Remote Senior Director, Front-End Revenue Cycle

Medrina, LLC

Idaho

A distancia

USD 153.000 - 187.000

Jornada completa

Hace 13 días

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Ventajas ofrecidas por este puesto de trabajo

15 days vacation
7 paid holidays
5 sick days
Medical and vision insurance
Employer-paid life insurance
401(k) with company match
Professional development reimbursement
Teleworker stipend

Descripción de la vacante

Medrina, LLC is seeking a Senior Director of Revenue Cycle Management—Front End. This remote, full-time role oversees patient access, scheduling, eligibility verification, prior authorization, financial clearance, estimation, and front-end denials with a focus on accuracy and customer experience.

You will lead a multi-site team, manage the front-end budget, and drive process improvements across registration, authorization, and patient financial interactions in a national travel environment.

Formación

  • 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.

Responsabilidades

  • 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 so that demographic, guarantor, and coverage fields are captured correctly on first entry, and hold the front-end teams accountable to a measurable registration accuracy standard.
  • Own insurance eligibility and benefit verification, prior authorization, referral management, medical necessity screening, and pre-service financial clearance across all scheduled services.
  • Build the workflows, worklists, and escalation paths that ensure authorizations are secured before service, and lead root-cause work with payers and clinical departments when they are not.
  • 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, and that staff are trained to have those conversations with empathy and accuracy.
  • Partner with back-end revenue cycle leadership to trace denials and rework back to their front-end origin, and own the corrective action for registration, eligibility, authorization, and medical necessity failures.
  • Serve as the front-end voice in managed care discussions, payer escalations, service line expansions, and new site or new service go-lives.
  • Sponsor front-end system configuration and optimization, including registration workflows, eligibility and authorization automation, estimation tools, and patient self-service.
  • Define the reporting and dashboards that make front-end performance visible by site, department, and individual, and use that data to direct staffing, training, and process redesign.
  • Lead, develop, and retain a multi-site leadership team and front-line staff, setting clear performance expectations and building a bench through coaching and structured development.
  • Own the front-end operating and labor budget, evaluate vendor and outsourcing partners, and ensure all practices comply with EMTALA, HIPAA, price transparency and good faith estimate requirements, financial assistance policy, and payer contractual obligations.

Conocimientos

Leadership
Revenue cycle
Patient access
Financial clearance
Payer requirements
HIPAA compliance
EMTALA knowledge

Educación

Bachelor's degree in healthcare administration, business, finance, or related field
Master's degree (preferred)

Herramientas

Practice management / hospital information system

Descripción del empleo

Medrina, LLC is seeking a Senior Director of Revenue Cycle Management—Front End. This remote, full-time role oversees patient access, scheduling, eligibility verification, prior authorization, financial clearance, estimation, and front-end denials with a focus on accuracy and customer experience.

You will lead a multi-site team, manage the front-end budget, and drive process improvements across registration, authorization, and patient financial interactions in a national travel environment.

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