Senior Director Enterprise Patient Access and Financial Clearance

RESPONSIBILITIES

The Sr. Director, Enterprise Patient Access & Financial Clearance (Hospital and Professional) provides enterprise-wide strategic and operational leadership for all front‑end revenue cycle functions across hospital and professional billing environments. This role oversees patient access operations including scheduling, admissions, discharge, transfer (ADT), registration, insurance verification, authorization, and financial clearance to ensure optimal patient experience, regulatory compliance, and revenue integrity.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done:

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

KEY RESPONSIBILITIES:

• Provide enterprise leadership for Patient Access, ADT, Registration, Financial Clearance, and the centralized PAC functions across all RI and MA entities.
• Standardize all policies, workflows, KPIs, and training across Rhode Island and Massachusetts regions under one centralized leadership team to ensure accountability and alignment.
• Lead and manage Directors of Hospital Patient Access (RI & MA) and the Director of Ambulatory Patient Access (PAC), ensuring site‑based directors manage day‑to‑day operations while maintaining enterprise standards.
• Drive the strategic separation of patient‑facing, real‑time activities (hospital‑based teams) from payer‑facing, standardized functions (centralized PAC), reducing duplication and eliminating conflicting workflows across facilities.

• Lead access operations across Epic Prelude, Cadence, ADT, and integrated Resolute HB/PB environments.
• Leverage Epic tools to drive standardization, workqueue accountability, automation, and denial prevention—ensuring the organization maximizes its Epic investment.
• Partner with IT to optimize Epic workflows, build rules, automation, and real‑time reporting dashboards.
• Oversee Epic workqueue ownership mapping and accountability grids across PAC vs. hospital‑based registration/financial clearance models.

• Oversee the corporate PAC shared services model, including:
• Pre‑registration & Insurance Verification – Validating demographics and insurance data prior to date of service across all entities
• Authorization Management – Submission, follow‑up, and documentation tracking for inpatient, outpatient, high‑tech radiology, and surgical day care services
• Eligibility & Benefits Verification – Interpreting payer responses, identifying requirements for prior authorizations, referrals, and medical necessity validation
• Financial Clearance – Centralized pre‑service financial clearance, estimates, and POS collections
• Denials Prevention – Proactive strategies to reduce access‑related claim denials and improve clean claim performance

• Ensure hospital‑based teams retain ownership of activities requiring physical presence, immediate clinical coordination, and direct patient interaction, including:
• ED Registration & Triage Registration
• Outpatient Front Desk Check‑In
• Point‑of‑Service Financial Counseling & Collections
• Consent & Document Collection
• Medicaid & Charity Program Support

• Develop and execute strategies to reduce access‑related denials and improve clean claim performance across HB and PB.
• Ensure accurate demographic and insurance capture across hospital and professional settings.
• Lead root cause analysis for top denial categories including No Authorization, Medical Necessity, and Eligibility Errors, and implement corrective action plans.
• Establish KPIs aligned with HFMA and CHAM benchmarks for registration accuracy, pre‑registration rates, authorization rates, and POS collections.

• Ensure compliance with federal, state (RI & MA), and payer…