Director, Patient Access & Revenue Optimization

UCLA Health

Los Angeles (CA)

On-site

USD 144,000 - 342,000

Full time

32 hours ago

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Job summary

UCLA Health is seeking a Director of Patient Access Services to oversee admission, registration, insurance verification, financial counseling, and financial clearance across inpatient, outpatient, and emergency settings. You will lead a large multi-site team with a $10M budget and partner with Revenue Cycle, IT, Finance, and clinical operations to improve access and financial outcomes.

The role emphasizes digital front-door initiatives, KPI-driven improvements, and strong leadership to ensure

Qualifications

Bachelor’s degree in healthcare administration, business, or a related field.
12+ years of progressive experience in hospital-based patient access or revenue cycle operations.
7+ years of leadership experience overseeing hospital patient access services, including large, multi-site teams.
3+ years of experience leading automation or technology enhancements within patient access areas.
Deep understanding of state and federal regulations impacting patient access functions.
Deep understanding of hospital billing, payer contracting, and reimbursement methodologies.
Strong knowledge of Epic electronic health records, ADT functionality, and reporting.
Extensive knowledge of delegated payment models and authorization requirements.
Strong financial and analytical skills to manage budgets, forecasts, performance metrics, and operational outcomes.
Ability to lead teams, drive performance improvement, manage change, and communicate effectively across clinical, financial, and operational partners.

Responsibilities

Lead enterprise patient access operations across registration, admitting, pre-registration, insurance verification, financial counseling, and financial clearance.
Develop and implement strategies, staffing plans, and performance standards to improve access, clean claims, authorization accuracy, the patient experience, and preventable balance write-offs and adjustments.
Advance digital front-door, automation, and technology initiatives that improve efficiency, accuracy, and operational performance.
Monitor KPIs and translate data into actionable operational and financial improvements for executive leadership.
Oversee daily operations, department budget, expense review, and monthly reporting for patient access functions.
Ensure compliance with EMTALA, the No Surprises Act, CMS requirements, HIPAA, payer rules, and other patient access regulations.
Partner with audit and compliance teams to mitigate risk, address findings, and strengthen internal controls.
Recruit, mentor, and develop leaders and staff while fostering accountability, innovation, and continuous improvement.
Collaborate with clinical departments, IT, Finance, Care Coordination, FPG, Transfer Center, and Managed Care teams to improve workflows and resolve access barriers.
Serve as an executive leader for patient access transformation, surge planning, emergency preparedness, system capacity initiatives, and change management efforts.