From a family’s first call to final payment — the full revenue cycle, owned by you.

Oaklin Lane is hiring a Director of Patient Financial Services to own and scale the full revenue cycle across our growing network — a strategic leader who knows Texas Medicaid inside and out and can build the financial infrastructure a multi-site pediatric therapy organization needs to thrive.

On our Lane, you build the financial backbone

The best clinical care doesn’t reach families unless the revenue cycle behind it runs clean. At Oaklin Lane, we’ve built something worth protecting — a growing network of neighborhood pediatric therapy clinics delivering real outcomes for kids and families. As our Director of Patient Financial Services, you’ll architect and own the full PFS function: clean claims, fast collections, a high-performing stewardship team, and the systems and vendor relationships that scale seamlessly as we open the next clinic, and the one after that.

About Oaklin Lane

Oaklin Lane is your neighborhood pediatric therapy clinic — a growing network of purpose-built clinics providing compassionate, expert care to kids from infancy through adolescence. We believe in evidence-backed therapy where hard work feels like play, and progress happens on each kid’s own terms.

What you’ll do

Own all patient financial services functions — billing, collections, cash and denial posting, refunds, charge capture, and payment analysis across the organization
Lead, develop, and scale the Stewardship team as the organization grows
Evaluate and implement policies and procedures that optimize revenue cycle performance end to end
Manage the Strategic Right-sourcing Program — own the RCM outsourcing portfolio and manage vendor risk, value, and performance against business strategy
Ensure clean, timely claim submission across all payers, with deep expertise in Texas Medicaid and TMHP; manage all applicable billing portals including TMHP, Availity, clearinghouses, and EVV systems
Drive denial management end to end — root cause analysis, appeals, complex claims portfolios (third-party, TDRG, zero balance), and systemic process improvements that reduce denial rates over time
Own patient access functions: preregistration, insurance verification, point-of-service collections, financial counseling, and self-pay to Medicaid/program conversion
Drive patient liability collection programs — early out, bad debt, placements — and lead digital transformation initiatives that improve family payment education and behavior
Analyze end-to-end revenue cycle data — large datasets, leading and lagging KPIs, trend identification, and reimbursement optimization — and deliver clear reporting to leadership
Oversee payer credentialing and ensure all clinicians are enrolled and current across all locations
Partner with clinical operations to ensure documentation practices support clean billing across PT, OT, and speech services
Manage payer relationships, support contracting discussions, and negotiate vendor agreements and scopes of work
Stay ahead of Texas Medicaid policy updates, billing compliance requirements, and regulatory changes
Build scalable PFS systems and processes that travel to every new clinic we open

Why this role at Oaklin Lane

A space built for the work. Our clinics are purpose-built from the ground up for pediatric therapy. Designed for how kids actually move, play, and learn.

A team that shows up for each other. We celebrate progress, support each other, and create a place people genuinely want to be. That’s how culture works on our lane.

A pathway to grow. We invest in our clinicians — continued education, mentorship, and real opportunities to deepen your expertise. When you grow, our kids do too.

Work that carries beyond the clinic. Oaklin Lane is expanding access to pediatric therapy across a growing network of neighborhood clinics. The financial infrastructure you build here doesn’t just support today’s clinics — it’s the foundation every new location we open will be built on.

Who you are

You are:

A strategic PFS leader who builds systems, not just manages them
Deep in Texas Medicaid — TMHP, CHIP, prior authorization workflows, EVV, and compliance requirements
Someone who can see the full picture — from a family’s first call to their final payment — and make every step run better
Proven at driving process, policy, and cultural change at an organizational level
A builder who gets energized by scale, complexity, and a growing organization
A clear communicator who bridges finance, operations, and clinical teams with ease

You bring:

Bachelor’s degree (B.A./B.S.) in a relevant field
8–10 years of experience in revenue cycle management or patient financial services (or equivalent combination of education and experience)
Minimum 5 years in an outpatient or pediatric facility revenue cycle setting
In-depth knowledge of the full revenue cycle spectrum: Patient Access, Coding, DNFB, Billing, Collections
Deep expertise in Texas Medicaid billing — TMHP, CHIP, prior authorizations, EVV, and applicable compliance requirements
Experience managing outsourcing vendor relationships — enterprise controls, risk management, and contract/SOW negotiation
Proficiency with EMR and practice management systems; experience with Availity and clearinghouses (Raintree Systems or similar pediatric EMR preferred)
Proficiency in Availity Pro Plus and basic navigation of payer systems (preferred)
Ability to analyze large datasets and work fluently with spreadsheets — basic and advanced functions
Proficiency in Google Workspace; working knowledge of SQL
Demonstrated ability to review weekly/monthly KPIs and own action plans
Strong communication, relationship management, analytical, and problem-solving skills

What to expect

Schedule: Full-time · 40 hours/week · Monday - Friday · 9:00AM to 5:00PM · Hybrid — DFW
Stipend for medical, vision, and dental
401(k) with employer match
PTO
Paid professional development and continuing education
All equipment and systems provided
A clear pathway for growth and expanded scope as Oaklin Lane scales
Hybrid — DFW

Come see what we are building

The first move is the hardest one — we’ll take you through the rest. If you’re curious, we’d love to start the conversation. Reach out to meet the team or schedule a time to visit the clinic.

Oaklin Lane is an equal opportunity employer, committed to creating a workplace where every clinician is welcome on our lane.