Dir Admitting, Registration and Fin Clearance at Brown University Health

Summary

Under the general direction of the Vice President of Revenue Cycle, the Director of Patient Admitting, Registration, and Financial Clearance provides strategic and operational leadership for all front-end revenue cycle services across the enterprise. This includes oversight of admitting, registration, pre-registration, insurance verification, financial counseling, and financial clearance functions for emergency, inpatient, and elective services. The Director is responsible for transforming these critical services to create a streamlined, patient-centered experience. This role sets the vision and drives execution for workflow standardization, digital access innovation, compliance adherence, and performance improvement across all related departments.

In partnership with internal stakeholders—including Epic IT, Finance, Marketing, and Clinical Operations—the Director ensures that services align with organizational goals for quality, access, efficiency, and revenue integrity.

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. The Core Success Factors Include

Instill Trust and Value Differences

Patient and Community Focus and Collaborate

In Addition, Our Leaders Will Demonstrate An Aptitude For

Ensure Accountability and Build Effective Teams

Drive Vision and Purpose and Optimize Work Processes

By applying core and leadership competencies, leaders help Brown University Health achieve its strategic goals.

Responsibilities

Consistently applies the corporate values of respect, honesty and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible, and high-value services within the environment of a comprehensive integrated academic health system. Responsible for knowing and acting in accordance with the principles of the Brown University Health’s Compliance Program and Code of Conduct.

• Develop and implement an enterprise-wide strategy for admitting, registration, and financial clearance that supports access, patient satisfaction, and financial performance.
• Lead process improvement and digital transformation initiatives that enhance the patient journey and front-end revenue cycle performance.
  
  

Align department goals with organizational mission, vision, and values, ensuring a consistent standard of excellence.

Operational Oversight

• Direct daily operations for all related functions, including centralized pre-registration, financial clearance, insurance verification, point-of-service collections, and financial counseling.
• Ensure all emergency, inpatient, and elective registrations meet regulatory, payer, and internal requirements.
• Monitor performance metrics and KPIs to ensure productivity, quality, and service targets are met or exceeded.
• Oversee the development and maintenance of policies, procedures, and best practices across all registration-related services.
  
  

Team Leadership & Development

• Provide leadership and guidance to managers, supervisors, and staff—up to 100 FTEs.
• Responsible for hiring, onboarding, training, performance evaluation, and staff development.
• Foster a culture of accountability, collaboration, and continuous improvement.
  
  

Technology & Process Improvement

• Partner with Epic IT and other technical teams to enhance reporting, streamline workflows, and implement system upgrades.
• Ensure successful testing, training, and adoption of new technology platforms and enhancements.
• Drive initiatives for automation, self-service, and digital registration tools to improve operational efficiency and user experience.
  
  

Compliance & Quality

• Maintain adherence to federal, state, and internal regulatory and quality standards.
• Manage audit response, compliance initiatives, and continuous readiness for external inspections or payer reviews.
• Review and update forms, policies, and protocols to align with legal, regulatory, and payer changes.
  
  

Financial Management

• Develop and manage departmental budgets, ensuring cost-effective operations and resource utilization.
• Monitor financial performance and support revenue cycle goals through timely collections, accurate estimates, and streamlined clearance processes.
• Lead initiatives to increase point-of-service collections and reduce registration-related denials.
  
  

Collaboration & Communication

• Serve as a liaison between departments to ensure seamless coordination and shared accountability across the revenue cycle.
• Provide regular reports to senior leadership on department performance, goals, and improvement initiatives.
• Represent the department in enterprise-wide committees, workgroups, and strategic planning efforts.
  
  

Qualifications-education

Required: Bachelor’s degree from an accredited college or university in a business, healthcare administration or related major

Preferred: Master’s degree from an accredited college or university in a business, healthcare administration or related major.

Excellent verbal, written and interpersonal skills

Analytical and problem-solving skills

Managerial skills including budgeting and finance

Qualifications-experience

• Minimum of 8 years of experience in a healthcare setting, with at least 5 years in a leadership or management role.
• Extensive knowledge of front-end revenue cycle operations, including registration, insurance verification, and financial counseling.
• Experience with Epic and other healthcare IT systems is highly desirable.
• Experience in an academic medical center or managed care environment preferred.
  
  

Preferred Skills & Competencies

• Proven ability to lead large teams and manage complex, multi-site operations.
• Strong knowledge of healthcare regulations, compliance, and payer requirements.
• Excellent communication, negotiation, and conflict resolution skills.
• Expertise in performance management, process improvement, and data-driven decision-making.
• Ability to work effectively under pressure and manage competing priorities.
• A self-starter with a collaborative spirit, problem-solving mindset, and strong work ethic.
  
  

Supervision

• Direct supervision of up to 100 full-time equivalent employees.
• Responsible for hiring, training, scheduling, performance reviews, and corrective actions.
  
  

Additional Responsibilities

• Participate in and present at enterprise-level meetings, including Revenue Cycle, Denials Management, and Operational Strategy sessions.
• Oversee internal and vendor-related programs, including Medicaid eligibility and self-pay strategies.
• Develop internal communications (e.g., newsletters, status reports) and contribute to departmental visibility and engagement.
  
  

Pay Range

$125,194.16-$206,580.92

EEO Statement

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

795 Middle Street - 795 Middle Street Fall River, Massachusetts 02721

Work Type

M-F 8:00-5:00

Work Shift

Day

Daily Hours

8 hours

Driving Required

No