*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, meet deadlines and adapt 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
*Physical/Mental/Environmental Requirements*
* Requires extensive sitting with periodic standing and walking
* May be required to lift up to 20 pounds
* Requires significant use of personal computer, phone and general office equipment
* Needs adequate visual acuity, ability to grasp and handle objects
* Needs ability to communicate effectively through reading, writing, and speaking in person or telephone
* May require off-site travel
*SUBMISSION 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’ experience with computerized hospital, clinical and financial systems Required
* Experience with Pre-Registration and Prior Authorization activities Required
* 5 to 7 years 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
Job Type: Full-time
Pay: $68,790.
00 - $87,000.
00 per year
Schedule:
* 8 hour shift
* Day shift
* Monday to Friday
* On call
* Weekends as needed
Education:
* Bachelor's (Required)
Experience:
* computerized hospital, clinical and financial systems: 5 years (Required)
* Pre-Registration and Prior Authorization activities: 1 year (Required)
* supervisory or management experience in a healthcare setting: 5 years (Required)
* team/culture building for a large department: 1 year (Required)
Ability to Commute:
* Coos Bay, OR (Required)
Ability to Relocate:
* Coos Bay, OR: Relocate before starting work (Required)
Work Location: In person