Sr Mgr Financial Clearance
3 weeks ago
Overview:
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Reports to the Director, Financial Clearance, with responsibility for the operations of the Financial Clearance Department. Ensures that all phases of the financial clearance process are completed in a timely, accurate and efficient manner. Perform analysis of both financial and non -financial key performance indicators for reporting and trending purposes. Develops and maintains productivity standards for areas of direct responsibility, and monitors adherence. Participates regularly in the selection, training and motivation of employees as well as making managerial decisions regarding hiring, terminations, promotions and/or transfers. Lead with Patient Centered philosophy in mind and set example in every interaction with staff, patients, and families. Provide department leadership and direction. Keeps employees informed as to current hospital policies, procedures, and changes. Develops and maintains productivity standards for areas of direct responsibility, and monitors adherence.
EEO/AA/Disability/Veteran
- 1. Provides direction to the management team. Oversees the volume statistics, complexity of cases, and status in areas to ensure proper coverage and utilization of resources.
- 2. Develops and implements procedures to improve financial clearance process and establishes departmental standards to ensure activities related to the collection of authorizations and estimates in a courteous and professional manner.
- 3. Fosters relationship with clinical teams to develop policies and /or procedures affecting the financial clearance process for patients and address trends or root causes for concerning authorizations and estimates.
- 4. Provides revenue cycle performance denial reports, vacancy, and overtime analyses to explain variances and develops implementation strategies to provide solutions to unfavorable variances.
- 5. Participates regularly in the selection, training and motivation of employees as well as making managerial decisions regarding hiring, terminations, promotions and/or transfers. Keeps employees informed as to current hospital policies, procedures, and changes.
- 6. Drives the implementation of multiple business plans and projects by identifying customer and operational needs, developing, and communicating business plans and priorities, removing barriers and obstacles that impact performance, providing resources, identifying performance standards, and measuring and adjusting performance accordingly.
- 7. Ensures business needs are being met by evaluating the ongoing effectiveness of current plans, programs, and initiatives consulting with business partners, managers, co-workers, or other key stakeholders soliciting, evaluating, and applying suggestions for improving efficiency and cost-effectiveness.
- 8. Develops and maintains productivity standards for areas of direct responsibility, and monitors adherence.
- 9. Conducts regular performance reviews of employees as required. Reviews job performance standards with employees when necessary. Trains new employees and orients them regarding Hospital personnel policies and procedures. Implements new procedures as the need arises and encourages professional growth.
- 10. Participates in departmental and inter-disciplinary committees which influence or recommend policies and/or procedures affecting the registration process.
- 11. Lead with Patient Centered philosophy in mind and set example in every interaction with staff, patients, and families. Provide department leadership and direction.
Qualifications:
EDUCATION
A Bachelor's degree with major in Healthcare Administration, Finance, and/or Accounting CPA, or related field required, Master's preferred.
EXPERIENCE
Five (5) years or more of progressive experience in a managerial role of a large healthcare Revenue Cycle department with emphasis on financial clearance.
SPECIAL SKILLS
Proven abilities in leadership, initiative and sound judgment required. Excellent organizational, strong analytical & communication skills. Critical and creative thinking as well as ability to execute on the details. Ability to motivate and direct activities of a large and diverse staff. Lead with Patient Centered philosophy in mind and set example in every interaction with staff, patients, and families. Provide department leadership and direction.
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