Manager Financial Clearance

3 weeks ago

Danbury, Connecticut, United States Nuvance Health Full time

Description

Summary:

Manages and plans the activities of staff and supervisors within Financial Clearance for Nuvance East to accomplish accurate and complete collection of pre-registration, insurance, and authorization information and facilitate timely throughput across the Revenue Cycle.

Responsibilities:

1.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.

2.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.

3.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.

4.Assists in the preparation of reports and analyses, setting forth progress, and adverse trends and makes appropriate recommendations or conclusions.

5.Collaborates with the Director to implement management plans, and develops and recommends policies and procedures that impact specific areas of the organization.

6.Represents the Financial Clearance Department in meetings, on committees, and project teams.

7.Ensures resource management is in line with departmental needs based on expanded hours of operation and physical location of workplace.

8.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.

9.Provides department-specific training or assists in the delivery of training curriculum.

10.Ensures the highest quality and timely delivery of services and customer service standards of excellence.

11.Proactively works on denial prevention, denial coordination and denial recovery, with prevention being the focus.

12.Fulfills all compliance responsibilities related to the position.

13.Performs other duties as assigned.

Required: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.

Preferred: Certified Professional Coder from the American Academy of Professional Coders (AAPC).

Working Conditions:

Company: Western CT Health Network Inc

Org Unit: 1966

Department: Financial Clearance

Exempt: Yes

Salary Range: $40.43 - $75.10 Hourly

We are an equal opportunity employer

Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.

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