Director, Pre-Arrival at Emory Healthcare

Tucker, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Jun, 26

Salary

0.0

Posted On

18 Mar, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Strategic Leadership, Financial Clearance, Insurance Verification, Prior Authorizations, Workflow Optimization, Regulatory Compliance, Revenue Cycle Management, Team Leadership, Performance Metrics, Stakeholder Engagement, Data Analysis, Healthcare Administration, Problem-Solving, Interpersonal Communication, Healthcare Management Systems

Industry

Hospitals and Health Care

Description

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 programs...and more Description The Director of Pre-arrival provides strategic leadership for Emory Healthcare’s 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 Bachelor’s 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 Master’s 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 Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

The Director of Pre-arrival provides strategic leadership for financial clearance operations, ensuring accurate and timely verification of insurance eligibility, prior authorizations, and financial arrangements before healthcare services are delivered. This role involves overseeing departmental operations, optimizing workflows, and collaborating across clinical, operational, and revenue cycle teams to enhance efficiency and the patient financial experience.