Employment Type
Full time
Shift
Day Shift
Description
• *Role is on-site at Loyola Medicine Hospitals and Clinics**
The Financial Clearance Manager is responsible for overseeing the comprehensive management of the Financial Clearance department, including daily operations, process improvement, strategic planning, and quality assessment. This role ensures efficient and effective operations by leading efforts related to pre-certification, insurance verification, and securing financial clearance for all patient services. The Financial Clearance Manager will develop and manage workflows, staff, and technology to ensure that third-party, governmental, or patient payment sources are established before services are rendered, thereby reducing write-offs, increasing collections, and enhancing customer satisfaction. The ideal candidate will have a strong background in healthcare financial management, with the ability to lead and inspire teams, analyze complex data, and drive performance improvements to achieve departmental and organizational goals.
Position Responsibilities
Operational Leadership:
• Provide leadership and direction for all office activities related to pre-certification, insurance verification, and financial clearance for patient services.
• Develop, implement, and maintain departmental workflows, ensuring operational efficiency and effectiveness.
• Manage and support the Financial Clearance team, including the supervisors, in daily operations and long-term planning.
Strategic Planning And Process Improvement
• Develop and implement strategic plans to optimize departmental performance and align with organizational goals.
• Analyze performance data to identify areas for improvement and implement process enhancements to increase productivity and quality.
• Design and manage departmental dashboards to monitor and report on key performance indicators (KPIs), utilizing data to inform decision-making and resource allocation.
Financial And Human Resource Management
• Oversee the financial performance of the department, including budget development, expense management, and financial forecasting.
• Lead recruitment, training, and development efforts for departmental staff, ensuring a high level of competency and engagement.
• Conduct regular performance evaluations, provide feedback and coaching, and foster a positive and collaborative team environment.
Quality Assessment And Compliance
• Ensure compliance with all relevant policies, procedures, and regulatory requirements, including Medicare, Medicaid, and the Fair Patient Billing Act.
• Lead quality assessment initiatives to continually evaluate and improve departmental performance and patient satisfaction.
• Develop and maintain reporting systems to track quality, productivity, and overall performance.
Program Design And Implementation
• Design and implement new programs and services to enhance financial clearance processes and support patient access to care.
• Collaborate with other departments, such as Patient Access, Revenue Cycle, and Clinical Services, to integrate financial clearance processes into overall patient care workflows.
Stakeholder Engagement
• Build and maintain relationships with key stakeholders, including clinical departments, insurance providers, and social service agencies.
• Serve as a resource and advocate for patients, ensuring they have access to the financial resources and information needed to receive care.
Position Requirements
Minimum Education:
• Required: Bachelor’s Degree in Business Administration, Healthcare Administration, or related field.
• Preferred: Master’s Degree in Business Administration, Healthcare Administration, or related field.
Minimum Experience
• Required: 3-5 years of previous job-related experience in healthcare financial services or revenue cycle management.
• Managerial Experience: 3-5 years of leadership experience, with demonstrated ability to manage teams and complex operations within a healthcare setting.
Knowledge And Skills
• Comprehensive understanding of insurance verification, pre-certification, and financial clearance processes.
• Strong analytical and problem-solving skills, with the ability to interpret complex data and develop actionable strategies.
• Excellent leadership, communication, and organizational skills.
• Proficiency in Microsoft Office Suite (Excel, Word, Outlook, PowerPoint); experience with EPIC or other electronic health records (EHR) systems is preferred.
Magis & Service Excellence Accountabilities
• Demonstrate commitment to Loyola Medicine’s values of Care, Concern, Respect, and Cooperation through teamwork and effective communication.
• Maintain an environment of service excellence and high-quality outcomes, ensuring patient safety and satisfaction.
Our Commitment To Diversity And Inclusion
Loyola Medicine is committed to building a culturally diverse community and fostering an environment of inclusivity and respect. We encourage all qualified individua
Location: Maywood, IL
Posted: Oct. 11, 2024, 4:21 p.m.
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