Sr. Manager - Patient Financial Clearance (Remote)

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
The Senior Manager-Patient Financial Clearance (PFC) is responsible for oversight of the daily operations for patient financial clearance functions. This includes providing direction and managing the operations team and encompasses responsibility to ensure compliance with SHC and department policies and procedures related to pre-registration, payer authorization and financial counseling functions where applicable to promote optimal performance of the front-end patient financial clearance process/revenue cycle at Stanford Health Care. The Senior Manager is expected to ensure that service lines are properly staffed, and the resources are properly trained to provide timely and accurate financial clearance for all services in scope in PFC. The Senior Manager must have a clear understanding of multiple managed care contracts, multiple specialty insurance and billing practices, and exercise professional competency in reviewing patient accounts to support timely access to services while maximizing reimbursement and minimizing financial risk to Stanford Health Care. Successful oversight will result in increased net revenues by reducing revenue and cash leakage from potential write-offs due to lack of patient collections and denials. Interactions will primarily be conducted with clinic stakeholders, patients and payors. The Senior Manager will also serve as a decision-making resource to faculty, managers, and clinic staff in financial clearance related issues and escalations.

Locations
Stanford Health Care

What you will do

• Working with the Director, effectively lead and coordinate initiatives and operations with hospital clinic leadership and other leadership representatives and stakeholders from various departments associated with Patient Financial Clearance operations. Support the Director in developing strategies for operational improvement, assists with budget development, and departmental reporting.

• As a member of the Revenue Cycle leadership team, the Senior Manager serves as a key resource to promote best practice revenue cycle processes and strives to meet and exceed the needs of its customers.

• Represent the department in clinic senior leadership communications, participate on various committees.

• Provide guidance to financial clearance managers to ensure the department functions are performed efficiently throughout the department

• Ensure staff and management team are adequately trained to handle business functions required to financially secure all accounts in the scope of the department including but not limited to pre-registration tasks such as, insurance and benefits verification, regulatory requirements, i.e. Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN), securing appropriate pre-certifications or authorizations and collecting payments for upcoming services

• Serve as one of the primary points of contact for clinic leadership to communicate business initiatives and address escalations. Serve as a primary decision maker to effectively handle financial clearance escalations

• Proactively identify and quickly respond to revenue cycle issues and provide leadership for root cause analysis and problem resolution.

• Provide financial clearance service approach for providers, patients and family from point of contact through charging. Utilize feedback and needs assessment tools to understand internal and external customer expectations. Strive to provide services that exceed expectations and work to eliminate barriers to good service. Maintain relations with all internal applicable parties in the enterprise, third party payers, and other agencies, as appropriate.

• Develop goals and priorities for the Patient Financial Clearance and assigns tasks and projects. Design and implement appropriate plans to meet goals.

• Develop staff skills and training plans. Counsel, trains and coach managers and assigned staff. Implement corrective actions and conduct performance evaluations. Implement corrective actions and conduct performance evaluations. Provide leadership, direction and guidance.

• Lead the implementation of standards and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities for the enterprise. Monitors to ensure that integrity and accuracy of registration data is maintained by department. Works collaboratively with other departments to ensure the processes and systems for