Healthcare Director, Front-End Clearance

Job Summary

A company is looking for a Healthcare Director, Front-End Clearance.

Key Responsibilities

• Lead and oversee all front-end revenue cycle functions, including referrals, authorizations, and insurance verification
• Coordinate efforts between onshore and offshore teams to ensure service quality and adherence to SLAs
• Establish standardized workflows and monitor operations to minimize denials and maximize clean claim rates

Required Qualifications

• Bachelor's degree in business or related field and/or equivalent work experience
• 10+ years of progressive experience in Revenue Cycle Management
• 5 years in a senior leadership role overseeing front-end/pre-billing operations
• Strong knowledge of payer authorization policies and compliance standards
• Experience in Nephrology RCM strongly preferred