Director, Transformation Services - Patient Access

Med-Metrix; Parsippany-Troy Hills (NJ); Hybrid; USD 140,000 - 200,000; Full time

Job summary

Med-Metrix seeks a Director, Transformation Services - Patient Access to lead Revenue Cycle Transformation initiatives for client health systems. Focuses on optimizing patient access, improving efficiency, and driving measurable financial outcomes.

You will manage teams, develop KPIs, and collaborate with clients to implement scalable solutions while ensuring HIPAA compliance and secure data handling. Strong leadership and project management required.

Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred.
• 7+ years leadership in revenue cycle services, preferably hospital-based healthcare.
• 7+ years healthcare operations related to patient access.
• Proven success leading large-scale Patient Access strategies and implementations.
• Certifications such as CHAA or CHAM or progress toward them a plus.
• Advanced Excel, financial modeling; Power BI, SQL knowledge.

Responsibilities

• Lead and drive Patient Access revenue cycle transformation initiatives to maximize efficiency and effectiveness.
• Manage project plans and deadlines to ensure on-time deliverables.
• Prepare reports, presentations, and documentation to monitor impact of initiatives.
• Develop KPIs and metrics to identify performance opportunities.
• Act as Patient Access SME addressing client and team inquiries.
• Collaborate with clients to align implementations with objectives.
• Monitor trends in denials and suggest corrective actions.
• Maintain professional demeanor with clients and team members.

Skills

Revenue cycle leadership

Healthcare operations

Project management

Data analysis

HIPAA compliance

Education

Bachelor's degree in Business Administration/Healthcare Administration/Finance

Tools

Excel

Power BI

SQL

PowerPoint

Job description

Job Purpose

The Director, Transformation Services - Patient Access will be a part of our Revenue Cycle Transformation division, which plays a pivotal role in driving the financial success of our organization and our customers. The team is responsible for leading and implementing initiatives that enhance revenue cycle performance, optimize operational efficiency, and improve financial outcomes. We are seeking a dynamic individual with expertise in revenue cycle transformation to join us in this critical role. The position demands a strong revenue cycle background and experience leading assessments and implementation initiatives within health systems and medical groups to optimize patient access.

Duties and Responsibilities

• Lead and drive Patient Access revenue cycle transformation initiatives to maximize efficiency and effectiveness of full end-to-end revenue cycle operations and services for clients
• Effectively manage project plans including meeting deadlines and manage on time deliverables
• Prepare comprehensive reports, presentations and documentation as required to monitor, evaluate, and communicate the effectiveness of Patient Access initiatives
• Improve tracking tools and develop KPIs and metrics (Quality, Process, Financials, and Patient Satisfaction) to identify and quantify quality and operational performance improvement opportunities
• Function as a Patient Access subject matter expert addressing inquiries from clients and team members
• Collaborate with colleagues and client counterparts to understand business challenges, adapt implementation methodologies, and approaches to ensure results align with department objectives
• Monitor analytics to report progress on any detected trends in denials and procedural problems and develop recommendations regarding the execution of corrective actions
• Maintain a positive and professional demeanor with clients and team members
• Develop scalable transition plans to ensure improvements are sustainable
• Assist in development and improvement of revenue cycle assessment and implementation methodologies
• Evaluate current-state operations and create the blueprint for the organizational transition from the current state to the desired future state
• Establish realistic and measurable goals and priorities aligned with organizational objectives
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field preferred
• Proven experience in a leadership role within revenue cycle services, preferably in a healthcare hospital-based healthcare setting
• 7+ years of experience in healthcare operations related to patient access – pre-scheduling, scheduling, insurance verification, authorization, financial counseling, and denial prevention
• 7+ years of healthcare consulting experience
• Proven success leading large-scale Patient Access Strategic development and implementations
• Professional certifications such as (CHAA) or (CHAM) or demonstrated progress toward such certifications a plus
• Advanced level of Excel proficiency and experience in financial modeling and analysis
• Advanced Microsoft PowerPoint and Word skills a must; experience with SQL, SPSS, Power BI, benchmarking, MGMA survey data a plus
• Project leadership and workplan management experience for opportunity assessments within a consulting firm setting with a focus on patient access revenue cycle areas
• Strong understanding of revenue cycle management principles and practices, with a demonstrated ability to deliver high-quality services to clients
• Possess knowledge of state and federal governmental, legal, and regulatory provisions related to front-end revenue cycle operations
• Exceptional communication and interpersonal skills, with the ability to effectively interact with clients, colleagues, and stakeholders at all levels in a quickly responsive and articulate manner
• Strong analytical and problem-solving abilities, with a data-driven approach to decision-making and a focus on continuous improvement
• Ability to adapt to a fast-paced and changing environment, managing multiple priorities and deadlines effectively

Working Conditions

• Occasional travel and flexibility to work outside of normal business hours as needed
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.