Job Description

**Job Summary** The Director of Admissions, under the administrative direction of the Sr. Director of Pre-Arrival, ensures that each applicable team within Pre-Arrival provides timely scheduling, verifies benefit coverage, performs medical necessity verification, determines and communicates estimated patient financial responsibility, and ensures that a valid order is on file for scheduled outpatient services in a timely manner. This position will support our Shared Services Center and client hospitals around the country for a wide variety of payers, service lines, and patient types by providing top-notch support to the entire revenue cycle. **Essential Functions** + Supervises and provides strategic direction to the Pre-Arrival team to ensure all tasks related to scheduling, benefit verification, medical necessity, financial responsibility estimation, and order validation are completed on time and accurately. + Collaborates with the Senior Director of Pre-Arrival to set departmental goals, establish performance standards, and evaluate team performance regularly. + Works closely with hospital staff and clients to ensure alignment and understanding of the admissions processes for a wide variety of service lines, payers, and patient types. + Ensures timely and accurate verification of patient benefits, including insurance coverage, medical necessity, and patient financial responsibility prior to scheduled outpatient services. + Oversees the validation of medical orders, ensuring that all necessary documentation is in place before services are provided. + Monitors and analyzes departmental workflows and identify opportunities for process improvements to enhance the speed and accuracy of admissions activities. + Implements and maintains best practices and industry standards to streamline the pre-arrival process, with a focus on reducing delays, denials, and billing errors. + Acts as a liaison between the Shared Services Center, client hospitals, and various departments (e.g., billing, insurance verification, financial counseling) to ensure seamless coordination and communication. + Provides training, support, and guidance to staff on complex cases and payer-specific requirements to ensure consistent performance across the department. + Ensures that all Pre-Arrival processes comply with applicable regulatory requirements, payer rules, and internal policies. + Provides regular reports to senior leadership regarding department performance, service levels, and any challenges or issues that may impact operations or revenue cycle outcomes. + Ensures a patient-centered approach throughout the Pre-Arrival process, emphasizing clear communication and timely resolution of any concerns or issues related to scheduling, benefit verification, and financial responsibility. + Oversees the development of patient-facing communication materials that explain the financial and insurance verification process in a clear, understandable manner. + Performs other duties as assigned. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Bachelor's Degree in Healthcare Administration, Business Administration, or a related field preferred + 5-7 years of experience in healthcare admissions, revenue cycle management, or related fields required + 2-4 years of Management experience focused in Healthcare Revenue Cycle experience preferred **Knowledge, Skills and Abilities** + Individual should have knowledge of Word Processing software, spreadsheet software and database software. + Ability to motivate others + Must have strong communication skills. + Ability to work independently and as part of a team + Ability to work with a cross functional team. + Ability to manage multiple tasks. + Excellent communication and interpersonal skills. + Strong customer service skills. **Licenses and Certifications** + CHAA - Certified Healthcare Access Associate preferred or + CHAM - Certified Healthcare Access Manager preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to to obtain the main telephone number of the facility and ask for Human Resources.

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