[Hiring] Senior Director, Revenue Cycle Management @Medrina

Role Description

The Senior Director, Revenue Cycle Management — Front End leads every process that occurs before a claim is produced:

• Patient access
• Scheduling
• Registration
• Insurance eligibility and benefits verification
• Prior authorization
• Financial clearance
• Patient estimation
• Point-of-service collection

This role handles sensitive information; work must be performed in a private and secure setting (with a door) requiring reliable internet and phone connectivity. The candidate must reside in the Central or Eastern time zones/region of the United States. This role does not offer immigration visa sponsorship.

Essential Duties and Responsibilities

• Patient Access and Scheduling:
  • Direct centralized and site-based scheduling, pre-registration, and registration operations, setting service standards for accuracy, timeliness, and patient experience.
  • Establish quality review of registration data to ensure accurate demographic, guarantor, and coverage fields are captured correctly on first entry.
• Eligibility, Authorization, and Financial Clearance:
  • Own insurance eligibility and benefit verification, prior authorization, referral management, medical necessity screening, and pre-service financial clearance across all scheduled services.
  • Build workflows, worklists, and escalation paths to ensure authorizations are secured before service.
• Patient Financial Experience:
  • Lead price estimation, financial counseling, charity care and financial assistance screening, payment plan setup, and point-of-service collections.
  • Ensure patients receive clear, consistent, and compliant information about their expected financial responsibility before service.
• Denial Prevention and Cross-Functional Partnership:
  • Partner with back-end revenue cycle leadership to trace denials and rework back to their front-end origin.
  • Serve as the front-end voice in managed care discussions, payer escalations, and new service go-lives.
• Technology, Analytics, and Process Design:
  • Sponsor front-end system configuration and optimization, including registration workflows and eligibility automation.
  • Define reporting and dashboards to make front-end performance visible by site, department, and individual.
• Leadership, Compliance, and Talent:
  • Lead, develop, and retain a multi-site leadership team and front-line staff.
  • Own the front-end operating and labor budget, ensuring compliance with EMTALA, HIPAA, and other regulations.

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or a related field.
• Ten or more years of progressive healthcare revenue cycle experience, with at least five years leading patient access, financial clearance, or pre-service functions at a director level or above.
• Demonstrated multi-site or multi-specialty leadership, including responsibility for leaders of leaders and for an operating budget.
• Deep working knowledge of eligibility, prior authorization, medical necessity, payer requirements, and the regulatory framework governing patient financial communication.
• Proficiency with a major practice management or hospital information system and with revenue cycle analytics and reporting.

Preferred

• Master's degree in health administration, business administration, or public health.
• Professional certification such as CHFP, CRCR, CHAM, or FHFMA.
• Experience leading a front-end system implementation, centralization, or automation initiative.

Physical Requirements

• This is a full-time remote, work-from-home position, primarily working during standard business hours handling sensitive and confidential information.
• Ability to communicate via virtual/online meetings daily with a camera on and be responsive during work hours via email, MS Teams, and phone.
• Ability to travel quarterly for training and meetings.
• Ability to sit, stand, and walk for extended periods, lift and move up to 25 pounds.

EOE/M/F/Vet/Disability

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.