Director, Financial Clearance Center HB/PB

Overview

The Director of the Financial Clearance Center (HB/PB) provides enterprise-wide leadership over centralized financial clearance activities, including benefits/eligibility verification, authorization & pre-certification, medical necessity validation, patient liability estimation, and financial counseling and care coverage prior to time of service. This leader is accountable for establishing, operationalizing, running, and continuously improving the Financial Clearance Center operating model defined by enterprise revenue cycle leadership, strengthening payor performance, reducing avoidable denials and day-of-service disruption, and delivering timely, accurate financial guidance to patients. The Director partners with Scheduling & Pre-Service, On-Site Registration, UM, Clinical Operations, PFS, RI, Technology/Analytics, and strategic business partners team to streamline workflows, deploy automation, and drive consistent pre-service outcomes that support revenue capture, compliance, and enterprise standardization.

Qualifications

Education: Bachelor's degree preferred.

Experience: Minimum of 3 years of revenue cycle leadership experience.

License/Certification/Registration: Not required.

• Demonstrated enterprise operational leadership experience.
• Executive-ready communication skills, including:
• Written communication
• Verbal communication
• Executive presentations and stakeholder engagement
• Visionary leadership mindset with the ability to:
• Develop long-term strategic plans
• Anticipate future organizational and operational needs
• Inspire, engage, and lead teams through growth and change
• Strong technology fluency with experience using:
• Electronic Health Record (EHR) revenue cycle modules
• Real-Time Eligibility (RTE) tools
• Authorization and referral management systems
• Work queue management platforms
• Revenue cycle workflow technologies
• Experience driving:
• Revenue cycle optimization
• Operational efficiency initiatives
• Technology adoption and utilization
• Process standardization and continuous improvement
• Strong analytical, organizational, and leadership capabilities with a focus on operational excellence and strategic execution.