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.
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? Ensure efficient performance of financial clearance tasks including pre-registration and payer authorization.
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? Maintain data quality for pre-registration and financial counseling activities.
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? Gather patient information accurately and timely, securing insurance coverage limits and benefits.
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? Provide financial clearance services to patients and families from initial contact through charging.
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? Develop and implement staff training and competency requirements.
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? Monitor and improve performance in quality, accuracy, productivity, and timeliness of financial clearance processes.
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? Collaborate with other departments to standardize and optimize patient financial clearance processes.
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? Ensure compliance with regulatory and accrediting agency requirements.
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? 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.
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? Five years of experience in revenue cycle management in a healthcare setting.
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? Knowledge of HIPAA regulations and hospital policies.
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? Proficiency in Microsoft Excel, Word, and Project.
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? Strong communication and interpersonal skills.
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? Ability to analyze data and identify trends in revenue write-offs.

Nice-to-haves
? Experience with Epic registration and billing systems.
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? Knowledge of ICD-9 and CPT coding.
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? Project management experience.

Benefits
? Competitive salary range of $54.22 - $71.84 per hour.
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? Full-time remote work opportunity.
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? Comprehensive health insurance options.
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? Retirement savings plan with company matching contributions.

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