Director, Front-End Revenue Cycle Management
Listed on 2026-08-22
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Management
Healthcare Management
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DIRECTOR, FRONT-END REVENUE CYCLE MANAGEMENTFull Time PSN Service LLC, Plano, TX, US
3 days ago Requisition
About Legent Health
At Legent Health
, our mission is simple yet profound: "To provide first-class health care that puts YOU first." /b
Our vision reflects our commitment to excellence: "Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone." /b
Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do:
- Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience.
- Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all.
- Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering dedication to excellence across our employees and partners.
Joining Legent Health means being part of a team that lives these principles every day, as we build a future focused on compassionate, quality care.
About the RoleWe are a private-equity backed surgical hospital and ASC platform operating 10+ facilities across Texas and Florida, with a service-line concentration in spine, orthopedics, ENT, and pain management. We are hiring a Director, Front-End Revenue Cycle Management to own facility-billing front-end operations to end-to-end-from scheduling intake through pre-bill audit gating. This role exists to eliminate preventable denials, protect implant and device reimbursement, and stand up consistent front-end discipline across a fast-growing, multi-site platform.
You will lead managers and supervisors across facilities, set the KPIs the platform is measured against, and act as the front-end counterpart to coding, billing, and contracting leadership.
- Patient Access & Scheduling Accuracy
- Own pre-registration & accurate demographic capture across HST Pathways (ASCs) and CPSI/Tru Bridge (Surgical Hospitals); eliminate cross-facility identity mismatches that drive downstream denials.
- Standardize pre-service touchpoint cadence across all facilities so registration accuracy holds at or above 98% system-wide.
- Direct real-time eligibility and full benefits investigation workflows in Waystar/Tru Bridge RCM Clearinghouse platforms, including line-item benefits verification for high-cost implants and devices (spine hardware, total joint components, neurostimulators, etc.) with documented remaining deductible, OOP max, implant carve-out language captured before the date of service.
- Establish and enforce a benefits verification completion threshold of 72 hours prior to the date of service for all scheduled cases, with same-day escalation protocols for late-scheduled or add-on procedures to ensure no case reaches the OR without confirmed coverage and auth on file.
- Enforce a platform-wide standard requiring active authorization on file for all scheduled cases no later than 72 hours prior to the date of service, with escalation triggers for any case approaching the threshold without confirmed auth and a hold protocol that prevents unverified cases from proceeding to the OR.
- Lead prior authorization for high-dollar procedures (lumbar/cervical fusions, total joings, Spinal Cord Stimulator trials and permanent implants, sinus and ENT implantable devices); maintain payer-specific authorization grids, LCD/NCD alignment, and a peer-to-peer escalation pathway with physicians.
- Track authorization approval rates, turnaround times, and peer-to-peer outcomes by payer and procedure category; use approval rate trends to identify payers tightening clinical criteria and proactively update auth submission templates and clinical packages before denial rates climb.
- Patient Financial Clearance & Price Transparency
- Own…
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