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Form of workJob Description
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
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
SUBMISSION REQUIREMENTS
By submitting your applicant to this need you are acknowledging that you have checked and have no inclination that your candidate has applied directly to this position. Any candidate that has applied directly is not eligible to be onboarded through and agency.
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
ABOUT THE FACILITY
Bay Area Hospital in Coos Bay, Oregon offers comprehensive medical services for people of all ages. Health and wellness services in pediatrics, childbirth and obstetrics, gynecology and female health, cancer diagnosis and treatment in oncology, diabetes and kidney disease treatment, geriatric medicine and services for the elderly and disable, emergency medicine, and a full range of specialty medical services.
Hospital Benefit: They have an in-house Nurse Practitioner in Employee Health Department that sees only employees and their dependents.
From small companies to major corporations, our boutique staffing agency is in the business of connecting people – and we never forget it. That’s what makes us Cerebral.
