Director, Patient Financial Services – Clearance
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Job Description
Healthcare operations director leading patient financial services and clearance for VIP Medical Group's vein and pain treatment clinics. Improving authorization, verification, billing support, and patient financial operations.
Responsibilities:
- Lead teams responsible for prior authorization, insurance and benefits verification, and patient financial services
- Lead and develop managers, supervisors, and operational teams
- Improve prior authorization turnaround times and reduce aged inventory
- Build stronger insurance and benefits-verification processes
- Improve letters of medical necessity and documentation workflows
- Create a better patient financial experience
- Improve first-contact resolution for patient financial questions
- Reduce unnecessary rework and manual administrative work
- Build dashboards and performance-management systems
- Use data to identify root causes and opportunities
- Partner with Technology and Data teams to automate workflows
- Evaluate AI and emerging tools to improve operations
- Develop staffing and capacity models
- Identify risks before they become operational problems
- Work cross-functionally with clinical, scheduling, revenue cycle, technology, finance, and operations leaders
- Serve as a trusted operational partner to the COO
- Support out-of-pocket cost conversations, payment plans, statement and balance questions, and patient financial escalations
Requirements:
- Bachelor's degree in Healthcare Administration, Business Administration, Finance, Operations, or related discipline, or equivalent relevant experience
- 5+ years of progressive healthcare operations, revenue cycle, financial clearance, patient financial services, or related experience
- 2+ years of leadership experience with responsibility for managers, supervisors, or multi-functional teams
- Significant experience with prior authorization and/or financial clearance operations
- Strong understanding of insurance eligibility and benefits verification
- Experience with patient financial services, financial counseling, patient billing support, payment arrangements, or related patient-facing financial operations
- Demonstrated success improving operational performance
- Strong analytical and problem-solving capabilities
- Experience working with healthcare technology, EMR/practice management systems, payer portals, reporting platforms, or workflow tools
- Strong written and verbal communication skills
- Demonstrated ability to develop and maintain strong relationships with employees at all organizational levels
- Ability for some international travel
- 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 (Dental and Vision)
- Vacation leave
- Sick leave
- Paid holidays
- Bonuses
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