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Director, Patient Financial Services – Clearance
VIP Medical Group. Lead teams responsible for prior authorization, insurance and benefits verification, and patient financial services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare operations, particularly in prior authorization and patient financial services, with a strong focus on improving operational performance and enhancing patient experiences. Proven ability to lead teams, develop processes, and utilize data-driven insights to optimize workflows and reduce inefficiencies.
Highest-signal resume keywords
Prior Authorization OperationsPatient Financial ServicesHealthcare Technology ImplementationLeadership in Multi-Functional TeamsOperational Performance Improvement
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare OperationsRevenue Cycle ManagementFinancial ClearanceInsurance Eligibility VerificationAnalytical Problem-SolvingWorkflow AutomationData AnalysisPerformance Management SystemsFinancial CounselingPatient Billing Support
Soft Skills
Strong Communication SkillsRelationship BuildingTeam LeadershipCross-Functional CollaborationProblem-Solving
Tools & Technologies
EMR SystemsPractice Management SystemsPayer PortalsReporting PlatformsAI ToolsRPA Tools
Industry Keywords
Healthcare AdministrationPatient Financial ExperienceMulti-Site OperationsAmbulatory EnvironmentCommercial Insurance
Tech Stack
Tools & technologiesRPA
About the role
Key responsibilities & impact- Lead teams responsible for prior authorization, insurance and benefits verification, and patient financial services
- Lead and develop managers, supervisors, and operational teams
- Improve prior authorization turnaround times and reduce aged inventory
- Build stronger insurance and benefits-verification processes
- Improve letters of medical necessity and documentation workflows
- Create a better patient financial experience
- Improve first-contact resolution for patient financial questions
- Reduce unnecessary rework and manual administrative work
- Build dashboards and performance-management systems
- Use data to identify root causes and opportunities
- Partner with Technology and Data teams to automate workflows
- Evaluate AI and emerging tools to improve operations
- Develop staffing and capacity models
- Identify risks before they become operational problems
- Work cross-functionally with clinical, scheduling, revenue cycle, technology, finance, and operations leaders
- Serve as a trusted operational partner to the COO
- Support out-of-pocket cost conversations, payment plans, statement and balance questions, and patient financial escalations
Requirements
What you’ll need- Bachelor's degree in Healthcare Administration, Business Administration, Finance, Operations, or related discipline, or equivalent relevant experience
- 5+ years of progressive healthcare operations, revenue cycle, financial clearance, patient financial services, or related experience
- 2+ years of leadership experience with responsibility for managers, supervisors, or multi-functional teams
- Significant experience with prior authorization and/or financial clearance operations
- Strong understanding of insurance eligibility and benefits verification
- Experience with patient financial services, financial counseling, patient billing support, payment arrangements, or related patient-facing financial operations
- Demonstrated success improving operational performance
- Strong analytical and problem-solving capabilities
- Experience working with healthcare technology, EMR/practice management systems, payer portals, reporting platforms, or workflow tools
- Strong written and verbal communication skills
- Demonstrated ability to develop and maintain strong relationships with employees at all organizational levels
- Ability for some international travel
- Preferred: experience in a multi-site physician group, specialty healthcare organization, ambulatory environment, or other high-volume healthcare organization
- Preferred: experience leading centralized or geographically distributed operations
- Preferred: experience with commercial insurance and complex authorization requirements
- Preferred: experience managing offshore, nearshore, or international teams
- Preferred: experience with workflow automation, AI, RPA, or healthcare technology implementation
- Preferred: experience with NextGen or similar EMR/practice-management systems
- Preferred: experience supporting organizational growth across multiple states or markets
Benefits
Comp & perks- Competitive compensation
- Health insurance (Dental and Vision)
- Vacation leave
- Sick leave
- Paid holidays
- Bonuses