Note: The job is a remote job and is open to candidates in USA. Nuvance Health is a large not-for-profit health system serving residents of New York and Connecticut. The Manager of Financial Clearance is responsible for overseeing the financial clearance process, ensuring accurate collection of pre-registration and insurance information, and managing staff to achieve optimal performance.
Responsibilities
- Manages the activities involved in the pre-registration and financial clearance process, including collection of demographic and insurance information, eligibility and benefit verification, patient estimation, authorization, and pre-service collections
- Motivates supervisors and employees to achieve peak productivity and performance. Provides supervision to include hiring, conducting performance reviews, counseling, disciplinary action, and overseeing staff educational development
- Maintains liaisons with administrative and support personnel to coordinate efforts in resolving problems concerning scheduling, verification of information, and registration. Develops strong relationships with hospital departments, physician practices, and physicians to facilitate an effective financial clearance process
- Assists in the preparation of reports and analyses, setting forth progress, and adverse trends and makes appropriate recommendations or conclusions
- Collaborates with the Director to implement management plans, and develops and recommends policies and procedures that impact specific areas of the organization
- Represents the Financial Clearance Department in meetings, on committees, and project teams
- Ensures resource management is in line with departmental needs based on expanded hours of operation and physical location of workplace
- Plans and conducts meetings with subordinates to ensure compliance with established practices, to implement new policies and keep employees abreast of current changes and standards
- Provides department-specific training or assists in the delivery of training curriculum
- Ensures the highest quality and timely delivery of services and customer service standards of excellence
- Proactively works on denial prevention, denial coordination and denial recovery, with prevention being the focus
- Fulfills all compliance responsibilities related to the position
- Performs other duties as assigned
Skills
- Bachelor's Degree
- National Association of Healthcare Mgmt (NAHAM) certification (within 1 year of hire)
- Strong knowledge of revenue cycle workflows, best practices, and industry KPIs is essential
- Certified Professional Coder from the American Academy of Professional Coders (AAPC)
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