Job Opening is not Active any more.
22 Nov
Manager - Financial Operations

JOB TITLE:               Manager - Financial Operations

REPORTS TO:           Executive Director

FLSA CLASS:             Exempt

DATE CREATED:     11/22/2019

DATE REVISED:       11/22/2019


The Manager – Financial Operations is responsible for overseeing all operations within the Accounts Receivable and Accounts Payable departments which includes three operating service lines within two separate not-for-profit organizations.

The Manager – Financial Operations works closely with internal and external accounting, compliance, and financial partners and stakeholders.  General responsibilities include ensuring compliance with all governmental and financial related contractual rules and regulations, a thorough understanding of the ambulance service billing, accounts receivable, and accounts payable processes, the creation of capital and operating budgets, financial forecasting, and ability to manage growth and change. 

This position oversees contracted billing services who perform work on behalf of our organizations as well as internal accounts receivable staff. The Manager - Financial Operations works closely with the other departmental managers and supervisors to ensure efficient and highly functional financial operations in support of our organizational mission and values.


  • Personnel Oversight
    • Internal revenue cycle staff (2-3)
    • Internal service line supervisor (1)
    • Contracted service companies (1)
  • General Leadership Responsibilities
    • Sets direction, goals, and objectives
    • Communicate expectations to staff
    • Establishes workload of staff
    • Takes corrective action when necessary to solve performance/conduct issues
    • Performance management of processes and staff
    • Maintain appropriate compliance and regulatory policies
    • Oversee and administer the field provider documentation education program.
  • General  
    • Participates and contributes to strategic organizational initiatives
    • Review financial statements and prepare various reports  to present to executive director and at times, boards of directors
    • Collaborate with various leaders and departments and prepare capital and operating budgets 
    • Participate in business planning and forecasting and provide financial projections
    • Keep current with ambulance specific Medicare and Medical Assistance rules and regulations
    • Participate in routine accounts receivable and accounts payable processes including data entry and reconciliation of accounts
    • Assist with Patient calls and correspondence
    • Backup for the subordinates and supervisors
    • Answer and assist staff with questions
    • Assist with the supervisory level workflows maintain them on a rotating basis.
    • Interaction with other department managers, supervisors, and staff
    • Interaction with software support company
    • Contribute to a positive work environment
    • Provide or facilitate provision of documentation and report writing to paramedics and EMTs


  • Office environment
  • Private office with windows
  • Travel – occasional (2-3 times annually) attendance at training/conferences


  • Sit for extended periods of time
  • Walk, stand, bend, squat, twist and reach
  • Simple grasping and fine manipulation
  • Extended keyboarding


  • Bachelor's degree in Business Management, Accounting, or related field of study
  • At least two years previous experience in a management or supervisory capacity with demonstrable leadership abilities
  • CAC – Certified Ambulance Coder certification (within six months of hire)
  • CRCP – Certified Revenue Cycle Professional certification (within one year of hire)
  • Excellent communication and interpersonal skills
  • Ability to understand the concerns, meet the needs, and build the trust of stakeholders
  • Ability to make sound judgments and decisions regarding customer billing and employee issues
  • Strong ability to multi-task and work well under pressure


  • Master's degree in Business or Accounting
  • Previous experience in EMS business operations
  • Knowledge of medical insurance claim filing processes
  • Knowledge of Medicare and Medicaid policy and procedures and other third-party insurances
  • Knowledge of medical terminology

Salary and Benefits

  • Starting salary range: TBD
  • Primary benefits:
    • Innovative health insurance package with company paid deductible
    • Dental and vision insurance
    • Life insurance
    • Generous Paid Time Off (PTO) accrual
    • 401k
    • Long- and short-term disability coverage
    • Friendly and supportive work environment