Healthcare Director, Front-End Clearance
Panoramic Health·Remote(United States)
Healthcare
WFA Digital Insight
The demand for skilled revenue cycle management professionals has surged, with a 25% increase in job openings over the past year. As the healthcare industry continues to shift towards digital transformation, the need for experts who can navigate complex front-end processes has never been more pressing. With its commitment to equal employment opportunities, Panoramic Health stands out as a forward-thinking company. Before applying, candidates should be aware that a strong analytical mindset and exceptional leadership skills are crucial for success in this role.
Job Description
About the Role
As a Director of Front-End Clearance at Panoramic Health, you will play a pivotal role in leading and overseeing all pre-billing and front-end processes across the organization. This includes referrals, authorizations, insurance verification, eligibility, and coordination of benefits. Your expertise will be instrumental in driving clean claim rates, preventing denials, and ensuring revenue integrity.The front-end revenue cycle management function is a critical component of the healthcare ecosystem, and your leadership will have a direct impact on the organization's financial performance. You will be responsible for leading large-scale front-end revenue cycle management functions, with a deep expertise in insurance eligibility verification, authorizations, and process improvements.
What You Will Do
- Provide leadership and direction for all front-end revenue cycle functions, including referrals, authorizations, insurance verification, eligibility, and coordination of benefits
- Lead and coordinate efforts between onshore and offshore teams, ensuring service quality, productivity, and adherence to SLAs
- Ensure accuracy, timeliness, and compliance across all front-end processes to minimize denials and maximize clean claim rates
- Monitor daily operations, identify bottlenecks, and implement corrective action plans as needed
- Establish standardized workflows, playbooks, and escalation paths to drive consistency and efficiency across all functions
- Partner with senior leadership to design and implement initiatives that optimize front-end operations and improve overall revenue cycle outcomes
- Leverage automation, technology, and analytics to streamline processes and reduce manual errors
- Drive continuous improvement projects focused on improving patient access, reducing turnaround times, and increasing DAR through clean claims
- Implement training and education programs for staff to maintain high levels of accuracy and compliance
- Establish, monitor, and report on KPIs, including eligibility verification accuracy rate, authorization turnaround time, referral processing, coordination of benefits accuracy, clean claim rate, and denial prevention and reduction rates
- Proactively identify areas of compliance risk and develop mitigation strategies
What We Are Looking For
- Bachelor's degree in business or a related field and/or equivalent work experience
- SHAM and/or CRCR certification preferred
- Lean Six Sigma Green Belt or PMP highly desired
- 10+ years of progressive experience in Revenue Cycle Management
- 5 years in a senior leadership role overseeing front-end/pre-billing operations
- Demonstrated success managing both onshore and offshore teams, with the ability to drive accountability and quality across geographies
- Strong knowledge of payer authorization policies, insurance eligibility requirements, and compliance standards
- Proven track record of improving clean claim rates, reducing denials, and optimizing front-end workflows
- Exceptional leadership, communication, and change management skills
- Strong analytical mindset with the ability to leverage data for decision-making and process improvement
- Experience in Nephrology RCM strongly preferred
- Strong project program management skills
- Prior experience with Athena strongly preferred
Nice to Have
- Experience with front-end revenue cycle management software and systems
- Knowledge of regulatory requirements and compliance standards
- Certification in a related field, such as healthcare administration or management
- Experience with data analysis and process improvement methodologies
Benefits and Perks
- Competitive salary and benefits package
- Opportunity to work with a forward-thinking company committed to equal employment opportunities
- Remote work arrangement with flexible scheduling
- Professional development and growth opportunities
- Access to cutting-edge technology and tools
- Collaborative and dynamic work environment
- Recognition and reward for outstanding performance
- Comprehensive health insurance and wellness programs
- Generous PTO and holiday schedule
How to Stand Out
- Be prepared to discuss your experience with front-end revenue cycle management and process improvements.
- Highlight your leadership and communication skills, as well as your ability to manage remote teams.
- Familiarize yourself with Panoramic Health's commitment to equal employment opportunities and be prepared to discuss how you can contribute to this mission.
- Emphasize your analytical mindset and ability to leverage data for decision-making and process improvement.
- Prepare examples of your experience with insurance eligibility verification, authorizations, and compliance standards.
- Research the company culture and values, and be prepared to discuss how you align with them.
- Be prepared to discuss your experience with Athena and other front-end revenue cycle management software and systems.
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