MGR-PATIENT FIN CLEARANCE (Insurance Verification) (Remote)
About the position
The Manager-Patient Financial Clearance is responsible for overseeing the patient financial clearance functions, including pre-registration, payer authorization, and financial counseling. This role ensures optimal performance of the front-end patient financial clearance process and revenue cycle, maintaining data quality and compliance with regulations. The manager leads a team to secure patient information, insurance coverage, and payment collections, ultimately aiming to reduce bad debt and enhance net revenues for Stanford Health Care.
Responsibilities
Plan, organize, lead, and direct patient financial clearance functions.
,
Ensure efficient performance of financial clearance tasks including pre-registration and payer authorization.
,
Maintain data quality for pre-registration and financial counseling activities.
,
Gather patient information accurately and timely, securing insurance coverage limits and benefits.
,
Provide financial clearance services to patients and families from initial contact through charging.
,
Develop and implement staff training and competency requirements.
,
Monitor and improve performance in quality, accuracy, productivity, and timeliness of financial clearance processes.
,
Collaborate with other departments to standardize and optimize patient financial clearance processes.
,
Ensure compliance with regulatory and accrediting agency requirements.
,
Identify revenue cycle issues and lead root cause analysis for problem resolution.
Requirements
Bachelor's degree in accounting, finance, business administration, health care administration, or a related field.
,
Five years of experience in revenue cycle management in a healthcare setting.
,
Knowledge of HIPAA regulations and hospital policies.
,
Proficiency in Microsoft Excel, Word, and Project.
,
Strong communication and interpersonal skills.
,
Ability to analyze data and identify trends in revenue write-offs.
Nice-to-haves
Experience with Epic registration and billing systems.
,
Knowledge of ICD-9 and CPT coding.
,
Project management experience.
Benefits
Competitive salary range of $54.22 - $71.84 per hour.
,
Full-time remote work opportunity.
,
Comprehensive health insurance options.
,
Retirement savings plan with company matching contributions.
Apply Now
The Manager-Patient Financial Clearance is responsible for overseeing the patient financial clearance functions, including pre-registration, payer authorization, and financial counseling. This role ensures optimal performance of the front-end patient financial clearance process and revenue cycle, maintaining data quality and compliance with regulations. The manager leads a team to secure patient information, insurance coverage, and payment collections, ultimately aiming to reduce bad debt and enhance net revenues for Stanford Health Care.
Responsibilities
Plan, organize, lead, and direct patient financial clearance functions.
,
Ensure efficient performance of financial clearance tasks including pre-registration and payer authorization.
,
Maintain data quality for pre-registration and financial counseling activities.
,
Gather patient information accurately and timely, securing insurance coverage limits and benefits.
,
Provide financial clearance services to patients and families from initial contact through charging.
,
Develop and implement staff training and competency requirements.
,
Monitor and improve performance in quality, accuracy, productivity, and timeliness of financial clearance processes.
,
Collaborate with other departments to standardize and optimize patient financial clearance processes.
,
Ensure compliance with regulatory and accrediting agency requirements.
,
Identify revenue cycle issues and lead root cause analysis for problem resolution.
Requirements
Bachelor's degree in accounting, finance, business administration, health care administration, or a related field.
,
Five years of experience in revenue cycle management in a healthcare setting.
,
Knowledge of HIPAA regulations and hospital policies.
,
Proficiency in Microsoft Excel, Word, and Project.
,
Strong communication and interpersonal skills.
,
Ability to analyze data and identify trends in revenue write-offs.
Nice-to-haves
Experience with Epic registration and billing systems.
,
Knowledge of ICD-9 and CPT coding.
,
Project management experience.
Benefits
Competitive salary range of $54.22 - $71.84 per hour.
,
Full-time remote work opportunity.
,
Comprehensive health insurance options.
,
Retirement savings plan with company matching contributions.
Apply Now