Financial Verification Manager
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Job Description
Financial Verification Manager responsible for oversight of financial verification processes within CHN. Leading a team to enhance health equity and collaboration across functions.
Responsibilities:
- Supervises a Financial Verification Supervisor and a team of Financial Verification Specialists to ensure all administrative and technical functions of financial verification are being handled efficiently and effectively
- Maintain competence to resolve direct consumer interactions; some interactions may include the following: *determine eligibility for services, provide price estimates and/or guarantees for scheduled services, create and maintain payment plans, field inquiries about statements and Explanations of Benefits (EOB), provide financial assistance, address patient complaints *
- Ensure the financial verification team is appropriately staffed with trained employees
- Serve as a liaison with the patients, providers, and payers related to financial verification issues
- Act as an advocate for the patient, provider, and CHN relative to compliance with federal, state, and third-party regulatory requirements
- Demonstrate an elevated level of integrity and innovative thinking and actively contribute to the success of the organization
- Participate in the development and implementation of CHN’s improvement and operations initiatives
- Measure and coach on departmental productivity, performance, and improvement opportunities
- Hire, direct, coach, and check the performance of all direct reports, to develop and support a high-performance team that meets organizational and department goals
- Problem-solve escalated concerns from CHN member affiliate health centers and/or patients
- Drive innovation with our front-end method and processes to lower operational costs and improve AR (Accounts Receivable), transaction times, screening rates, and approval rates with our affiliate partners
- Work with CHN leadership in development of short- and long-term business and strategic plans and organizational structure within the Patient Access center
- Execute efforts to drive financial clearance activities toward data driven operations
- Work and build trust across cultural differences
- Creates and promotes a culture of continuous improvement
- Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations
- Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community
- Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
- Supplies positive and development feedback and accountability related to practices including, but not limited to, equity
Requirements:
- Bachelor’s degree and/or higher-education level or completed coursework in business or health services administration, or equivalent experience
- 3 years of Revenue Cycle experience with a specialized focus on Financial Clearance
- Proven experience with staff recruiting and management
- Strong and broad understanding of Revenue Cycle Operations within a healthcare setting
- Mathematical/analytical aptitude, ability to translate operational concepts into measurable results, and vice versa
- Strong communications and leadership skills, while acting as a role model and coaching team members
- Strong analytical and problem-solving abilities
- Proficiency with Microsoft software (Excel, etc.)
- Demonstrated ability to maintain a customer-centric service approach
- Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN, if necessary
- Strong attention to detail and follow-up; and ability to effectively prioritize deliverables
- Demonstrated dedication to Planned Parenthood’s mission, vision, and values
- Strong interpersonal skills and the ability to build relationships
- Excellent time management and problem-solving skills
- Willingness to travel in accordance with the needs of the position, as outlined in the essential functions. Compliance with all CHN travel policies, including safety guidelines while operating a personal vehicle
Benefits:
- Health Care Coverage (Medical, Dental, & Vision); eligibility for full-time, regular employees on date of hire
- Flexible Spending Accounts and Health Savings Account
- Short-Term Disability and Basic Life & AD&D Insurance provided by CHN
- Voluntary elections for Long Term Disability and Additional Life & AD&D Insurance available at cost
- Employee Assistance Program
- Retirement Plan, 3% employer match after one year of service
- Paid Time Off Program includes accrual-based PTO, Health Time Off (HTO), and nine (9) paid Holidays
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