Responsible for managing financial clearance processes to ensure patients are financially cleared for services. Oversees pre-registration, insurance verification, and financial counseling functions to optimize revenue cycle performance and enhance patient experience.
Does this position require Patient Care? No
Essential Functions: -Leads the financial clearance team, including hiring, training, and evaluating staff performance. -Oversees pre-registration and insurance verification processes to ensure timely and accurate patient information. -Implements and monitors policies and procedures to maintain compliance with regulatory and payer requirements. -Collaborates with clinical and administrative teams to resolve financial clearance issues that impact patient care or billing. -Analyzes financial clearance metrics to identify trends and opportunities for process improvements. -Ensures patients receive clear and accurate information regarding their financial responsibilities and available resources. -Manages financial counseling services to assist patients with insurance enrollment and payment options. -Develops and delivers training programs to enhance staff knowledge of insurance guidelines and billing practices. Education Bachelor's Degree Healthcare Administration required or Bachelor's Degree Business Administration required or Bachelor's Degree Related Field of Study required
Can this role accept experience in lieu of a degree? Yes
Experience Experience in revenue cycle operations or financial clearance 5-7 years required and Experience in a management role 2-3 years required
Knowledge, Skills and Abilities - Strong knowledge of insurance verification, billing practices, and healthcare regulations. - Strong leadership and team management abilities. - Proficiency in revenue cycle management and financial clearance processes. - Excellent analytical skills to assess and improve operational performance. - Exceptional communication and interpersonal skills for engaging with staff and patients. - Ability to manage multiple priorities and work in a fast-paced healthcare environment. - Attention to detail and a commitment to accuracy in financial processes.
Wentworth-Douglass Hospital is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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