Senior Manager Financial Clearance - REMOTE

POSITION SUMMARY:

(Briefly describe the overall purpose of this position - Why does it exist and how does it contribute to the overall organization?)

Under the direction of the Executive Director of Financial Clearance, the Senior Manager provides strategic leadership direction and oversight to the Financial Clearance and Pre-registration teams with an operational focus on efficiencies that are truly metric and goal driven.

KEY RESPONSIBILITIES:

(Use bullets for specific responsibilities)

1. Monitor and report on key metrics, including but not limited to: secure rates, days out, authorization initiate to complete, secured rates, no authorization denial trends, call center metrics, and department productivity. Proactively perform root cause analyses and develop action plans when metrics do not meet internal goals or industry best practices. Complete monthly trending analyses and present to senior director
2. Develop and monitor adherence to specific goals, performance standards, and policies & procedures for each area of responsibility. Define, implement, and manage clear quality and productivity standards across all areas of responsibility.
3. Stay abreast of third-party payer and government guidelines as well as company policies and procedures to ensure compliance related to all areas of responsibility. Proactively implement operational changes and provide timely staff education to maintain adherence. Collaborate with legal and compliance departments on matters that impact access services.
4. Maintain deep understanding of key processes within both Financial Clearance and Pre-registration
5. Maintain detailed understanding of dashboard management; including system functionality, workflows, and reporting.
6. Collaborate with physician and hospital leadership to streamline processes that impact the authorization and referral or financial clearance of an account. Regularly round and seek feedback from stakeholders impacted by Financial Clearance Department.
7. Develop and implement strategies to improve employee engagement. Actively participate with direct reports on employee engagement and in succession planning and developing career advancement
8. Work with Human Resources (HR) to address staffing issues including open positions, FMLA leaves of absence and individual performance problems
9. Attend JOC meetings, Hospital Denial/Revenue Meetings, Hospital Strategic Performance Improvement meetings
10. Provides appropriate oversight of operations to ensure achievement of daily, weekly, and longer term goals. Provides appropriate coaching and feedback to ensure continuous improvement.

REQUIRED KNOWLEDGE & SKILLS:

(Examples: Ability to work independently and take initiative; Good judgment and problem solving skills; Communication skills; Interpersonal and organizational skills; Level of confidentiality)

1. Attention to detail, and advanced writing and presentation skills for communicating across a variety of stakeholders;
2. Proven project and time management skills with a demonstrated ability to prioritize among projects, successfully complete tasks assigned, and meet deadlines;
3. Training experience;
4. Proven system implementation experience;
5. Strong leadership and relationship-building skills;
6. Previous experience managing staff;
7. Willingness and flexibility to travel within the United States; and
8. Revenue Operations experience, including Patient Access, Registration, Scheduling and Charge Capture.