Job Description

Senior Director, Financial Clearance-Patient Financial Services-Corporate 42nd Street-Full-Time Days (Hybrid)

The Senior Director, Financial Clearance is a strategic enterprise leader responsible for directing and optimizing all front-end revenue cycle functions across The Mount Sinai Hospital and affiliated entities. This role plays a pivotal part in driving the organization's financial health and sustainability through the development and execution of innovative, patient-centered financial services strategies. The Senior Director ensures that every patient interaction with the financial system is seamless, compassionate, and aligned with Mount Sinai's commitment to delivering an exceptional patient experience. As a key executive stakeholder, the Senior Director partners with senior leadership to shape policy, improve access to care, and ensure regulatory compliance, while enhancing operational performance and revenue integrity.
The Senior Director leads the Financial Clearance Department, overseeing vital functions such as insurance verification, pre-registration, emergency and elective admissions screening, and financial counseling. This includes services for inpatient, outpatient, clinic, inter-institutional transfers, and international patients. The role collaborates across departments and with executive leaders to promote a high-functioning, consumer-focused financial experience.
This position also serves on the High-Risk Evaluation Committee and acts as a trusted advisor to:

• Transfer Services Department
• International Services Department
• Rehabilitation Division
• Institutional Affiliates

Responsibilities

Core Areas of Oversight Include

• Pre-Registration (Inpatient Services and Ambulatory Surgery)
• Registration (Clinic - New Registrations)
• Insurance Verification and Eligibility Determination
• Medicaid Eligibility and Enrollment
• Financial Counseling and Patient Advocacy
• Charity Care Program Compliance
• Self-Pay Receivables Management
• Vendor and Partner Relations
• Customer Service Excellence
• Outpatient Cashiering
• Adherence to Regulatory and Compliance Guidelines

Strategic Expectations and Enterprise Impact

• Enterprise Financial Leadership: Develop and implement financial access strategies that directly impact organizational revenue performance, bad debt reduction, and patient satisfaction metrics.
• Patient-Centered Design: Champion initiatives that prioritize a transparent, empathetic, and supportive financial journey for all patients-from point of entry to final resolution.
• Data-Driven Decision Making: Establish robust performance metrics and analytics to drive continuous improvement across patient financial services and to inform executive leadership decisions.
• Talent and Culture Development: Lead, mentor, and empower a high-performing team of managers, supervisors, and frontline staff, fostering a culture of accountability, innovation, and service excellence.
• Operational Excellence: Ensure accuracy and integrity in patient demographic data collection and insurance processing to support timely billing and reimbursement.
• Cross-Functional Collaboration: Partner with Patient Accounting and other departments to optimize front-end processes, minimize denials, and drive revenue cycle efficiency.

Key Outcomes of Success

• Enhanced patient satisfaction and financial transparency
• Measurable reduction in registration errors and patient complaints
• Decrease in uncompensated care through proactive eligibility screening and financial counseling
• Alignment with organizational goals and regulatory requirements
• Demonstrated leadership in enterprise-wide initiatives that advance access, equity, and financial stewardship

Qualifications

• Bachelors in business, Health Administration or related field. Masters preferred.
• 5-10 years Financial Clearance, Patient Access or Revenue Cycle Experience
• MS Office, Excel, EPIC

Non-Bargaining Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital