Manager - Financial Clearance

Manager - Financial Clearance

*Please note: this position is located at Bay Area Hospital - Coos Bay, OR

Time Type:
Full time
Hours per Pay Period:
80
Shift:
Day Shift
Average rate:
Depending on Experience(This represents the rate for an individual with significant experience in this job in a full-time 40 hour per week position)

Department:
Revenue Cycle

Current Bay Area Hospital Employee: If you are a current Bay Area Hospital employee, please apply through the Workday internal career site.

The future looks bright at Bay Area Hospital, and we are always searching for quality people to join our team. We offer a great atmosphere, competitive pay, a wide array of benefits, and many growth opportunities for our employees.

Job Description:
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

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

GENERAL INFORMATION

Union Affiliation: None

The above statements are intended. to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities and job skills required.

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

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Compensation Grade:
G

Compensation Grade Profile:
G - Salaried

Bay Area Hospital is an Equal Opportunity Employer.

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