A Registrar or Patient Service Representative provides direct assistance to patients at a health care or long term care facility. Answers questions and helps resolve complaints; provides liaison with health care providers; may assist with coordinating appointments or addressing billing or insurance issues.
On-site We are seeking an experienced Director of Patient Access & Revenue Cycle Services to lead hospital-wide Patient Access and Revenue Cycle operations. This is a high-impact leadership opportunity for someone who enjoys working across departments, improving processes, developing teams, and using data to drive measurable results. What You'll Do Lead and oversee Patient Access and Revenue Cycle teams , including registration and hospital-based revenue cycle functions. Set clear performance expectations and ensure teams meet or exceed established KPIs and financial goals . Monitor metrics such as registration accuracy, wait times, denial rates, collections, and bill hold days. Identify revenue cycle issues, determine root causes, and partner with Finance, Coding, Billing, Clinical, Revenue Integrity, and IT to implement solutions. Lead initiatives focused on denial reduction, revenue capture, upfront collections, and patient financial communication . Use Epic dashboards, reports, and work queues to monitor performance and improve registration accuracy and collections. Lead revenue cycle meetings and present KPI and financial performance reports to senior leadership. Oversee compliance with federal and state regulations, including Medicare Secondary Payer Questionnaire (MSPQ) requirements and Charity Care programs. Ensure staff receive appropriate training, education, and annual competency requirements. Manage staffing, budgeting, employee development, performance management, and day-to-day department operations. Lead process improvement and change initiatives that improve efficiency, financial performance, and the patient experience. Build strong relationships with leadership, physicians, clinical teams, and frontline staff. What We're Looking For We're looking for a balanced and confident leader who can hold teams accountable while remaining approachable and collaborative.
The ideal candidate:
Has experience leading Patient Access, Revenue Cycle, or hospital operations . Is comfortable working with KPIs and using data to drive improvements. Can identify problems and consistently develop solutions. Can clearly explain the "why" behind metrics and performance expectations . Works well with both senior leadership and frontline employees. Is comfortable leading change and holding teams accountable. Has strong communication, organizational, and problem-solving skills. Requirements High School Diploma or GED equivalent Knowledge of hospital registration and Patient Access Knowledge of federal/non-federal billing regulations and state programs such as Charity Care Medical terminology and strong computer skills
Preferred:
5+ years of management/leadership experience Bachelor's degree or equivalent experience Epic and hospital revenue cycle experience Experience managing KPIs and process improvement initiatives
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA). This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
