Financial Clearance Manager

Posted 4hrs ago

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Job Description

Mgr Financial Clearance managing daily operations and ensuring efficient patient processing and collection. Overseeing registration personnel with a focus on public health system excellence.

Responsibilities:

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.

Financial Clearance Manager

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Job Description

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UMass Memorial Health

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