Senior Director, Revenue Cycle Management -Front End (27787952)

Medrina, LLC; Idaho; Remote; USD 153,000 - 187,000; Full time

Benefits offered by this job

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

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

Leadership

Revenue cycle

Patient access

Financial clearance

Payer requirements

HIPAA compliance

EMTALA knowledge

Education

Bachelor's degree in healthcare administration, business, finance, or related field

Master's degree (preferred)

Tools

Practice management / hospital information system

Job description

Come grow with us! Medrina has been voted one of the fastest growing companies and 92% of our employees feel we are a Great Place To Work! For more details on what our employees say go to Working at Medrina | Great Place To Work®

This is a full-time role operating from central or eastern regions of United States during standard business hours, Monday - Friday (from your home office remotely) with some travel in the United States for company meetings (this is not a flexible schedule opportunity). This role handles sensitive information; work must be performed in a private and secure setting (with a door) requiring reliable internet and phone connectivity. The candidate must reside in the Central or Eastern time zones/region of United States. This role does not offer immigration visa sponsorship.

This role offers annual salary of $170,000 with an annual performance bonus of up to 10%.We offer an excellent benefits package including 15 days of vacation, 7 paid holidays, and 5 sick days annually, multiple medical and vision insurance plans, which begin day one (no waiting period), employer-paid life insurance, 401(k) with a company match, $1,700 annual professional development reimbursement, $100 monthly teleworker stipend and more.

The Senior Director, Revenue Cycle Management — Front End leads every process that occurs before a claim is produced: patient access, scheduling, registration, insurance eligibility and benefits verification, prior authorization, financial clearance, patient estimation, and point-of-service collection. The role owns the accuracy of the data that the rest of the revenue cycle depends on, and is accountable for ensuring that patients arrive financially cleared and that encounters begin with complete, verified demographic, coverage, and authorization information.

Essential Duties and Responsibilities

(below are typical responsibilities and not an exhaustive list of all duties, other duties may be assigned as needed).

Patient Access and Scheduling

• 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.

Eligibility, Authorization, and Financial Clearance

• 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.

Patient Financial Experience

• 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.

Denial Prevention and Cross-Functional Partnership

• 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.

Technology, Analytics, and Process Design

• 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.

Leadership, Compliance, and Talent

• 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.

Job Requirement: (list required education/degree, licensure, certifications, specific experience)

Required

• 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.

Preferred

• Master's degree in health administration, business administration, or public health.
• Professional certification such as CHFP, CRCR, CHAM, or FHFMA.
• Experience leading a front-end system implementation, centralization, or automation initiative.

Physical Requirements:

This is a full-time remote, work-from-home position, primarily working during standard business hours handling sensitive and confidential information. Work must be performed in a private and secure setting requiring reliable internet and phone connectivity.
Ability to communicate via virtual/online meetings daily with a camera on as well as being responsive in a timely manner during work hours via email, MS Teams and phone.
Ability to travel quarterly for training, and meetings.
Ability to sit, stand, and walk for extended periods, lift and move up to 25 pounds.

EOE/M/F/Vet/Disability:

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.