specialist
#J-18808-Ljbffr