Overview
Manager Financial Clearance / Registration
40 hours per week, day shift
JOB SUMMARY: Plans, organizes, directs, staffs and controls a wide range of operations and activities pertaining to financial clearance or registration, including patient registration, insurance verification, authorizations, point of service collection and financial counseling referrals. Provides daily direction and leadership to supervisors and staff and is responsible for developing and administering new programs and services to support the goals and objectives of the organization.
EDUCATION/EXPERIENCE: Bachelor's degree in Healthcare Management or related field with two years? experience in healthcare provider finance operations or similar environment; or, an equivalent combination of education and experience. Experience working as a Supervisor or Lead preferred.
LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A
ESSENTIAL FUNCTIONS:
1. Maintains a high performance work environment characterized by positive relationships and a strong orientation to quality patient care.
2. Accomplishes the departments human resource objectives by recruiting, selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation actions; enforcing policies and procedures.
3. Achieves operational objectives by contributing information and analysis to functional strategic plans and reviews; preparing and completing action plans; implementing production, productivity, quality, and customer-service standards; identifying and resolving problems; completing audits; determining system improvements; implementing change.
4. Meets financial objectives by estimating requirements, prepares an annual budget, schedules expenditures, analyzes variances, and implements corrective actions.
5. Maximizes revenues by providing information and commentary pertinent to administrative deliberations on short-term and long-range patient-pay and third-party reimbursement issues, recommends options, and implements revenue-generating programs.
6. Achieves quality standards by designing, establishing, and maintaining procedures and policies to assure leading practice in the Revenue Cycle.
7. Assures accuracy of patient data and fiscal information by reviewing audits and other reports of patient data and fiscal information.
8. Identifies pertinent revenue cycle trends by maintaining various categories of utilization statistical data within internal reporting systems.
9. Keeps patients, relatives, visitors, staff and other key stakeholders informed by interpreting and communicating admitting rules, regulations, policies, and procedures.
10. Serves and protects the hospital community by ensuring adherence to professional standards, hospital policies and procedures, federal, state, and local requirements, and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.
11. Maintains professional and technical knowledge by attending educational workshops and conferences, reviews professional publications; establishes personal networks, and participates in professional societies.
12. Accomplishes the hospital's goals by accepting ownership for accomplishing new and different requests, and exploring opportunities to add value to job accomplishments.
SKILLS/QUALIFICATIONS:
- Excellent interpersonal skills to communicate effectively with patients, physicians and other hospital staff members, exercising a high degree of tact and poise
- Ability to direct activities of the department by motivating and facilitating staff professional growth and development successfully Analytical skills
- Ability to facilitate data collection, communicate policies and procedures, interpret and relate federal and state regulatory changes
- Knowledge of continuous quality improvement and customer focus methods and processes
- Ability to establish priorities and make decisions quickly under pressure
- Proficient in Microsoft Office applications and ADT
WORK ENVIRONMENT:
- Clean, well-lit, comfortable, office environment
- May involve dealing with angry or upset people
- Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergencies
- Able to manage exposure to potentially infectious material per OSHA guidelines effectively
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