Director of Financial Clearance

We are seeking a dynamic director. The Financial Clearance Shared Services Center performs the financial clearance function for outpatient procedures/surgeries, inpatient admissions, and clinical trials at multiple Johns Hopkins Medicine entities, including The Johns Hopkins Hospital, The Johns Hopkins Outpatient Center, The Johns Hopkins School of Medicine, Bayview Medical Center, Sibley Memorial Hospital, Suburban Hospital, Johns Hopkins All Children’s Hospital, and a number of outpatient satellite clinics. Critical to the success of this position, the Financial Clearance Director, Revenue Cycle Management is responsible for all aspects of the Financial Clearance Shared Services operations to include but not limited to:

• Establishing programs, protocols, policies and procedures to support the financial clearance process and working with all entities to standardize processes.
• Developing and analyzing reports to assist management to enhance revenue cycle performance and maximize operational efficiencies.
• Implementing strategies designed to improve the effectiveness of the financial clearance process through increased automation and controls.
• Responsible for regulatory and compliance activities associated with the financial clearance process and ensuring compliance with Revenue Cycle Management policies and procedures.

The incumbent must also possess the ability to ensure that appropriate communication is maintained across all entities and specialties (administrators, ambulatory clinic managers, physicians, Office of Managed Care, utilization review, Finance directors, third-party payers, and patients) to ensure all information is obtained to secure appropriate insurance authorization and/or payments prior to services being performed. This position is responsible for managing the inpatient and outpatient financial clearance component of the Revenue Cycle for multiple entities and, as such, must establish relationships at all facilities and be familiar with each institution’s registration/scheduling practices and payer contracts, although they may not be under the direct control of the incumbent. In addition, knowledge of managed care and regulations impacting patient accounting, as well as the ability to integrate activities under his or her direct control with the overall Revenue Cycle Management function, are essential elements of this function.

The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing the highest quality of care in the treatment and prevention of human illness. JHHS is an academically based health system consisting of: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital, The Johns Hopkins All Children’s Health System, Johns Hopkins Community Physicians, The Johns Hopkins Medical Services Corporation and Johns Hopkins Medical Management Corporation.

Qualifications:

• Requires Bachelor’s Degree in Accounting, Business Administration, Finance, or a related field. A Master’s Degree in Business Administration, Health Administration, or Information Management is preferred.
• CRCE/CMPA/CHFP certification preferred, leadership role in industry organizations such as HFMA, AAHAM, or MHA strongly encouraged.
• A minimum of 7-10 years of hospital receivables/operations management experience within a large academic medical center or health system, with at least 3-5 years of management experience.
• Prior work experience must include revenue cycle management projects and/or responsibilities, and a significant role in a redesign project and/or management experience working in a highly automated, centralized business office environment.
• Experience in using team building and quality management concepts to positively influence the work environment.

What We Offer:

You can become a part of our diverse healthcare leadership team and enjoy extensive benefits with a variety of opportunities for personal and professional growth. From academic medical centers to local community hospitals, from downtown to the suburbs, Johns Hopkins Medicine has a work environment that will fit your personality and career goals.

Comprehensive benefits including medical, dental, and vision insurance; generous paid time off; life and long-term disability coverage; 403(b) retirement plan with employer match; tuition assistance for employees and dependents; and wellness programs just to name a few.

Salary Range: $158,644 to $213,992 per year. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.