DIRECTOR, BUSINES OFFICE & HEALTH INFORMATION FT

About Legent Health

At Legent Health, our mission is simple yet profound: “To provide first-class health care that puts YOU first.”

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.”

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 Role The Director, Business Office & Health Information Management leads the front end of the revenue cycle and the health information functions for Legent

 Health's Carrollton hospital system. This role owns patient access, scheduling, health information management (HIM), front-end collections, and charge capture, and partners 

closely with the back-end billing and collections team to ensure a clean, efficient, end-to-end cash cycle. The Director is accountable for accurate patient throughput, complete 

and compliant documentation and charge capture, strong point-of-service collections, and a seamless patient financial experience — building standardized workflows and 

developing staff across the system.

POSITION’S ESSENTIAL RESPONSIBILITIES: 

Patient Access & Scheduling

• Lead registration, insurance verification, eligibility, and prior authorization to ensure procedures are financially cleared before service.
• Oversee scheduling workflows and coordination with clinical and surgical teams to optimize throughput and minimize access-driven denials and delays.
• Own patient estimates, financial counseling, and price-transparency compliance.

Front-End Collections

• Drive point-of-service and pre-service collections; set targets and coach staff on patient financial conversations.
• Establish upfront collection policies that improve cash while protecting the patient experience.

Health Information Management (HIM)

• Oversee medical records, chart completion, release of information, and record integrity across the system.
• Ensure HIM practices meet regulatory, accreditation, privacy (HIPAA), and retention requirements.
• Coordinate with coding to support timely, accurate documentation and DRG/charge accuracy.

Charge Capture & Revenue Integrity

• Own front-end charge capture accuracy and completeness; identify and close revenue leakage.
• Partner with clinical departments on documentation and charge reconciliation to support correct reimbursement, including DRG-driven cases.

Back-End Coordination & System Efficiency

• Serve as the front-end partner to the back-end billing and collections team, aligning workflows so claims go out clean and denials are prevented at the source.
• Track and act on shared KPIs (clean-claim rate, denial rate, days in AR) and lead root-cause resolution of front-end-driven denials.
• Drive continuous improvement across the full cycle to reduce cost to collect and shorten the cash cycle.

Compliance

• Ensure access, HIM, charge capture, and collection practices comply with federal and state regulations, payer requirements, HIPAA, price-transparency rules, and applicable Stark/AKS considerations.

Leadership

• Recruit, develop, and manage patient access, scheduling, HIM, and front-end collection staff and supervisors.
• Build training, QA, and performance standards; provide executive-level reporting and revenue cycle narrative for leadership.
• Set clear goals and expectations; provide regular coaching, feedback, and performance reviews.
• Develop talent through mentoring, training, and career development initiatives.
• Promote a collaborative and engaging work environment that aligns with company values.
• Manage conflict and make timely decisions to maintain team focus and performance.
• Conduct regular one-on-one meetings, performance reviews, and development conversations.
• Approve timecards, schedule, time-off requests, and other administrative HR functions.
• Ensure compliance with company policies, labor laws, and safety regulations.

POSITION REQUIREMENTS:

• Key Performance Indicators
• Financial clearance/Authorization Rate
• Point-of-service collections
• Clean-claim rate
• Front-end denial rate
• Days in AR (shared)
• Chart completion/HIM turnaround
• Charge capture accuracy
• Patient financial experience 

 

EDUCATION AND EXPERIENCE REQUIREMENTS: 

• Bachelor's degree in health information management, healthcare administration, business, finance, or a related field (or equivalent experience).
• 5+years of progressive revenue cycle, patient access, or HIM leadership, including 2+years managing teams.
• Working knowledge of hospital patient access, scheduling, HIM, charge capture, and front-end collections, and how they feed back-end billing.
• Strong command of payer processes, denials prevention, HIPAA, and revenue cycle KPIs
• Proven ability to standardize workflows and lead teams to measurable results.
• Preferred
• Experience in a surgical hospital and/or ASC environment required.
• RHIA or RHIT (for HIM depth) and/or CRCR, CHFP, or comparable revenue cycle certification.
• Familiarity with DRG-based reimbursement, price transparency, value-based arrangements, and Start/AKS.
• Proficiency with EHR, practice management, patient-access, and charge/reporting platforms.

Why Join Legent Health?

Legent Health fosters an environment where team members are empowered to deliver exceptional care while growing professionally within a supportive, values-driven culture.

We Offer:

• Competitive salary and performance incentives
• Comprehensive benefits package
• Paid time off and wellness programs
• Career development and training opportunities

Equal Employment Opportunity (EEO) Statement

Legent Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status, or any other legally protected characteristic.

I-9 and E-Verify Compliance:
 Employment eligibility will be verified through the U.S. Department of Homeland Security’s E-Verify system. All applicants must provide valid documentation to establish identity and authorization to work in the United States, as required by federal law.