Director, Patient Financial Services – Clearance

This is a fully remote position, open to applicants in Florida.

📋 Description

• Oversee teams focused on prior authorization, insurance and benefits verification, and patient financial services.

• Lead and cultivate managers, supervisors, and operational teams.

• Enhance prior authorization turnaround times and decrease aged inventory.

• Strengthen insurance and benefits verification processes.

• Refine letters of medical necessity and documentation workflows.

• Create an improved patient financial experience.

• Boost first-contact resolution for patient financial inquiries.

• Minimize unnecessary rework and manual administrative tasks.

• Develop dashboards and performance management systems.

• Utilize data to pinpoint root causes and identify opportunities.

• Collaborate with Technology and Data teams to automate workflows.

• Assess AI and emerging tools to enhance operations.

• Formulate staffing and capacity models.

• Recognize risks before they escalate into operational issues.

• Work collaboratively with clinical, scheduling, revenue cycle, technology, finance, and operations leaders.

• Act as a trusted operational partner to the COO.

• Assist with out-of-pocket cost discussions, payment plans, statement and balance inquiries, and patient financial escalations.

⛳️ Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Operations, or a related field, or equivalent relevant experience.

• 5+ years of progressive experience in healthcare operations, revenue cycle, financial clearance, patient financial services, or a related area.

• 2+ years of leadership experience managing teams of managers, supervisors, or multi-functional teams.

• Extensive experience in prior authorization and/or financial clearance operations.

• Strong grasp of insurance eligibility and benefits verification.

• Experience in patient financial services, financial counseling, patient billing support, payment arrangements, or related patient-facing financial operations.

• Proven track record of improving operational performance.

• Strong analytical and problem-solving skills.

• Experience with healthcare technology, EMR/practice management systems, payer portals, reporting platforms, or workflow tools.

• Excellent written and verbal communication skills.

• Proven ability to build and sustain strong relationships with employees at all organizational levels.

• Willingness to travel internationally as needed.

• Preferred: experience in a multi-site physician group, specialty healthcare organization, ambulatory environment, or other high-volume healthcare organization.

• Preferred: experience leading centralized or geographically distributed operations.

• Preferred: experience with commercial insurance and complex authorization requirements.

• Preferred: experience managing offshore, nearshore, or international teams.

• Preferred: experience with workflow automation, AI, RPA, or healthcare technology implementation.

• Preferred: experience with NextGen or similar EMR/practice management systems.

• Preferred: experience supporting organizational growth across multiple states or markets.

🏝️ Benefits

• Competitive compensation.

• Health insurance (including Dental and Vision).

• Vacation leave.

• Sick leave.

• Paid holidays.

• Bonuses.