Financial Clearance Manager

Role Overview

• Under the general direction of the Director of Financial Clearance, manages the daily operation of assigned area within Patient Access Services.
• Performs a variety of complex duties and management of Financial Clearance and/or registration personnel and activities to ensure the efficient processing of patients and collection of patient liabilities.
• Coordination of daily activities for Patient Access Services, including but not limited to scheduling of staff, maintenance of workqueues, and statistical reporting.
• Designs, monitors and implements registration, referral and verification guidelines, as well as collection of patient liabilities to ensure an accurate and efficient process for Patient Access Services.
• Ensures scheduling verification, referral and pre-arrival registration processes are integrated and accurate information flows on a timely basis.
• Sustains the Avaya (call center server application) service level standards by monitoring and analyzing volume and staffing levels and making adjustments as required.
• Works closely with ambulatory services senior management, physicians, clinical leaders and other departments to ensure harmonious relationship and atmosphere of teamwork.
• Oversees and monitors workqueues and reports for Patient Access Services.
• Monitors the registration and financial clearance process to ensure high quality customer service.
• Ensures the financial clearance process is completed timely and accurately prior to patient arrival whenever possible.
• Monitors workqueues and reports to ensure follow-up when financial clearance is not obtained prior to patient arrival.
• Manages workqueues and reports to ensure appropriate productivity and quality standards are achieved.
• Manages all applicable escalation workqueues.
• Oversees collection of patient liabilities as appropriate.
• Position is a working managerial position. May act as Patient Access Representative, Financial Clearance Representative, and/or Registration Representative when necessary.
• Ensures compliance with EMTALA regulations (Emergency Medical Treatment and Labor Act).
• Ensures that department complies with UMMHC established policies, quality assurance programs, safety, and infection control policies and procedures.
• Ensures adequate equipment and supplies for department.
• Assists Director in development and maintenance of departmental policies, procedures and objectives.
• Finalizes, signs off and submits payroll on a weekly basis as applicable.
• Ensures compliance to all health and safety regulations and requirements.
• Ensures strict standards of patient confidentiality are met.
• Organizes and maintains clear channels of communication with staff.
• Exhibits appropriate communication with all levels of personnel.

Requirements

• Bachelor’s Degree in Business, Healthcare or related field.
• Minimum of 2 years’ managerial experience in Registration, Scheduling, and/or Insurance Verification processes required.
• Flexibility of schedule required.
• Holiday and/or weekend shift work, as well as after-hours coverage as required.
• Demonstrated leadership ability, initiative, teamwork and assertiveness required.
• Excellent communication and analytical skills.
• Strong organization skills.
• Excellent interpersonal skills.
• Demonstrated expertise in area of responsibility as well as the ability to solve complex problems.
• Complete understanding of third party payor and managed care requirements, procedures and regulations.
• Complete understanding of primary, secondary and tertiary insurance requirements, procedures and regulations.
• Face-to-face and telephone customer service skills and experience.
• Ability to effectively communicate with a variety of internal and external customers.
• Ability to receive and express detailed information through oral and written communications.
• Ability to work in high volume, team-oriented environment.
• Ability to take directions and work independently.
• Ability to use specialized applications software and computers systems for patient registration and scheduling.

Benefits

• This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.