Mount Sinai Morningside
Director of Authorization-Patient Financial Services Mount Sinai Health System-C
Mount Sinai Morningside, New York, New York, us, 10261
Director of Authorization – Patient Financial Services – Mount Sinai Health System – Corporate 42nd Street – Full Time Days
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Description The Director Health System Authorization is accountable for authorization across the medical center and reports to the Senior Director Financial Clearance of the MSHS. This key leadership role oversees all aspects of authorization across inpatient, outpatient, professional and ambulatory care settings, ensuring accurate and timely patient authorization, insurance data collection, regulatory compliance, and front‑end revenue integrity.
Responsibilities
Direct daily operations of the patient authorization function for hospital, ambulatory care, and practice settings.
Ensure authorization workflows align with revenue cycle best practices to reduce claim denials, improve cash collections, and enhance clean claim rates.
Develop and implement policies and procedures that promote efficiency, data integrity, and regulatory compliance (e.g., HIPAA, CMS).
Monitor key performance indicators (KPIs) such as authorization accuracy, turnaround times, and patient scheduling delays due to pending authorizations; analyze trends and initiate performance improvement plans as needed.
Collaborate with departments such as billing, coding, IT, clinical operations, and compliance to ensure a seamless authorization process that expedites patient care.
Lead, coach, and mentor a team of managers, supervisors, and front‑line authorization staff; oversee training, performance evaluations, and staff development.
Maintain strong internal controls and audit readiness for all authorization‑related processes.
Support organizational goals related to patient satisfaction, clinical efficiency, and access to care.
Utilize revenue cycle and EHR systems effectively.
Organize routine meetings with health system business leaders and managed care teams to review authorization performance, payer issues, and denials.
Build effective, collaborative relationships with key stakeholders across departments (e.g., DTP, Human Performance, Managed Care, Finance, and clinical departments).
Collaborate with Finance, Managed Care, and DTP contributors to develop and operationalize optimal authorization performance and trending.
Provide leadership and support governance processes to ensure effective, efficient, standardized, and compliant practices across MSHS.
Investigate and resolve denials; coordinate efforts to assist senior revenue cycle leaders in developing innovative strategies and solutions.
Work closely with clinical leaders and department administrators to provide education, industry best practices, and recommendations on authorization and insurance verification.
Establish and maintain strong working relationships with Revenue Cycle leaders, hospital and department leaders, and key strategic partners.
Maintain a strong understanding of revenue performance metrics and payer mix; lead the team in building plans to support operational departments in achieving best practice performance through analytics, process improvement, and technology enhancements.
Maintain strong customer relationships with key strategic partners.
Ensure appropriate functional strategic partners are engaged throughout the process.
Monitor and provide regular reporting to senior management on key performance metrics (e.g., actual vs. expected results for financial targets).
Bring developing issues and recommended actions to the attention of senior leadership and governance committees.
Develop, maintain, and ensure compliance with standardised policies, processes, and programmes across MSHS.
Develop a high‑performing team, measured by benchmark process outcomes, audit and compliance results, financial goals, and employee satisfaction.
Stay current with government regulations regarding patient access, authorization, and insurance.
Establish goals, objectives, and budgets for assigned areas; monitor and manage to ensure achievement once approved.
Ensure all HIPAA privacy and security standards are adhered to.
Conform to established policies, procedures, processes, and standards of behaviour; ensure assigned staff do the same.
Perform other duties as assigned.
Qualifications Education
Bachelor's degree in finance or a business‑related field; Master's preferred.
Experience
5 years of progressively responsible experience in patient access that includes registration, financial clearance and insurance verification.
Extensive demonstrated success in a revenue cycle/finance department in a large not‑for‑profit/academic health system facility or corporate environment.
Excellent interpersonal skills, experience presenting to and dealing with senior management and other C‑suite leaders.
Financial management skills, including the ability to analyse financial data for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing, and financial reporting.
Strong leadership skills to motivate cross‑departmental teams and drive performance towards excellence using consensus‑building management styles.
Advanced effective interpersonal, written/ verbal communication and presentation skills, and the ability to communicate complex finance concepts to non‑finance stakeholders.
Ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/or agendas, leading to outcomes that meet identified goals.
Ability to analyse and resolve complex problems and develop and administer multifaceted revenue processes, even when the issues originate in areas under indirect control.
Ability to enlist cooperation and build teams committed to initiatives in organisations resistant to change and not under direct authority.
Ability to translate key performance indicator levels into a finance‑based business case, then design, implement and manage more efficient processes.
Ability to maintain a high level of positive energy and creativity during periods of elevated work demands.
Ability to prioritise multiple objectives in a rapidly changing environment and deliver quality outcomes.
Ability to develop and maintain effective relationships at all levels throughout the organisation.
Working Conditions Corporate office environment in an academic health system.
Employer Description Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally.
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, colour, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status or any other characteristic protected by law.
Compensation Salary range: $127,044 – $190,565 annually. Actual salaries depend on experience, education and operational need. The range does not include bonuses, incentive, differential pay or other benefits.
