Director Revenue Cycle - Front End Operations

Director Revenue Cycle - Front End Operations

Position Summary

The Director Revenue Cycle - Front End Operations (Patient Access & PreServices) provides strategic and operational leadership for all frontend revenue cycle functions. This role is responsible for ensuring accurate, efficient, and compliant scheduling, preregistration, registration, financial clearance, insurance verification, authorization, and pointofservice collections.

The Director ensures standardized workflows, data integrity, and optimal patient financial engagement to support reimbursement, reduce denials, and improve patient experience. This position collaborates closely with Revenue Cycle leadership, Finance, Compliance, Clinical Operations, IT, and facility leadership.

The Director monitors performance through key metrics, drives process improvement initiatives, and ensures adherence to regulatory requirements and industry best practices.

Responsibilities:

• Directs Patient Access and Pre-Service operations, including scheduling, registration, pre-registration, and financial clearance


• Ensures accurate capture of demographic, insurance, and authorization information to support clean claims


• Standardizes workflows across hospital, outpatient, emergency, and physician services


• Coordinates patient flow processes to optimize access and throughput


• Oversees eligibility verification, benefits validation, and prior authorization


• Directs financial counseling, estimates, and price transparency initiatives


• Ensures compliance with Good Faith Estimate requirements


• Leads point of service collection strategies


• Provides leadership for Patient Access workflows within Epic


• Partners with IT and Epic analysts to optimize functionality and reporting


• Supports upgrades and enhancements impacting front-end operations


• Promotes registration accuracy to prevent denials


• Ensures compliance with regulatory and payer requirements


• Maintains audit readiness and compliance w/CMS and applicable HIPAA guidelines for protecting the privacy of patient data


• Monitors registration accuracy, authorization rates, POS collections, clearance rates, wait times, and other KPIs


• Analyzes trends and implements improvements


• Provides regular executive reporting


• Recruits, develops, and retains Patient Access teams


• Establishes productivity standards and expectations


• Promotes service excellence and accountability


• Develops and manages departmental budgets


• Forecasts staffing and operational needs


• Ensures cost-effective delivery of service


• Collaborates with medical staff and clinic leadership on authorization & registration denial root cause remediation


• Provides training & education to clinic staff on payer registration updates and requirements


• Serves as liaison between the Front-End of Revenue Cycle operations and clinical operations


• Performs other related duties as assigned


• Relies on experience and judgment to plan and accomplish goals


• Regular and predictable attendance is an essential job function


• Competent to meet the age-specific needs of the unit assigned

Requirements and Minimum Qualifications:

• Bachelor's Degree in Healthcare Administration or related field required


• Minimum 5 years' leadership experience in Patient Access or frontend operations required


• Minimum 15 years' progressive Revenue Cycle experience preferred


• Experience in an acute care hospital setting is required


• Experience with Epic EHR required


• Strong knowledge of registration, authorization, and financial clearance processes


• Knowledge of CPT and ICD10 concepts as they relate to frontend operations


• Excellent communication and leadership skills


• Demonstrated process improvement capability


• Budget management experience

Working Conditions:

• Must be able to lift and move up to 10lbs


• Must be able to maintain a sitting position


• Typical equipment used in an office job


• Repetitive movements

About Kootenai Health

Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.

As your next employer, we are excited to offer you:

• Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment.
• Kootenai Health's tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it
• Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent.
• Competitive salaries with night, weekend, and PRN shift differentials
• An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching
• Employees receive discounts at The Wellness Bar, PEAK Fitness, various cell phone carriers, and more
• Employee referral program that pays you for helping great people join the team
• And much more

Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!

Apply today!

Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.