Role & Summary of ResponsibilitiesLead the teams that help patients navigate insurance, authorization, and the financial side of care.
We are looking for a healthcare operations leader who understands that great Patient Financial Services is about much more than processing transactions.
It is about helping patients navigate some of the most complicated parts of healthcare while building an operation that is accurate, efficient, scalable, and easy for employees to execute.
As our Director, Patient Financial Services & Clearance, you will lead four critical functions: Prior Authorization,
Insurance & Benefits Verification, and Patient Financial Services.
This is a highly visible leadership role reporting directly to the COO. We are not looking for someone who simply
manages queues, reviews productivity reports, and keeps the operation running exactly as it does today. We want a builder, problem solver, people leader, and operator.
You should be comfortable looking at a backlog and figuring out why it exists. You should want to understand why a patient keeps calling about a statement. You should notice when employees are performing unnecessary manual work and ask whether technology can eliminate it.
And you should genuinely enjoy leading people.
What You'll Own- Prior Authorization
- Insurance and Benefits
- VerificationLetters of Medical Necessity and documentation readiness
- Patient financial support
- Out-of-pocket cost conversations
- Payment plans
- Statement and balance questions
- Patient financial escalations
What You'll Do- 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 LOMN 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 meaningful dashboards and performance-management systems.
- Use data to identify root causes and opportunities.
- Partner with Technology and Data teams to automate workflows.
VIP Medical Group | Confidential- Evaluate AI and other emerging tools that can make operations better.
- 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.
Who We're Looking ForYou may be a strong fit if you are the person who naturally asks:
- Why are we doing it this way?
- What is creating this backlog?
- Why does this patient have to call us again?
- Can this be automated?
- What does the data actually tell us?
- What does the team need from me to perform better?
We are looking for someone who combines operational discipline with emotional intelligence.
You create accountability within your team, but people also enjoy working with you. You are approachable. You listen. You coach. You know when to get into the details and when to step back and let your leaders lead.
You can have a thoughtful conversation with a patient or frontline employee in the morning and present an operational strategy to the COO in the afternoon.
Leadership Profile- A people person who builds trust, develops leaders, motivates teams, and handles difficult conversations with empathy and clarity.
- Strategic and hands-on, with the ability to design the future-state operating model and understand the frontlin workflow in detail.
- Curious and willing to challenge legacy processes.
- Data driven without hiding behind dashboards.
- Technologically fluent and interested in AI, automation, workflow technology, and analytics.
- Patient centered, with sensitivity to the stress created by insurance and financial conversations.
- Accountable and focused on solving problems rather than explaining why they cannot be solved.
What You'll Bring- 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.
- Experience leading centralized or geographically distributed operations.
- Experience with commercial insurance and complex authorization requirements.
- Experience managing offshore, nearshore, or international teams.
- Experience with workflow automation, AI, RPA, or healthcare technology implementation.
- Experience with NextGen or similar EMR/practice-management systems.
- Experience supporting organizational growth across multiple states or markets.
What Success Looks Like- Patients move through financial clearance faster.
- Prior Authorization backlogs and aging decrease.
- Verification becomes more accurate.
- LOMN and documentation workflows become easier and faster.
- Patients understand their financial responsibility.
- Employees spend less time performing unnecessary manual work.
- Managers know exactly how their teams are performing.
- Technology solves problems instead of creating more work.
- Your teams are both high performing and highly engaged.
Benefits- Competitive compensation
- Health insurance (Dental and Vision)
- Vacation leave
- Sick leave
- Paid holidays
- Bonuses
The OpportunityThis is an opportunity for the right healthcare operator to take ownership of a critical part of the patient journey and
materially improve how the organization works.
If you are a strong people leader who loves solving difficult operational problems, understands healthcare financial
clearance, embraces technology, and wants the ability to influence how an organization operates, we would like the
meet you.
