About The Position

The Director Patient Access – Financial Clearance is accountable for system‑wide leadership and operational oversight of pre‑service activities that ensure patients are financially cleared prior to receiving care. This role directs teams responsible for pre‑registrations, insurance verifications, prior authorizations, financial clearance for scheduled patients, inpatient notification submission, single case agreement (SCA) coordination, denials review and analysis, authorization follow‑up for procedure changes, and management of claim edit, stop bill, and DNB work queues. The director drives standardization, quality, system wide training and throughput, partnering closely with clinical operations, payer relations, utilization management, case management, and revenue cycle to protect access, minimize financial risk, and accelerate clean claims.

Requirements

  • System-wide leadership and operational oversight
  • Experience directing teams responsible for pre-registrations, insurance verifications, prior authorizations, financial clearance for scheduled patients, inpatient notification submission, single case agreement (SCA) coordination, denials review and analysis, authorization follow-up for procedure changes, and management of claim edit, stop bill, and DNB work queues
  • Ability to drive standardization, quality, system-wide training and throughput
  • Strong partnership skills with clinical operations, payer relations, utilization management, case management, and revenue cycle

Responsibilities

  • System-wide leadership and operational oversight of pre-service activities
  • Directing teams responsible for pre-registrations, insurance verifications, prior authorizations, financial clearance for scheduled patients, inpatient notification submission, single case agreement (SCA) coordination, denials review and analysis, authorization follow-up for procedure changes, and management of claim edit, stop bill, and DNB work queues
  • Driving standardization, quality, system-wide training and throughput
  • Partnering closely with clinical operations, payer relations, utilization management, case management, and revenue cycle to protect access, minimize financial risk, and accelerate clean claims
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