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Senior Director, Financial Clearance-Patient Financial Services-Corporate 42nd Street-Full-Time Days (Hybrid)
The Senior Director, Financial Clearance is a strategic enterprise leader responsible for directing and optimizing all front-end revenue cycle functions across The Mount Sinai Hospital and affiliated entities. This role plays a pivotal part in driving the organization's financial health and sustainability through the development and execution of innovative, patient-centered financial services strategies. The Senior Director ensures that every patient interaction with the financial system is seamless, compassionate, and aligned with Mount Sinai's commitment to delivering an exceptional patient experience. As a key executive stakeholder, the Senior Director partners with senior leadership to shape policy, improve access to care, and ensure regulatory compliance, while enhancing operational performance and revenue integrity.
The Senior Director leads the Financial Clearance Department, overseeing vital functions such as insurance verification, pre-registration, emergency and elective admissions screening, and financial counseling. This includes services for inpatient, outpatient, clinic, inter-institutional transfers, and international patients. The role collaborates across departments and with executive leaders to promote a high-functioning, consumer-focused financial experience.
This position also serves on the High-Risk Evaluation Committee and acts as a trusted advisor to:

• Transfer Services Department
• International Services Department
• Rehabilitation Division
• Institutional Affiliates

Responsibilities
Core Areas of Oversight Include

• Pre-Registration (Inpatient Services and Ambulatory Surgery)
• Registration (Clinic - New Registrations)
• Insurance Verification and Eligibility Determination
• Medicaid Eligibility and Enrollment
• Financial Counseling and Patient Advocacy
• Charity Care Program Compliance
• Self-Pay Receivables Management
• Vendor and Partner Relations
• Customer Service Excellence
• Outpatient Cashiering
• Adherence to Regulatory and Compliance Guidelines

Strategic Expectations and Enterprise Impact

• Enterprise Financial Leadership: Develop and implement financial access strategies that directly impact organizational revenue performance, bad debt reduction, and patient satisfaction metrics.
• Patient-Centered Design: Champion initiatives that prioritize a transparent, empathetic, and supportive financial journey for all patients-from point of entry to final resolution.
• Data-Driven Decision Making: Establish robust performance metrics and analytics to drive continuous improvement across patient financial services and to inform executive leadership decisions.
• Talent and Culture Development: Lead, mentor, and empower a high-performing team of managers, supervisors, and frontline staff, fostering a culture of accountability, innovation, and service excellence.
• Operational Excellence: Ensure accuracy and integrity in patient demographic data collection and insurance processing to support timely billing and reimbursement.
• Cross-Functional Collaboration: Partner with Patient Accounting and other departments to optimize front-end processes, minimize denials, and drive revenue cycle efficiency.

Key Outcomes of Success

• Enhanced patient satisfaction and financial transparency
• Measurable reduction in registration errors and patient complaints
• Decrease in uncompensated care through proactive eligibility screening and financial counseling
• Alignment with organizational goals and regulatory requirements
• Demonstrated leadership in enterprise-wide initiatives that advance access, equity, and financial stewardship

Qualifications

• Bachelors in business, Health Administration or related field. Masters preferred.
• 5-10 years Financial Clearance, Patient Access or Revenue Cycle Experience
• MS Office, Excel, EPIC

Compensation Statement
The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $169,075.00 - $253,643.00 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Non-Bargaining Unit, 518 - PFS 633 Third Avenue - MSH, Mount Sinai Hospital
About Us
Strength through Unity and Inclusion
The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.
At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.
About the Mount Sinai Health System:
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
Equal Opportunity Employer
The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.