Stanford Medicine Children's Health · 1 day ago
Director - Access & Financial Clearance
Menlo Park, CA
Full-time
Onsite
Director/Executive
$67.80/hr - $89.91/hr
7+ years expStanford Medicine Children's Health is dedicated to providing world-class care with a focus on family-centered services. The Director of Access and Financial Clearance is responsible for overseeing strategic and operational activities related to patient access and financial clearance, ensuring compliance and enhancing the patient financial experience.
Health CareMedicalWellness
Responsibilities
Based on the vision and direction of the CFO and Vice President, develops the strategies, objectives, goals, policies and procedures for the department. Implements necessary measures to achieve these stated objectives and goals, following through to ensure that objectives are met or exceeded
Supports VP and SCH Leadership in key governance processes, e.g. payor authorization compliance, EPIC Welcome implementation, access benchmarking, patient portal enhancement, revenue cycle optimization, etc. with identification and resolution on complex priorities and challenges
Creates the vision for and provides organizational leadership of the Access and Financial Clearance department in support of the SCH organizational goals and strategies
Develops and administers a fiscally responsible department budget consistent with the department's goals, objectives, and performance improvement plans
Establishing, deploying, and enforcing registration standards that ensure regulatory compliance, patient safety, financial integrity, and timely, efficient, and equitable patient access throughout the enterprise
Ensuring financial clearance of patient care services (e.g. insurance verification, pre-authorization, patient estimate delivery, financial counseling, etc.) to support strong financial performance and preeminent patient financial experience
Collaborating on the development and delivery of SCH revenue cycle vision, strategies, goals, and objectives, under the direction of the VP of Revenue Operations, that support the strategic vision, goals, and objectives of SCH at large
Develops and implements department and organization policies and procedures designed to provide safe, efficient, and compliant patient access, registration, and financial clearance
Serves as an SCH resource for compliance with The Joint Commission, CMS, other governance organizations, and payor contracts associated with pre-authorization, registration, and patient financial communication. Ensures all areas of oversight perform functions in compliance with local, state, and federal laws and regulations and in accordance with SCH policies and code of conduct
Leads the department and the organization to ensure all patient registration, patient admission, and financial clearance activities are completed timely and accurately and in compliance with regulatory and legal requirements
Hires and develops department leadership staff appropriate to the unique needs of LPCH. Coaches, trains and mentors staff to assume increasingly complex management and technical responsibilities
Collaborates with clinical, operational, revenue cycle, and IS leaders (including executives, Directors, Managers, and staff supporting hospital patient care services, FPO, and PCHA) to ensure access and financial clearance processes support access goals and objectives, standard work best practices, and financial performance needs
Coordinates with the Committee Chairperson(s) to develop agendas, projects, and activities of the SCH committees directly supporting as access and financial clearance including, but not limited to: Registration Scheduling Design Committee, Authorization Referral Design Committee, Master Patient Index (MPI) Governance Committee, Front Desk Council, Ambulatory Leadership Committee, Revenue Cycle Workflow Committee, New Department Meetings, IS training and Access teams meetings
Collaborates with service line leaders and medical staff leaders to develop and deploy referral and authorization best practices including, but not limited to: documentation, coding, and Epic workflows
Collaborates with revenue cycle and managed care colleagues to ensure compliance with pre-certification, admission notification, authorization, and other financial clearance contract terms, payor policies, and state and federal regulations
Qualification
Required
Completion of a bachelor's degree or post-baccalaureate degree from an accredited college or University
Seven (7) years of progressively responsible and directly related work experience
Five (5) years of experience as a department manager in an acute care academic medical center with ambulatory clinics or a large multi-specialty clinic
Knowledge of access and financial clearance practices including patient registration insurance and benefit verification, referral and pre-certification practices, patient estimate creation and delivery, financial counseling, financial assistance processes, and vendor management
Knowledge of data collection, data quality assurance, and reporting methods
Knowledge of electronic medical record systems and their application in an acute care facility
Knowledge of The Joint Commission requirements and local, state, and federal regulations governing the operation of health care facilities
Strong written and oral communication skills with the proven ability to communicate effectively to a wide range of audiences, including clinicians, executives, staff, and patients
Preferred
Five (5) years management experience in a specialized children's hospital or an academic medical center including a children's hospital
Company
Stanford Medicine Children's Health
Stanford Medicine Children’s Health, with Lucile Packard Children's Hospital Stanford at its center, is the Bay Area's largest health care system—and one of the few in the country—exclusively dedicated to pediatric and obstetric care.
1001-5000 employees
H1B Sponsorship
Stanford Medicine Children's Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (18)
2023 (9)
2022 (21)
2021 (14)
Funding
Current Stage
Late StageTotal Funding
$100MKey Investors
Baby Safety FoundationThe David and Lucile Packard Foundation
2025-10-07Grant
2022-06-02Grant· $100M
Leadership Team
William Kennedy
Chief of Pediatric Urology
Recent News
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