UCLA Health System logo
UCLA Health System

UCLA Health System provides top-tier healthcare and cutting-edge medical technology to the Los Angeles, California, region and beyond. The academic medical cent

Assistant Director of Patient Business Services

Location

California

Posted

3 days ago

Salary

$116.3K - $264.6K / year

Seniority

Mid Level

Bachelor Degree

Job Description

Assistant Director of Patient Business Services

UCLA Health System

Title: Assistant Director of Patient Business Services Location: Los Angeles United States Job Description: # General Information - Work Location: Los Angeles, CA, USA (Onsite or Remote) - Flexible Hybrid Work Schedule: Monday - Friday, 8AM - 5PM - Salary Range: $116,300 - $264,600 Annually - Employment Type: 2 - Staff - Career Duration: Indefinite - Job ID: 28629 # Primary Duties and Responsibilities 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 # Job Qualifications ## Required - A bachelors 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 masters degree in health administration, public health, business, or a 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. ## Condition of Employment As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct or have filed an appeal of a finding of substantiated misconduct with a previous employer.

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Director Total Rewards

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Corporate Tools LLC logo

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