Director, Pre-Arrival
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Job Location:
Atlanta, GA - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Overview
Be inspired. Be valued. Belong.
At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family-focused benefits
- Wellness incentives
- Ongoing mentorship development leadership more
Description
The Director of Pre-arrival provides strategic leadership for Emory Healthcares financial clearance operations. This role is responsible for ensuring accurate and timely verification of patient insurance eligibility prior authorizations and financial arrangements prior to the delivery of healthcare services.
The Director will oversee departmental operations optimize financial clearance workflows and collaborate closely with clinical operational and revenue cycle teams to improve efficiency regulatory compliance and the overall patient financial experience.
RESPONSIBILITIES
Leadership and Strategy
Provide strategic oversight and management of the financial clearance department.
Lead and develop a high-performing team focused on operational excellence efficiency and service quality.
Develop and implement strategies to optimize financial clearance processes and improve departmental workflows.
Establish performance standards and operational goals aligned with system revenue cycle objectives.
Insurance Verification and Prior Authorization
Oversee processes for verifying patient insurance eligibility and coverage details.
Ensure prior authorizations are obtained accurately and in a timely manner prior to services being rendered.
Partner with clinical departments to facilitate efficient authorization workflows for scheduled services and procedures.
Collaboration and Stakeholder Engagement
Collaborate with clinical billing and revenue cycle teams to ensure seamless coordination between patient registration financial clearance and billing functions.
Serve as a key liaison for insurance companies vendors and external stakeholders regarding financial clearance processes.
Partner with operational leaders to resolve complex financial clearance or authorization issues.
Compliance and Regulatory Oversight
Ensure departmental compliance with federal state and local regulations related to financial clearance insurance verification and reimbursement processes.
Monitor regulatory changes impacting financial clearance operations and implement necessary operational adjustments.
Maintain adherence to organizational policies and healthcare regulatory requirements.
Data Analysis and Performance Reporting
Monitor and analyze financial clearance metrics to identify operational trends and opportunities for improvement.
Evaluate departmental performance related to authorization turnaround times eligibility accuracy and financial clearance effectiveness.
Prepare and present regular performance reports to senior leadership.
Training and Staff Development
Develop and implement training programs for financial clearance staff covering insurance processes authorization procedures and customer service practices.
Promote a culture of continuous improvement and professional development.
Ensure staff remain informed about evolving payer requirements and healthcare financial practices.
MINIMUM QUALIFICATIONS
Education
- Bachelors degree in Healthcare Administration Finance Business Administration or a related field required.
Experience
Minimum of 10 years of experience in healthcare financial services required.
At least 5 years of leadership experience in financial clearance or revenue cycle management.
Knowledge Skills and Abilities
Strong knowledge of insurance verification prior authorization processes and healthcare billing operations.
Excellent analytical and problem-solving skills.
Demonstrated leadership and team management capabilities.
Exceptional written verbal and interpersonal communication skills.
Proficiency with healthcare management systems and data analytics tools.
Preferred Qualifications
Education
- Masters degree in Healthcare Administration Finance Business Administration or related field preferred.
PHYSICAL REQUIREMENTS (Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs 34-66% of the workday (frequently); 01-10 lbs 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking Occasional sitting Close eye work (computers typing reading writing) Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock Floor Surfaces Hot/Cold Temperatures Indoor/Outdoor conditions Latex Lighting Patient care/handling injuries Radiation Shift work Travel may be required. Use of personal protective equipment including respirators environmental conditions may vary depending on assigned work area and work tasks.
Additional Details
Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred.
Required Experience:
Director
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About Company
"Have a Coke and a smile" means more to Emory University than it does to the rest of the world. The school, which has some 13,300 students and about 12,500 staff and faculty members, has a very low student-teacher ratio of about 7:1. It changed from Emory College to Emory University i ... View more
