Corporate Director, Pre-Arrival & Financial Clearance

Emory Healthcare•Tucker, GA

15h•Hybrid

About The Position

The Corporate Director of Pre-Arrival and Financial Clearance is a strategic leader responsible for overseeing all pre-service financial operations across the organization. This role ensures efficient, compliant, and patient-centered processes related to insurance verification, pre-registration, financial counseling, and clearance prior to service delivery. The Corporate Director drives revenue cycle performance, reduces denials, and enhances the patient financial experience through innovation, standardization, and team leadership.

Requirements

Bachelor's degree in Healthcare Administration, Business, Finance, or related field required
8+ years of progressive leadership experience in healthcare revenue cycle or patient access
Strong background in pre-arrival operations, including insurance verification and financial clearance

Nice To Haves

Master's degree preferred (MHA, MBA, or related field)
10 years minimum experience with at least 5 years in a management position
Experience managing multi-site or system-wide operations preferred
This role requires a proactive approach in developing innovative solutions to improve processes, enhance patient satisfaction, and streamline communication across diverse teams
Deep understanding of revenue cycle processes and payer requirements
Strong analytical and problem-solving skills
Proven ability to lead large teams and drive organizational change
Excellent communication and stakeholder management skills
Proficiency with Epic and revenue cycle technologies

Responsibilities

Develop and execute a comprehensive strategy for pre-arrival and financial clearance operations aligned with organizational goals
Provide leadership and oversight for centralized and/or decentralized teams responsible for insurance verification, pre-registration, and financial counseling
Establish performance metrics, benchmarks, and KPIs to monitor productivity, quality, and financial outcomes
Partner with executive leadership to drive revenue cycle optimization and pre-arrival excellence
Oversee end-to-end pre-arrival workflows, including: Insurance eligibility verification, Benefits validation, Data Integrity, Financial clearance and patient estimates
Ensure timely and accurate clearance of accounts prior to service to minimize delays and denials
Standardize processes across facilities and service lines to ensure consistency and efficiency
Identify and implement process improvements to reduce denials and prevent revenue leakage
Collaborate with Patient Access, Utilization Management, Pre-authorization, and Billing teams to ensure seamless revenue cycle integration
Monitor denial trends and implement corrective action plans
Promote transparent and compassionate financial communication with patients
Ensure accurate upfront estimates and financial counseling services are provided
Support initiatives that improve patient satisfaction related to financial processes
Ensure adherence to federal, state, and payer-specific regulations and guidelines
Maintain compliance with policies related to financial assistance, price transparency, and payer requirements
Lead audit readiness and internal quality assurance programs
Partner with IT and vendors to optimize systems supporting eligibility, financial clearance, and estimation tools
Leverage data analytics to drive decision-making and performance improvement
Lead implementation of automation and digital solutions to enhance efficiency
Recruit, mentor, and develop high-performing leaders and staff
Foster a culture of accountability, collaboration, and continuous improvement
Provide ongoing training and professional development opportunities
Additional Duties as Assigned