JOB DETAILS
8 hours shift
Day shift
Manager Financial Clearance
Provides oversight and direction for Financial Clearance Teams (Hospital and Clinic Pre-Registration and Prior Authorization, and Financial Counseling).
Manages pre-registration, insurance and benefit verification, prior authorization, and financial counseling supervisors for efficiency and effectiveness, monitors, benchmarks, and performance statistics.
Interacts with all Leaders of the service line for which the Manager is accountable (hospital and clinic).
Works with individual departments, providers, and staff to support the goals and protocols of revenue cycle workflow and revenue-affecting tasks.
Partners with Payor Relations to identify payor issues and trends hospital-wide.
SKILLS AND ABILITIES:
Knowledge of relevant Hospital Policies, Practices, and HIPAA regulations.
Knowledge of Registration (Epic) and billing systems (Epic) and databases or other revenue cycle technologies.
Knowledge of Governmental and non-government requirements applicable to patient financial clearance processes.
Knowledge of Current knowledge of third-party payer rules and regulations.
Knowledge of ICD-10 and CPT coding.
Knowledge of medical terminology.
Ability to communicate well with patients.
Problem-solving abilities, prioritizing, multi-task, meeting deadlines, and adapting to changing priorities.
Strong organization and decision-making abilities.
Ability to work independently with strong follow-up skills to ensure effective and efficient completion of tasks.
Effective interpersonal skills and professional conduct and ability to maintain effective working relationships with all patients, employees, faculty, and upper management.
Ability to facilitate groups.
Demonstrated written and verbal communication skills.
Ability to receive and disseminate information effectively and appropriately, reviewing and acknowledging unit communication.
Ability to apply project management protocols for efficient workflows.
Ability to manage multiple projects in a timely and efficient manner.
Proficient in Microsoft Excel, Word, Project, or other spreadsheet and/or word processing software.
Ability to collect, organize, and analyze data to implement appropriate countermeasures.
Ability to provide leadership in problem identification and issue resolution.
Ability to analyze revenue write-off data and identify trends and opportunities and the ability to present such data to a variety of audiences.
REQUIREMENTS:
EDUCATION/CERTIFICATIONS/LICENSES/DEGREES:
Bachelor's degree in Business Administration, Health Care Administration, Public Health, or Related Field of Study required.
EXPERIENCE:
2 to 5 years of experience with computerized hospital, clinical, and financial systems required.
Experience with Pre-Registration and Prior Authorization activities required.
5 to 7 years of supervisory or management experience in a healthcare setting or related field required; progressive management responsibility required.
Experience with team/culture building for a large department required.
STATE LICENSE REQUIREMENTS:
Oregon
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