Healthcare Director, Front-End Clearance - Panoramic Health

Join our Revenue Cycle Team as our Director, Front End Clearance. This fully remote leadership role offers the flexibility to work from anywhere, with only minimal travel required. You’ll oversee front end clearance operations, drive process improvements, and partner closely with cross functional teams to ensure a seamless patient and financial experience. If you’re a strategic leader who thrives in a fast growing environment, we’d love to meet you. Apply today and join our expanding team!

The Director of Front-End Clearance will lead and oversee all pre-billing and front-end processes across our organization. This includes referrals, authorizations, insurance verification, eligibility, and coordination of benefits,. This role will have responsibility for both U.S.-based and offshore teams, leading large-scale front-end revenue cycle management functions, with a deep expertise in insurance eligibility verification, authorizations, and the ability to implement process improvements that directly impact clean claim rates, denial prevention, and overall revenue integrity.

Responsibilities include:

• Provide leadership and direction for all front-end revenue cycle functions, including referrals, authorizations, insurance verification, eligibility, 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 rate
• 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 but not limited to: Eligibility verification accuracy rate; Authorization turnaround time, Referral processing, Coordination of benefits accuracy, Clean claim rate, Denial prevention and reduction rates.
• Proactively identify areas of compliance risk and develop mitigation strategies.
• Perform other duties and responsibilities as required, assigned, or requested.

Qualifications:

• Bachelor’s degree in business or related field and/or equivalent work experience.
• SHAM and/or CRCR preferred
• Lean Six Sigma Gree