Job Details
Seniority level: Director
Employment type: Full‑time
Job function: Finance and Sales
Industry: Hospitals and Health Care
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Description The Director Health System Authorization is accountable for authorization across the medical center and reports to the Senior Director Financial Clearance of the MSHS. This key leadership role oversees all aspects of authorization across inpatient, outpatient, professional and ambulatory care settings, ensuring accurate and timely patient authorization, insurance data collection, regulatory compliance, and front‑end revenue integrity.
Responsibilities
Direct daily operations of the patient authorization function for hospital, ambulatory care, and practice settings.
Ensure authorization workflows align with revenue cycle best practices to reduce claim denials, improve cash collections, and enhance clean claim rates.
Develop and implement policies and procedures that promote efficiency, data integrity, and regulatory compliance (e.g., HIPAA, CMS).
Monitor key performance indicators (KPIs) such as authorization accuracy, turnaround times, and patient scheduling delays due to pending authorizations; analyze trends and initiate performance improvement plans as needed.
Collaborate with departments such as billing, coding, IT, clinical operations, and compliance to ensure a seamless authorization process that expedites patient care.
Lead, coach, and mentor a team of managers, supervisors, and front‑line authorization staff; oversee training, performance evaluations, and staff development.
Maintain strong internal controls and audit readiness for all authorization‑related processes.
Support organizational goals related to patient satisfaction, clinical efficiency, and access to care.
Utilize revenue cycle and EHR systems effectively.
Organize routine meetings with health system business leaders and managed care teams to review authorization performance, payer issues, and denials.
Build effective, collaborative relationships with key stakeholders across departments (e.g., DTP, Human Performance, Managed Care, Finance, and clinical departments).
Collaborate with Finance, Managed Care, and DTP contributors to develop and operationalize optimal authorization performance and trending.
Provide leadership and support governance processes to ensure effective, efficient, standardized, and compliant practices across MSHS.
Investigate and resolve denials; coordinate efforts to assist senior revenue cycle leaders in developing innovative strategies and solutions.
Work closely with clinical leaders and department administrators to provide education, industry best practices, and recommendations on authorization and insurance verification.
Establish and maintain strong working relationships with Revenue Cycle leaders, hospital and department leaders, and key strategic partners.
Maintain a strong understanding of revenue performance metrics and payer mix; lead the team in building plans to support operational departments in achieving best practice performance through analytics, process improvement, and technology enhancements.
Maintain strong customer relationships with key strategic partners.
Ensure appropriate functional strategic partners are engaged throughout the process.
Monitor and provide regular reporting to senior management on key performance metrics (e.g., actual vs. expected results for financial targets).
Bring developing issues and recommended actions to the attention of senior leadership and governance committees.
Develop, maintain, and ensure compliance with standardised policies, processes, and programmes across MSHS.
Develop a high‑performing team, measured by benchmark process outcomes, audit and compliance results, financial goals, and employee satisfaction.
Stay current with government regulations regarding patient access, authorization, and insurance.
Establish goals, objectives, and budgets for assigned areas; monitor and manage to ensure achievement once approved.
Ensure all HIPAA privacy and security standards are adhered to.
Conform to established policies, procedures, processes, and standards of behaviour; ensure assigned staff do the same.
Perform other duties as assigned.
Qualifications Education
Bachelor's degree in finance or a business‑related field; Master's preferred.
Experience
5 years of progressively responsible experience in patient access that includes registration, financial clearance and insurance verification.
Extensive demonstrated success in a revenue cycle/finance department in a large not‑for‑profit/academic health system facility or corporate environment.
Excellent interpersonal skills, experience presenting to and dealing with senior management and other C‑suite leaders.
Financial management skills, including the ability to analyse financial data for operations, budgeting, auditing, forecasting, accounting, AR and reserve analysis, market analysis, staffing, and financial reporting.
Strong leadership skills to motivate cross‑departmental teams and drive performance towards excellence using consensus‑building management styles.
Advanced effective interpersonal, written/ verbal communication and presentation skills, and the ability to communicate complex finance concepts to non‑finance stakeholders.
Ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/or agendas, leading to outcomes that meet identified goals.
Ability to analyse and resolve complex problems and develop and administer multifaceted revenue processes, even when the issues originate in areas under indirect control.
Ability to enlist cooperation and build teams committed to initiatives in organisations resistant to change and not under direct authority.
Ability to translate key performance indicator levels into a finance‑based business case, then design, implement and manage more efficient processes.
Ability to maintain a high level of positive energy and creativity during periods of elevated work demands.
Ability to prioritise multiple objectives in a rapidly changing environment and deliver quality outcomes.
Ability to develop and maintain effective relationships at all levels throughout the organisation.
Working Conditions Corporate office environment in an academic health system.
Employer Description Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally.
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, colour, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status or any other characteristic protected by law.
Compensation Salary range: $127,044 – $190,565 annually. Actual salaries depend on experience, education and operational need. The range does not include bonuses, incentive, differential pay or other benefits.
Job Details
Seniority level: Director
Employment type: Full‑time
Job function: Finance and Sales
Industry: Hospitals and Health Care
#J-18808-Ljbffr