Division

Emory Healthcare Inc.

Campus Location

Atlanta, GA, 30345

Campus Location

US-GA-Atlanta

Department

EHI Revenue Management

Job Type

Regular Full-Time

Job Number

165301

Job Category

Revenue Cycle & Managed Care

Schedule

8a-4:30p

Standard Hours

40 Hours

Hourly Minimum

USD $0.00/Hr.

Hourly Midpoint

USD $0.00/Hr.

Be inspired. Be rewarded. Belong. At Emory Healthcare.

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, and leadership programs
• And more

Work Location: Atlanta, GA

The Corporate Director of Pre-Arrival and Financial Clearance is a strategic leader responsible for overseeing all pre-service financial operations across the organization. This role ensures efficient, compliant, and patient-centered processes related to insurance verification, pre-registration, financial counseling, and clearance prior to service delivery.

The Corporate Director drives revenue cycle performance, reduces denials, and enhances the patient financial experience through innovation, standardization, and team leadership.

Leadership & Strategy

1. Develop and execute a comprehensive strategy for pre-arrival and financial clearance operations aligned with organizational goals
2. Provide leadership and oversight for centralized and/or decentralized teams responsible for insurance verification, pre-registration, and financial counseling
3. Establish performance metrics, benchmarks, and KPIs to monitor productivity, quality, and financial outcomes
4. Partner with executive leadership to drive revenue cycle optimization and pre-arrival excellence

Operational Oversight

1. Oversee end-to-end pre-arrival workflows, including:
   • Insurance eligibility verification
   • Benefits validation
   • Data Integrity
   • Financial clearance and patient estimates
2. Ensure timely and accurate clearance of accounts prior to service to minimize delays and denials
3. Standardize processes across facilities and service lines to ensure consistency and efficiency

Revenue Cycle Optimization

1. Identify and implement process improvements to reduce denials and prevent revenue leakage
2. Collaborate with Patient Access, Utilization Management, Pre-authorization, and Billing teams to ensure seamless revenue cycle integration
3. Monitor denial trends and implement corrective action plans

Patient Financial Experience

1. Promote transparent and compassionate financial communication with patients
2. Ensure accurate upfront estimates and financial counseling services are provided
3. Support initiatives that improve patient satisfaction related to financial processes

Compliance & Risk Management

1. Ensure adherence to federal, state, and payer-specific regulations and guidelines
2. Maintain compliance with policies related to financial assistance, price transparency, and payer requirements
3. Lead audit readiness and internal quality assurance programs

Technology & Innovation

1. Partner with IT and vendors to optimize systems supporting eligibility, financial clearance, and estimation tools
2. Leverage data analytics to drive decision-making and performance improvement
3. Lead implementation of automation and digital solutions to enhance efficiency

Team Development

1. Recruit, mentor, and develop high-performing leaders and staff
2. Foster a culture of accountability, collaboration, and continuous improvement
3. Provide ongoing training and professional development opportunities

Additional Duties as Assigned

Travel: Less than 10% of the time may be required

Work Type: Hybrid employee - splits time between working remotely and working in the office

Minimum Required Qualifications:

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field required
• 8+ years of progressive leadership experience in healthcare revenue cycle or patient access
• Strong background in pre-arrival operations, including insurance verification and financial clearance

Preferred Qualifications:

• Master's degree preferred (MHA, MBA, or related field)
• 10 years minimum experience with at least 5 years in a management position

Knowledge, skills, and ability requirements (preferred):

• Experience managing multi-site or system-wide operations preferred
• This role requires a proactive approach in developing innovative solutions to improve processes, enhance patient satisfaction, and streamline communication across diverse teams
• Deep understanding of revenue cycle processes and payer requirements
• Strong analytical and problem-solving skills
• Proven ability to lead large teams and drive organizational change
• Excellent communication and stakeholder management skills
• Proficiency with Epic and revenue cycle technologies
• Key Performance Indicators (KPIs) 1. Pre-service clearance rates 2. Denial rates related to eligibility and authorization 3. Point-of-service collections and estimate accuracy 4. Staff productivity and quality metrics

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet® designated ambulatory practice. We are made up of 11 hospitals-4 Magnet® designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

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.

ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Leave and Accommodations.

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 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 environmental 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.

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