About the Role
Presbyterian Healthcare Services (PHS) seeks a finance leader to establish and modernize net patient revenue reporting. This role will standardize processes, improve transparency, and strengthen accountability, serving as the subject matter expert for net patient revenue accounting, reporting, forecasting, and reconciliation. The Director will implement new revenue analytics technologies and partner with various teams to enhance reporting accuracy and support business decisions.
Responsibilities
- Oversee all financial reporting activities related to net patient revenue, ensuring accuracy, consistency, and compliance with U.S. GAAP and healthcare reimbursement requirements.
- Lead the accounting and reporting processes associated with net patient revenue across hospital and professional billing operations.
- Coordinate preparation of quarterly continuing bond disclosures, including management discussion and analysis.
- Ensure accurate accounting, reporting, and reconciliation of the HDAA directed payments program.
- Collaborate closely with Government Reimbursement teams to ensure proper reporting of Medicare, Medicaid, and other governmental payment programs.
- Serve as the organizational subject matter expert for net patient revenue accounting and reporting methodologies.
- Lead forecasting activities related to net patient revenue, contractual allowances, and reimbursement trends.
- Oversee implementation and optimization of the contractual discounts and allowances (CD&A) estimation tool.
- Ensure accurate estimation of revenue reserves and contractual adjustments.
- Provide executive leadership with actionable insights regarding revenue performance, emerging risks, and reimbursement trends.
- Develop and enhance reporting capabilities to improve visibility into net patient revenue performance.
- Standardize enterprise-wide processes for net patient revenue reporting, forecasting, and reconciliation.
- Lead efforts to improve reporting accuracy, efficiency, and scalability.
- Partner with Finance Systems and IT teams to optimize data flow between revenue cycle, billing, and financial reporting systems.
- Support implementation and integration of Kodiak Revenue Cycle Analytics for Hospital and Physician Billing.
- Participate in strategic finance initiatives, including cost accounting modernization and Strata implementation efforts.
- Establish standardized reconciliation processes across hospital and professional billing systems.
- Ensure timely identification and resolution of revenue discrepancies.
- Strengthen internal controls related to patient revenue accounting and financial reporting.
- Partner with operational leaders and revenue cycle teams to improve data integrity and reporting transparency.
- Maintain compliance with evolving accounting standards, reimbursement regulations, and audit requirements.
- Build and lead the organization's net patient revenue reporting function.
- Recruit, mentor, and develop finance professionals focused on net patient revenue accounting and analytics.
- Identify organizational capability gaps and implement strategies to enhance expertise within the team.
- Foster a culture of accountability, collaboration, continuous improvement, and analytical rigor.
- Serve as a trusted advisor to finance and operational leaders throughout the organization.
- Provide executive leadership with accurate, timely, and meaningful financial analyses related to net patient revenue performance.
- Support development of business cases and financial analyses for strategic initiatives.
- Collaborate with operational and finance leaders to improve data-driven decision making.
- Serve as a key liaison between Revenue Cycle, Financial Reporting, Government Reimbursement, and Operational Finance teams.
Requirements
- 8–10 years of progressive accounting or finance experience.
- Minimum of 3–5 years of healthcare finance or accounting experience with direct responsibility for net patient revenue, reimbursement, revenue cycle, or financial reporting functions.
- Strong experience with net patient revenue forecasting, contractual allowance estimation, reconciliation, and revenue analysis.
- Demonstrated healthcare financial reporting experience within a hospital, health system, physician group, or integrated delivery network.
- Experience with healthcare revenue cycle operations, reimbursement methodologies, and financial reporting requirements.
- Experience partnering across Finance, Revenue Cycle, Reimbursement, and Operational leadership functions.
- Experience with Epic, Kodiak Revenue Cycle Analytics (formerly Crowe), Strata, or similar healthcare finance platforms preferred.
Skills
- Net Patient Revenue Accounting
- Financial Reporting
- U.S. GAAP
- Healthcare Reimbursement
- Revenue Cycle Management
- Forecasting
- Contractual Allowance Estimation
- Reconciliation
- Revenue Analysis
- Kodiak Revenue Cycle Analytics
- Strata
- Epic
Location
- Albuquerque, NM
- Remote (United States, excluding CA, IL, ND, NY, OH, WA, WY)
- Hybrid (within 60 miles of Albuquerque)
Work Type
- Remote
- Hybrid
Experience Level
- 8-10 years progressive accounting or finance experience
- 3-5 years healthcare finance or accounting experience
Education Level
- Bachelor's degree in Accounting, Finance, or related field required
- Master's degree preferred
- CPA certification preferred
Benefits
- Competitive salaries
- Full medical, dental and vision insurance
- Flexible spending accounts (FSAs)
- Free wellness programs
- Paid time off (PTO)
- Retirement plans, including matching employer contributions
- Continuing education and career development opportunities
- Life insurance and short/long term disability programs
About the Company
- Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group.
- Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
- Presbyterian's story is really the story of the remarkable people who have chosen to work here.
- Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
- We are part of New Mexico's history - and committed to its future.
- That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
Equal Opportunity
- AA/EOE/VET/DISABLED.
- PHS is a drug-free and tobacco-free employer with smoke free campuses.
